MDCalc

CSHA Clinical Frailty Scale (CFS)

Measures frailty to predict survival.

Launched during COVID-19 crisis.

Canadian Triage Acuity Scale (5 level ED triage) available?

Result:

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Advice
  • The results can be used, in combination with clinical judgment, context, and patient preferences, to create care plans and establish goals of care. 
  • Frailty management often requires a team-based approach, including physicians, nurses, physical and occupational therapists, dietitians, pharmacists, and social workers.
Management

Potential interventions to address frailty include (but are not limited to):

  • Physical therapy and exercise programs to increase mobility, improve gait, and decrease falls.
  • Occupational therapy to enhance the ability to perform activities of daily living.
  • Nutrition counseling and supplementation to mitigate weight loss and augment nutritional status.
  • Medication reviews with the goal of discontinuing unnecessary drugs, substituting potentially safer medications, and reducing side effects.
  • Palliative care consultation to alleviate symptoms and preserve or improve quality of life.
  • Case management to facilitate adequate home services or a transition to assisted living or skilled nursing facilities.