- Poster presentation
- Open Access
Feasibility and utility of frailty assessment in the over 80s on critical care
© Charles et al. 2011
- Published: 1 March 2011
- Critical Care
- Data Management System
- Critical Care Unit
- Collection Tool
- Care Data
A recent UK-wide audit in perioperative care of the over 80 s recommended the use of frailty assessment as an independent marker of risk in older people . Our critical care unit (CCU) has a fully integrated patient data management system (Metavision®) incorporating notes, patient data and laboratory results. We wished to determine the feasibility and utility of performing frailty assessments using our existing data collection tools on all patients over 80 years old.
Retrospective data collection identified all patients >80 years old admitted to CCU over a 22-month period to November 2010. Frailty was assessed by means of the Canadian Study of Health and Aging index, which has been validated as a simple assessment tool . APACHE II scores and numerical assessments of polypharmacy were also noted.
Our patients had a significantly lower unit and hospital survival than those aged under 80 and this may reflect the need for better assessment tools of frailty and co-morbidity in the critical care population. Current critical care data collection is not sufficient to adequately assess and record frailty in our unit. The National Institute for Health and Clinical Excellence will be producing a guideline for critical care in older patients and this should include a review of frailty assessment.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.