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Frailty Screening Practice in Specialized Burn Care-A Retrospective Multicentre Cohort Study
Charlotte I Cords1,2, Cornelis H van der Vlies2,3, Matthea Stoop4
1Association of Dutch Burn Centres, Maasstad Hospital, 3079 DZ Rotterdam, The Netherlands.
European Burn Journal
|November 27, 2024
Summary
Frailty screening in Dutch burn centers is feasible, with 63.5% of elderly patients screened. Nearly half of screened patients were at risk, confirming the tool
Area of Science:
- Geriatric Medicine
- Burn Care
- Public Health
Background:
- Frailty negatively impacts outcomes for elderly burn patients.
- A four-domain frailty screening instrument (DSMS) has been used in Dutch hospitals since 2012.
- Limited studies exist on the feasibility and validity of this frailty screening in specialized burn care.
Purpose of the Study:
- To assess the feasibility of frailty screening in specialized burn care.
- To evaluate the validity of frailty screening in elderly burn patients.
- To determine the prevalence of frailty risk in this population.
Main Methods:
- Multicenter retrospective cohort study in all Dutch burn centers.
- Inclusion of patients aged 70+ admitted between 2012-2018.
- Data extraction from electronic patient files.
Main Results:
- Frailty screening was complete in 39.6% and partially complete in 23.9% of 515 included patients.
- Complete screening was associated with later admission dates and lower percentage Total Surface Area burned.
- 49.9% of completely screened patients were at risk of frailty, showing known group and predictive validity.
Conclusions:
- Frailty screening in specialized burn care is feasible, with 63.5% of eligible patients screened.
- A significant proportion (44%) of screened patients were identified as at risk of frailty.
- The validity of the frailty screening tool is confirmed, supporting its use in optimizing burn care.
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