Inter-rater Reliability of the Clinical Frailty Scale in a Swedish Emergency Department Setting

NCT04869878 | Completed

• 1 other identifier: 2021-00875IRR
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Frailty is a common clinical syndrome in older adults, which may be assessed through various assessment tools. One frequently used tool is the Clinical Frailty Scale (CFS) which potentially can be adopted for daily use in the Emergency Department and has been appraised for reliability to some extent, but have so far not been evaluated in the Swedish emergency care context. The purpose of this study is to evaluate the inter-rater reliability of the Clinical Frailty Scale (CFS) in a clinical Swedish Emergency Department (ED) setting. Members of multidisciplinary emergency care teams will conduct the assessments individually.

Conditions

Frailty

Keywords

Inter-rater reliability; Clinical Frailty Scale; Frailty assessment; Frailty; Observer variation; Emergency service

Outcome Measures

Primary Outcomes (1)

• Level of inter-rater reliability regarding frailty as assessed by CFS

  Inter-rater reliability of the CFS, expressed as Intraclass Correlation Coefficient

  The assessment will be made in connection with the patient´s first meeting with the care team, i.e. within 1 hour from the patient´s arrival to the ED

Secondary Outcomes (2)

• Level of correlation between degree of frailty (CFS 1-9) and degree of inter-rater reliability

  The assessment will be made in connection with the patient´s first meeting with the care team, i.e. within 1 hour from the patient´s arrival to the ED

• Agreement between CFS and clinical judgement (frail/not frail)

  The clinical judgement is made just before the assessment with CFS

Other Outcomes (1)

• Difference in measures for Inter-rater reliability, expressed as Intraclass Correlation Coefficient, between care teams with emergency physicians in relation to care teams with interns/residents from other specialties.

  The assessment will be made in connection with the patient´s first meeting with the care team, i.e. within 1 hour from the patient´s arrival to the ED

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Health care professionals: Physicians, nurses and assistant nurses who are the responsible healthcare professionals for the enrolled patients Patients: Patients of all genders at the age of ≥65 years seeking medical care at the three ED instances in Region Östergötland.

You may qualify if:

• Health-care professionals:
• \- Working in the ED, as part of the emergency-care team that are responsible for a patient ≥65 years
• Patients:
• \- ≥65 years

You may not qualify if:

• Health care professionals:
• \- Unwilling to provide informed consent
• Patients:
• \- ≤65 years

Sponsors & Collaborators

• University Hospital, Linkoeping: lead

Study Sites (1)

Akutmottagningen US Östergötland

Linköping, Östergötland County, 58185, Sweden

Location

Related Publications (8)

• Manfredi G, Midao L, Paul C, Cena C, Duarte M, Costa E. Prevalence of frailty status among the European elderly population: Findings from the Survey of Health, Aging and Retirement in Europe. Geriatr Gerontol Int. 2019 Aug;19(8):723-729. doi: 10.1111/ggi.13689. Epub 2019 May 30.

  PMID: 31146300 BACKGROUND

• Collard RM, Boter H, Schoevers RA, Oude Voshaar RC. Prevalence of frailty in community-dwelling older persons: a systematic review. J Am Geriatr Soc. 2012 Aug;60(8):1487-92. doi: 10.1111/j.1532-5415.2012.04054.x. Epub 2012 Aug 6.

  PMID: 22881367 BACKGROUND

• Preston L, Chambers D, Campbell F, Cantrell A, Turner J, Goyder E. What evidence is there for the identification and management of frail older people in the emergency department? A systematic mapping review. Southampton (UK): NIHR Journals Library; 2018 Apr. Available from http://www.ncbi.nlm.nih.gov/books/NBK493681/

  PMID: 29697231 BACKGROUND

• Lewis ET, Dent E, Alkhouri H, Kellett J, Williamson M, Asha S, Holdgate A, Mackenzie J, Winoto L, Fajardo-Pulido D, Ticehurst M, Hillman K, McCarthy S, Elcombe E, Rogers K, Cardona M. Which frailty scale for patients admitted via Emergency Department? A cohort study. Arch Gerontol Geriatr. 2019 Jan-Feb;80:104-114. doi: 10.1016/j.archger.2018.11.002. Epub 2018 Nov 8.

  PMID: 30448693 BACKGROUND

• Kaeppeli T, Rueegg M, Dreher-Hummel T, Brabrand M, Kabell-Nissen S, Carpenter CR, Bingisser R, Nickel CH. Validation of the Clinical Frailty Scale for Prediction of Thirty-Day Mortality in the Emergency Department. Ann Emerg Med. 2020 Sep;76(3):291-300. doi: 10.1016/j.annemergmed.2020.03.028. Epub 2020 Apr 24.

  PMID: 32336486 BACKGROUND

• Lo AX, Heinemann AW, Gray E, Lindquist LA, Kocherginsky M, Post LA, Dresden SM. Inter-rater Reliability of Clinical Frailty Scores for Older Patients in the Emergency Department. Acad Emerg Med. 2021 Jan;28(1):110-113. doi: 10.1111/acem.13953. Epub 2020 Apr 2. No abstract available.

  PMID: 32141671 BACKGROUND

• Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005 Aug 30;173(5):489-95. doi: 10.1503/cmaj.050051.

  PMID: 16129869 BACKGROUND

• Hallgren KA. Computing Inter-Rater Reliability for Observational Data: An Overview and Tutorial. Tutor Quant Methods Psychol. 2012;8(1):23-34. doi: 10.20982/tqmp.08.1.p023.

  PMID: 22833776 BACKGROUND

Related Links

• A simplified guide to determination of sample size requirements for estimating the value of intraclass correlation coefficient
• Randomizer.org

MeSH Terms

Conditions

Frailty

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 26, 2021
• First Posted: May 3, 2021
• Study Start: May 3, 2021
• Primary Completion: October 31, 2021
• Study Completion: October 31, 2021
• Last Updated: November 15, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)