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The clinical frailty scale predicts functional decline and mortality when used by junior medical staff: a prospective cohort study

Overview of attention for article published in BMC Geriatrics, June 2016
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (86th percentile)
  • High Attention Score compared to outputs of the same age and source (86th percentile)

Mentioned by

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20 tweeters

Citations

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30 Dimensions

Readers on

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84 Mendeley
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Title
The clinical frailty scale predicts functional decline and mortality when used by junior medical staff: a prospective cohort study
Published in
BMC Geriatrics, June 2016
DOI 10.1186/s12877-016-0292-4
Pubmed ID
Authors

Kate J. Gregorevic, Ruth E. Hubbard, Benny Katz, Wen K. Lim

Abstract

Increasing frailty is associated with risk of mortality and functional decline in hospitalized older adults, but there is no consensus on the best screening method for use by non-geriatricians. The objective of this study is to determine whether the clinical frailty scale (CFS) can be used to identify patient baseline frailty status in the acute general medical setting when used by junior medical staff using information obtained on routine clinical assessment. This was a prospective cohort study in an acute general medical unit. All patients aged 65 and over admitted to a general medical unit during August and September 2013 were eligible for the study. CFS score at baseline was documented by a member of the treating medical team. Demographic information and outcomes were obtained from medical records. The primary outcomes were functional decline and death within three months. Frailty was assessed in 95 % of 179 eligible patients. 45 % of patients experienced functional decline and 11 % died within three months. 40 % of patients were classified as vulnerable/mildly frail, and 41 % were moderately to severely frail. When patients in residential care were excluded, increasing frailty was associated with functional decline (p = 0.011). Increasing frailty was associated with increasing mortality within three months (p = 0.012). A high proportion of eligible patients had the frailty measure completed, demonstrating the acceptability of the CFS to clinicians. Despite lack of training for medical staff, increasing frailty was correlated with functional decline and mortality supporting the validity of the CFS as a frailty screening tool for clinicians.

Twitter Demographics

The data shown below were collected from the profiles of 20 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 84 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 84 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 21 25%
Student > Master 15 18%
Researcher 12 14%
Student > Postgraduate 8 10%
Other 7 8%
Other 21 25%
Readers by discipline Count As %
Medicine and Dentistry 50 60%
Unspecified 10 12%
Nursing and Health Professions 9 11%
Agricultural and Biological Sciences 5 6%
Social Sciences 2 2%
Other 8 10%

Attention Score in Context

This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 July 2016.
All research outputs
#983,910
of 11,396,061 outputs
Outputs from BMC Geriatrics
#162
of 1,056 outputs
Outputs of similar age
#36,055
of 278,023 outputs
Outputs of similar age from BMC Geriatrics
#6
of 46 outputs
Altmetric has tracked 11,396,061 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,056 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.8. This one has done well, scoring higher than 84% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 278,023 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 86% of its contemporaries.
We're also able to compare this research output to 46 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 86% of its contemporaries.