Development and validation of an electronic frailty index using routine primary care electronic health record data

Clegg, Andrew; Bates, Chris; Young, John; Ryan, Rita M.; Nichols, Linda O.; Teale, Elizabeth; Mohammed, Mohammed A.; Parry, John; Marshall, Tom

doi:10.1093/ageing/afx001

Cited by 223 publications

(348 citation statements)

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“…Using the eCGA to automatically determine electronic FI-CGA scores, healthcare practitioners are able to conveniently examine changes (including improvement) in the FI and encourage patients to develop self-care plans. As the key to care planning, the electronic FI-CGA precisely measures the level of frailty, providing evidence based cost-effective solution for large-scale application [40,41]. Consistent with recommendations from frailty experts, the electronic FI-CGA result is used by the primary care provider to draft an individualized care plan for the senior based on what is most important to them.…”

Section: Discussion -Innovative Models For Care For Older Adultsmentioning

confidence: 99%

Using an Electronic Comprehensive Geriatric Assessment and Health Coaching to Prevent Frailty in Primary Care: The CARES Model

Garm¹,

Park²,

Song³

2018

Med Clin Rev

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Frailty threatens the quality of life of seniors. As the leading cause for the disproportionate use of health care resources, frailty is a serious threat to the sustainability of the health care system. Mounting evidence suggests frailty can be prevented with early assessment and management. Primary care providers are well positioned to identify "at risk" seniors and enact care plans to prevent frailty from progressing. The Comprehensive Geriatric Assessment (CGA) has repeatedly demonstrated value in the clinical setting for enhanced outcomes for seniors. The Frailty Index (FI) is a reliable and sensitive measure of frailty that can be generated from the CGA (FI-CGA). Implementing the FI-CGA into the electronic medical records of primary care can enable the use of a reliable and valid measurement of frailty at point of service. Using the electronic FI-CGA in the clinic setting guides healthcare providers to make more meaningful and comprehensive healthcare decisions. Based on the degree of frailty, health coaching aims to both support the seniors competence in their self-management as well the adoption of health promoting behaviors like exercise and improved nutritional choices. The Community Actions and Resources Empowering Seniors (CARES) collaborative model in primary care aims to provide substantial healthcare cost savings over time by addressing frailty at early stages and decreasing costly hospital admissions. CARES further aims to improve the quality of life of seniors by generating a sense of empowerment and control over their risk for frailty through health coaching to adopt healthy aging strategies.

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Section: Discussion -Innovative Models For Care For Older Adultsmentioning

confidence: 99%

Using an Electronic Comprehensive Geriatric Assessment and Health Coaching to Prevent Frailty in Primary Care: The CARES Model

Garm¹,

Park²,

Song³

2018

Med Clin Rev

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“… Compared to fit older people, those with frailty are at greater risk of disability, care home admission, hospitalisation, and death 95 96 .  Those with mild frailty have almost twice the mortality risk of a fit older person; for those severely frail, the risk is quadrupled 97 .  For older people, frailty is the most commonly reported health condition leading to death …”

Section: Frailtymentioning

confidence: 99%

Co-designing Design Fictions: a New Approach for Debating and Priming Future Healthcare Technologies and Services

Tsekleves¹,

Darby²,

Whicher³

et al. 2017

adr

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“…The electronic frailty index (eFI) recognises and grades the severity of frailty and thus identifies patients at high risk of hospital admissions. 12 In general practice, read codes are used to categorise and record patient characteristics such as social demographics, disease history and test results. The 36 different deficits used to grade frailty in the eFI are shown in Table 2.…”

Section: Electronic Frailty Indexmentioning

confidence: 99%

Clinical information systems: tools to boost prescribing safety

Saddiq¹,

Kauser²

2017

Prescriber

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Development and validation of an electronic frailty index using routine primary care electronic health record data

Cited by 223 publications

References 0 publications

Using an Electronic Comprehensive Geriatric Assessment and Health Coaching to Prevent Frailty in Primary Care: The CARES Model

Using an Electronic Comprehensive Geriatric Assessment and Health Coaching to Prevent Frailty in Primary Care: The CARES Model

Co-designing Design Fictions: a New Approach for Debating and Priming Future Healthcare Technologies and Services

Clinical information systems: tools to boost prescribing safety

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