2016 - 2018. CLINICAL FRAILTY SCALE SCORE IMPLEMENTATION INTO A PROVINCIAL BEDSIDE CLINICAL INFORMATION SYSTEM (ECRITICAL)

Project Title: Clinical Frailty Scale Score Implementation into a Provincial Bedside Clinical Information System (eCritical)

Overview: Frailty is a multi-dimensional syndrome characterized by the loss of physiologic and cognitive reserves that gives rise to heightened vulnerability to adverse outcomes. An episode of critical illness may be a sentinel event for a vulnerable patient to transition to a frail state and may also be an unrecognized factor impeding the recovery and functional autonomy in those already frail. There has been limited evaluation of frailty among patients admitted to intensive care units (ICUs).We recently completed a prospective multi-center study evaluating frailty among adult patients admitted ICUs across Alberta. We found frailty was exceedingly common, evident in 33%, while a further 32% were characterized as vulnerable. Frail patients suffered a higher risk of adverse events, longer stays in ICU and hospital, higher mortality and among survivors, greater incident disability and impaired quality of life.

To improve the care and outcomes for critically ill patients with frailty, we must first systematically identify those who may be frail among ICU admissions.

This project will evaluate the feasibility of implementing the Clinical Frailty Scale (CFS) score as part of the routine admission documentation for adult patients admitted to all ICUs contributing to a provincial bedside clinical information system (eCritical MetaVision) across Alberta

Primary Investigator: Dr. Sean Bagshaw

Research Associates: Dawn Opgenorth - Project Manager; Carmel Montgomery (Graduate Student, PhD)

Patient and Family Advisors: N/A

Award: $69,035.00

Funding Body: Canadian Frailty Network

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