Feasibility and Acceptability of the Clinical Frailty Scale in a Swedish Emergency Department Setting
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 229
- Locations
- 1
- Primary Endpoint
- Completion rate
Study Overview
Brief Summary
The purpose of this study is to evaluate the feasibility and acceptability of the Clinical Frailty Scale (CFS).
The scale can potentially be adopted for daily use in the Emergency Department (ED) and have been evaluated with regard to feasibility to a certain extent, but have so far not been evaluated in the Swedish emergency care context.
Detailed Description
The CFS is introduced and tested as part of a quality-improvement process regarding elderly people within the three Emergency departments (ED) of Region Östergötland.
CFS is a 9-point scale developed within the Canadian Study of Health and Aging, a pictograph and a clinical description aids to assign scores from very fit to terminally ill. The scale enable clinicians to stratify elderly people's degree of frailty with the help of questions and clinical assessment. However, even excellent tools will not be used if they are too difficult or time consuming. The amount of papers addressing issues regarding feasibility and acceptability of the CFS in a clinical ED-setting is still limited, and for Swedish EDs non-existent.
This study is part of a larger research project, data will be collected in three ways:
A. All eligible patients who visit the ED for a period of six weeks will be enrolled, and subsequently assessed with CFS by one of their responsible health-care professionals (i.e. physician, registered nurse or nurse assistant). The number of screened patients divided by the total number of eligible patients will yield the screening rate. Patient- and organisational related characteristics will be collected from the electronic health record.
B. 100 patients will be assessed when someone from the research team is present to enrol patients and clock the assessments. These work shifts will be selected using the online application Research Randomizer, to randomly include all hours of the day as well as eligible health-care professionals. The research-team member will document the time to complete the assessment using CFS, which will give us the screening time.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Has been in clinical work at the ED for the period of the current study
Exclusion Criteria
- •Unwilling to provide informed consent
Outcomes
Primary Outcomes
Completion rate
Time Frame: During a period of six weeks
Proportion of completed Clinical Frailty Scale assessments in relation to the number of eligible patients
Secondary Outcomes
- Duration of time to make the assessment(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)
- Barriers to perform(Questionnaire that can be answered within five weeks)
- Patient related characteristics correlated to completion rate(From admission to discharge from the Emergency department, up to 24 hours.)
- Relevance(Questionnaire that can be answered within five weeks)
- Organisational related characteristics correlated to completion rate(From admission to discharge from the Emergency department, up to 24 hours)
- Facilitators to perform assessment(Questionnaire that can be answered within five weeks)
- Ease of use(Questionnaire that can be answered within five weeks)
Investigators
Daniel Wilhelms
Principal Investigator
University Hospital, Linkoeping