Not All Frailty Assessments Are Created Equal: Comparability of Electronic Health Data-Based Frailty Assessments in Assessing Older People in Residential Care

Journal Publication ResearchOnline@JCU
Kong, Jonathan;Trinh, Kelly;Kathrine, Hammill;Chia-Ming Chen, Carla
Abstract

Objectives: To evaluate the comparability of frailty assessment tools – the electronic frailty index (eFI), retrospective electronic frailty index (reFI), and clinical frailty scale (CFS) – in older residents of care facilities. Methods: Data from 813 individuals aged 65 or older, with frailty and co-morbidities, collected between 2022 and 2023, were analysed using various statistical methods. Results: The results showed significant differences in frailty classification among the tools: 78.3% were identified as moderately to severely frail by eFI, 59.6% by reFI, and 92.1% by CFS. Statistical tests confirmed significant differences (p < .05) in their assessments, indicating variability in measurement methods. Discussion: This study advances the understanding of frailty assessment within aged-care settings, highlighting the differences in the efficacy of these assessment tools. It underscores the challenges in frailty assessments and emphasizes the need for continuous refinement of assessment methods to address the diverse facets of frailty in aged care.

Journal

Biological Research for Nursing

Publication Name

Biological Research For Nursing

Volume

26

ISBN/ISSN

1552-4175

Edition

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Issue

4

Pages Count

11

Location

N/A

Publisher

Sage

Publisher Url

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Publisher Location

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Publish Date

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Date

N/A

EISSN

N/A

DOI

10.1177/10998004241254459