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Year : 2021  |  Volume : 17  |  Issue : 3  |  Page : 89-92

Use of clinical frailty scale in acute care settings as a predictor of in-hospital and short-term mortality in older adults with severe acute respiratory illness: A prospective pilot cohort study from India

1 Department of Geriatric Medicine, All India Institute of Medical Sciences, Delhi, India
2 Department of Geriatric Medicine, All India Institute of Medical Sciences, Delhi; Department of Geriatric Medicine, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India
3 Department of Emergency Medicine, All India Institute of Medical Sciences, Delhi, India

Correspondence Address:
Dr. Sunny Singhal
57, Chandrakala Colony, Durgapura, Jaipur - 302 018, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiag.jiag_25_21

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Background: As the COVID-19 pandemic continues with its high mortality in older adults, there is a need to find better outcome predictors in such patients. The use of frailty as outcome predictors in the acute-care settings may help in providing more care to the high-risk patients. The aim of this pilot study was to assess the use of frailty measurement in the emergency department as an in-hospital and short-term outcome predictor in older patients admitted with severe acute respiratory illness (SARI). Subjects and Methods: The study was conducted in the emergency department of a tertiary care hospital in India from May 1, 2020 to July 31, 2020. All older patients presenting with SARI were assessed using the Clinical Frailty Scale at presentation by the emergency medicine residents who were trained by a geriatrician. Patients were followed up telephonically till January 31, 2021. Results: A total of 100 patients were recruited (mean age-71.5 years, males-61%, and 75 years or older-40%). Of these patients, 44% were found to be frail. Overall, 50% were SARS-CoV-2 positive. Frail patients had higher in-hospital (47.7% vs. 41.1%) and short-term mortality (67.6% vs. 54.7%); however, the difference was not statistically significant. Duration of hospitalization was also not significantly different between the two groups. Conclusions: Frailty among older SARI patients (with or without COVID-19 infection) was associated with higher in-hospital and long-term mortality, although the results were not statistically significant. Larger multicentric studies are needed to further explore this.

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