| Title: |
Prevalence of Frailty in European Emergency Departments (FEED): an international flash mob study |
| Authors: |
Coats, Timothy; Conroy, Simon; de Groot, Bas; Heeren, Pieter; Lim, Stephen; Lucke, Jacinta; Mooijaart, Simon; Nickel, Christian H.; Penfold, Rose; Singler, Katrin; van Oppen, James D.; Polyzogopoulou, Effie; Kruis, Arina; McNamara, Rosa; Castejon-Hernandez, Santiago; Miro, Oscar; Karamercan, Mehmet Akif; Dundar, Zerrin Defne; Pavletic, Martina; Libicherova, Pavla; Balen, Frederic; Benhamed, Axel; Dubucs, Xavier; Hernu, Romain; Laribi, Said; Fraidakis, Othon; Fyntanidou, Varvara Polyvios; Gaal, Szabolcs; Jonsdottir, Anna Bjorg; Kelly-Friel, Mary Elizabeth; McAteer, Claire Alexandra; Sibthorpe, Lisa Diandra; Synnott, Aoife; Zazzara, Maria Beatrice; Coffeng, Sophie Maria; Lucke, Jacinta Anna; Smits, Rosalinde A.L.; Llauger, Lluis; Aguilo Mir, Sira; Sanchez Ortiz, Miguel; Enrique Padilla, Eduardo; Cotobal Rodeles, Santiago; Rojewski-Rojas, Wojciech; Fadini, Davide; Jegerlehner, Natalie Sabrina; Nickel, Christian Hans; Rezzonico, Sara; Zucconi, Enrico Carlo; Cakmak, Sumeyye; Demir, Huseyin Avni; Guven, Ramazan; Sogut, Ozgur; Tayfur, Ismail; Adams, James Alexander; Bernardo, Janice; Brown, Leanne; Burton, Joel; Butler, Matthew James; Claassen, Renate Isabelle; Compton, Francesca; Cooper, Jamie G.; Heyes, Ruth; Ko, Sally; Lightbody, Calvin John; Masoli, Jane A.H.; McKenzie, Stephen Thomas Gerard; Mawhinney, David; Moultrie, Nicola Jayne; Price, Angeline; Raman, Rajendra; Rothwell, Lauren Heather; Shashikala, Ravishankar Prabhakar; Smith, Erica Jane; Sorice, Vittoria; Wallace, James Michael; Young, Tom; Benvin, Ana; Breski, Edita; Cefo, Alda; Dumic, Dijana; Ferenac, Rea; Jurica, Ivanka; Otocan, Marinka; Zinaic, Petra Sverko; Clement, Benedicte; Jacquin, Laurent; Royer, Blandine; Apfelbacher, Stefanie Irmgard; Bezati, Sofia; Gkarmiri, Sofia; Kaltsidou, Christina V.; Klonos, George; Korka, Zoi; Koufogianni, Afroditi; Mavros, Vasileios; Nano, Adamantia; Ntousopoulos, Angelos; Papadopoulos, Nikolaos; Sason, Rakel; Zagalioti, Sofia-Chrysovalantou; Hjaltadottir, Ingibjorg; Sigurorsdottir, Ingibjorg; Skuladottir, Sigrun Sunna; Thorsteinsdottir, Thordis; Breslin, Deirdre; Byrne, Colm Patrick; Dolan, Anita; Harte, Olivia; Kazi, Durriya; McCarthy, Aoife; McMillan, Shane Stephen; Moiloa, Dineo Ntesang; O'Shaughnessy, Ide Louise; Ramiah, Vinny; Williams, Susan; Giani, Tommaso; Levati, Elena; Montenero, Rossella; Russo, Andrea; Salini, Sara; van den Berg, Bianca; Booijen, Anja Martine; Sir, Ozcan; Vermeulen, Anne Elisabeth; ter Voert, Michele Anna; Alvarez-Galarraga, Alicia C.; Azeli, Youcef; Garcia-Gutierrez Gomez, Rocio; Gonzalez Gonzalez, Rebeca; Lizardo, Dayris; Lopez Perez, Marta; Nunez Madan, Coral; Angel Medina, Jesus; Sierra Moreno, Javier; Bolivar Patino, Erika Vanessa; Martin-Crespo Posada, David; Cabrera Rodrigo, Irene; Franca Vitucci, Catherine; Ballinari, Marco; Dreher, Thomas; Espejo, Tanguy; Gianinazzi, Leone; Hautz, Wolf E.; Bayramoglu, Burcu; Comruk, Burhan; Dogan, Tuba; Kose, Fulya; Allen, Thomas Paul; Ardley, Robert; Beith, Claire Marie; Boath, Keith Alan; Britton, Hannah Louise; Campbell, Marion Madeleine Francoise; Capel, Jonathon; Catney, Conall; Clements, Suzanne; Collins, Brigid Pauline; Cook, Alison; Cosgriff, Emma Jane; Coventry, Tina; Doyle, Nancileigh; Evans, Zoe; Fasina, Toluwalase Abdulrazak; Ferrick, John Francis; Fleming, Gail Mclaughlin; Gallagher, Caroline; Golden, Mark; Gorania, Darshan; Glass, Lynn; Greenlees, Hannah; Haddock, Zara Patricia; Harris, Ruth; Hollas, Carol; Hunter, Amy; Ingham, Claire; Ip, Shirley Sau Yin; James, Jacqueline Anne; Kenenden, Christopher; Jenkinson, Gabrielle Elizabeth; Lee, Emma; Lovick, Sophie Amelia; McFadden, Margaret; McGovern, Roisin; Medhora, Jasmine; Merchant, Farah; Mishra, Srishti; Moreland, Gayle Betsy; Narayanasamy, Subha; Neal, Amy Rebecca; Nicholls, Emma Louise; Omar, Mariam Turkey; Osborne, Noleen; Oteme, Favour Oghenevwaire; Pearson, Jemma; Price, Robert; Sajan, Monika; Sandhu, Loveleen Kaur; Scott-Murfitt, Harriet; Sealey, Beth; Sharp, Eleanor Paige; Spowage-Delaney, Benjamin Andrew Charles; Stephen, Fiona; Stevenson, Lynn; Tyrrell, Ian; Ukoh, Chukwunonso Kalu; Walsh, Rebekah; Watson, Alice May; Whiteford, June Elizabeth Cowan; Allston-Reeve, Corinne; Barson, Thomas James; Giorgi, Margherita Grotzkyj; Godhania, Yasmin L.; Inchley, Vicki; Mirkes, Evgeny; Rahman, Sajid |
| Source: |
ISSN:1878-7649 ; ISSN:1878-7657 ; European Geriatric Medicine, vol. 15 (2), (463-470. |
| Publisher Information: |
Springer (part of Springer Nature) |
| Publication Year: |
2024 |
| Subject Terms: |
Science & Technology; Life Sciences & Biomedicine; Geriatrics & Gerontology; Frailty; Emergency care; Geriatrics; SCALE; CARE; Aged; Female; Humans; Male; Cross-Sectional Studies; Emergency Service; Hospital; Frail Elderly; Prevalence; 80 and over; European Taskforce on Geriatric Emergency Medicine (ETGEM) collaborators; 3202 Clinical sciences; 4203 Health services and systems |
| Description: |
INTRODUCTION: Current emergency care systems are not optimized to respond to multiple and complex problems associated with frailty. Services may require reconfiguration to effectively deliver comprehensive frailty care, yet its prevalence and variation are poorly understood. This study primarily determined the prevalence of frailty among older people attending emergency care. METHODS: This cross-sectional study used a flash mob approach to collect observational European emergency care data over a 24-h period (04 July 2023). Sites were identified through the European Task Force for Geriatric Emergency Medicine collaboration and social media. Data were collected for all individuals aged 65 + who attended emergency care, and for all adults aged 18 + at a subset of sites. Variables included demographics, Clinical Frailty Scale (CFS), vital signs, and disposition. European and national frailty prevalence was determined with proportions with each CFS level and with dichotomized CFS 5 + (mild or more severe frailty). RESULTS: Sixty-two sites in fourteen European countries recruited five thousand seven hundred eighty-five individuals. 40% of 3479 older people had at least mild frailty, with countries ranging from 26 to 51%. They had median age 77 (IQR, 13) years and 53% were female. Across 22 sites observing all adult attenders, older people living with frailty comprised 14%. CONCLUSION: 40% of older people using European emergency care had CFS 5 + . Frailty prevalence varied widely among European care systems. These differences likely reflected entrance selection and provide windows of opportunity for system configuration and workforce planning. ; sponsorship: The study received funding from the Royal College of Emergency Medicine. James van Oppen was receiving salary funding from the National Institute for Health and Care Research (Doctoral Research Fellowship 300901). Jane Masoli is funded by an NIHR Advanced Fellowship (NIHR302270). Katrin Singler was receiving funding from Scholler-Foundation Nuremberg. Angeline ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
https://lirias.kuleuven.be/handle/20.500.12942/773419; https://pubmed.ncbi.nlm.nih.gov/38340282 |
| DOI: |
10.1007/s41999-023-00926-3 |
| Availability: |
https://lirias.kuleuven.be/handle/20.500.12942/773419; https://hdl.handle.net/20.500.12942/773419; https://lirias.kuleuven.be/retrieve/144cade4-06c2-44ba-8678-36142fd262f0; https://doi.org/10.1007/s41999-023-00926-3; https://pubmed.ncbi.nlm.nih.gov/38340282 |
| Rights: |
info:eu-repo/semantics/openAccess ; public ; https://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.D83AB8E3 |
| Database: |
BASE |