Predicting readmission and death after hospital discharge: a comparison of conventional frailty measurement with an electronic health record-based score.

ABSTRACT:

Background

frailty measurement may identify patients at risk of decline after hospital discharge, but many measures require specialist review and/or additional testing.

Objective

to compare validated frailty tools with routine electronic health record (EHR) data at hospital discharge, for associations with readmission or death.

Design

observational cohort study.

Setting

hospital ward.

Subjects

consented cardiology inpatients ≥70 years old within 24 hours of discharge.

Methods

patients underwent Fried, Short Physical Performance Battery (SPPB), PRISMA-7 and Clinical Frailty Scale (CFS) assessments. An EHR risk score was derived from the proportion of 31 possible frailty markers present. Electronic follow-up was completed for a primary outcome of 90

SUBMITTER: Tew YY 

PROVIDER: S-EPMC8437069 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature