Kong, Jonathan, Trinh, Kelly, Kathrine, Hammill, and Chia-Ming Chen, Carla (2024) Not All Frailty Assessments Are Created Equal: Comparability of Electronic Health Data-Based Frailty Assessments in Assessing Older People in Residential Care. Biological Research For Nursing. (In Press)

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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.

Item ID:	82950
Item Type:	Article (Research - C1)
ISSN:	1552-4175
Keywords:	frailty, aged care, assessment, electronic health records
Copyright Information:	© CC BY.
Date Deposited:	10 Jun 2024 23:16
FoR Codes:	46 INFORMATION AND COMPUTING SCIENCES > 4602 Artificial intelligence > 460209 Planning and decision making @ 35% 46 INFORMATION AND COMPUTING SCIENCES > 4611 Machine learning > 461103 Deep learning @ 35% 42 HEALTH SCIENCES > 4203 Health services and systems > 420301 Aged health care @ 30%
SEO Codes:	22 INFORMATION AND COMMUNICATION SERVICES > 2204 Information systems, technologies and services > 220403 Artificial intelligence @ 70% 20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200502 Health related to ageing @ 25% 11 COMMERCIAL SERVICES AND TOURISM > 1199 Other commercial services and tourism > 119999 Other commercial services and tourism not elsewhere classified @ 5%
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