The clinical frailty scale: estimating the prevalence of frailty in older patients hospitalised with COVID-19. The COPE study

Collins, J. T. et al. (2020) The clinical frailty scale: estimating the prevalence of frailty in older patients hospitalised with COVID-19. The COPE study. Geriatrics, 5(3), 58. (doi: 10.3390/geriatrics5030058) (PMID:32967236) (PMCID:PMC7554723)

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Abstract

Frailty assessed using Clinical Frailty Scale (CFS) is a good predictor of adverse clinical events including mortality in older people. CFS is also an essential criterion for determining ceilings of care in people with COVID-19. Our aims were to assess the prevalence of frailty in older patients hospitalised with COVID-19, their sex and age distribution, and the completion rate of the CFS tool in evaluating frailty. Methods: Data were collected from thirteen sites. CFS was assessed routinely at the time of admission to hospital and ranged from 1 (very fit) to 9 (terminally ill). The completion rate of the CFS was assessed. The presence of major comorbidities such as diabetes and cardiovascular disease was noted. Results: A total of 1277 older patients with COVID-19, aged ≥ 65 (79.9 ± 8.1) years were included in the study, with 98.5% having fully completed CFS. The total prevalence of frailty (CFS ≥ 5) was 66.9%, being higher in women than men (75.2% vs. 59.4%, p < 0.001). Frailty was found in 161 (44%) patients aged 65-74 years, 352 (69%) in 75-84 years, and 341 (85%) in ≥85 years groups, and increased across the age groups (<0.0001, test for trend). Conclusion: Frailty was prevalent in our cohort of older people admitted to hospital with COVID-19. This indicates that older people who are also frail, who go on to contract COVID-19 may have disease severity significant enough to warrant hospitalization. These data may help inform health care planners and targeted interventions and appropriate management for the frail older person.

Item Type:Articles
Keywords:Prevalence, frailty, hospital, clinical frailty scale, Covid-19.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Quinn, Dr Terry
Creator Roles:
Quinn, T. J.Writing – original draft, Writing – review and editing
Authors: Collins, J. T., Short, R., Carter, B., Verduri, A., Myint, P. K., Quinn, T. J., Vilches-Moraga, A., Stechman, M. J., Moug, S., McCarthy, K., and Hewitt, J.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
Journal Name:Geriatrics
Publisher:MDPI
ISSN:2308-3417
ISSN (Online):2308-3417
Published Online:21 September 2020
Copyright Holders:Copyright © 2020 The Authors
First Published:First published in Geriatrics 5(3): 58
Publisher Policy:Reproduced under a Creative Commons License

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