A scoping review of the Clinical Frailty Scale.

A scoping review of the Clinical Frailty Scale.
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DOI:
10.1186/s12877-020-01801-7
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发表时间:
2020-10-07
期刊:
影响因子:
4.1
通讯作者:
Theou O
Theou O
中科院分区:
医学2区
文献类型:
--
作者:
Church S;Rogers E;Rockwood K;Theou O

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虚弱越来越被认为是一个重要的结构,对老年人的健康有影响。临床虚弱量表(CFS)是一种基于判断的虚弱工具,用于评估特定领域,包括合并症、功能和认知,以生成虚弱评分,范围为1(非常健康)至9(绝症)。本次范围界定审查的目的是确定和记录与粮安委相关的研究证据的性质和范围。我们进行了全面的文献检索,以确定使用临床虚弱量表的原始研究。检索了Medline奥维德、Scopus、Web of Science、CINAHL、PsycINFO、科克伦图书馆和Embase,检索时间为2005年1月至2017年3月。文章由两名独立评审员筛选。提取的数据包括出版日期,设置,人口统计学,CFS评估的目的,以及与CFS评分相关的结果。我们检索了1688篇文章,其中包括183项研究。总体而言,62%的研究是在2015年之后进行的,63%的研究测量了住院患者的CFS。CFS与结果的关联被检查了526次; CFS在74%的病例中具有预测性。死亡率是最常见的结果,CFS在87%的时间内具有预测性。CFS与73%的合并症、100%的并发症、75%的住院时间、71%的福尔斯、94%的认知和91%的功能相关。CFS与94%的其他虚弱评分相关。这一范围界定审查表明,爱幼学校已在多种环境中得到广泛使用。CFS评分与临床结局的相关性突出了其在老年人群护理中的实用性。
Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS. We performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score. Our search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time. This scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population.
DOI: 10.1503/cmaj.050051
发表时间: 2005-08-30
影响因子: 14.6
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