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The Clinical Frailty Scale: Do Staff Agree?
Rebekah L Young1, David G Smithard2,3
1Newham University Hospital, Bart's Health NHS Trust, London E13 8SL, UK.
Geriatrics (Basel, Switzerland)
|July 8, 2020
Summary
Clinical Frailty Scale (CFS) use shows consistency among healthcare professionals. This study found broad agreement in CFS scoring across multidisciplinary teams, even without specific training.
Area of Science:
- Geriatrics
- Healthcare Quality
Background:
- The term frailty is increasingly used in clinical practice.
- A lack of consensus exists regarding optimal frailty screening methods.
- England mandates Clinical Frailty Scale (CFS) completion for older patients upon admission.
Purpose of the Study:
- To assess the consistency of CFS scoring among multidisciplinary healthcare professionals.
- To evaluate inter-rater reliability of the CFS in a clinical setting.
Main Methods:
- 124 multidisciplinary team members (including consultants, junior doctors, nurses, and allied health professionals) completed the CFS for seven case scenarios.
- Statistical analysis, including the Mann-Whitney U test, was used to compare scoring across different staff groups.
Main Results:
- Broad agreement was observed in CFS scores between and within professional groups.
- Median CFS scores varied by a maximum of one point across most scenarios.
- No statistically significant differences were found between different staff groups in their CFS scoring.
Conclusions:
- The Clinical Frailty Scale demonstrates good inter-rater reliability among diverse healthcare professionals.
- Consistent application of the CFS is achievable without specific prior training, supporting its use in clinical settings.
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