PATIENT PATTERN: Frailty-Based Clinical Decision Support

Using Frailty to Guide Patient Care Decisions

An Evidence-Based, Proactive Approach to Improve Patient Care and Quality

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Frailty is a term widely used to denote a multidimensional syndrome of loss of reserves (energy, physical ability, cognition, health) that gives rise to vulnerability.

  • Frailty scoring is better than age or diagnosis to determine if a patient is likely to benefit or be harmed from a treatment

  • Frailty scoring enables discharge planners to determine the most appropriate care setting

  • Frailty scoring enables early interventions to prevent hospital readmissions

  • Frailty scoring enables the prediction of for development of adverse outcomes

Patient Pattern Software Operationalizes Frailty

Frailty is theoretically defined as a clinically recognizable state of increased vulnerability resulting from aging-associated decline in reserve and function across multiple physiologic systems such that the ability to cope with everyday or acute stressors is comprised

The separation of frailty from both comorbidity (multiple pathology) and disability is supported by the identification of biomedical factors associated only with the former condition.

Assessing Patient Vulnerability Risk

Patient Pattern software uses our proprietary frailty index derived automatically from the MDS or a short Smart Survey to assess patient vulnerability risk

The complex interplay of existing risk factors from multiple chronic ilnesses and the resulting clinical complexity can all be accounted for in context of Frailty. When Frailty is measured objectively, it outperforms all non-clinical and clinical risk-prediction tools.

Frailty Literature

Patient Pattern's Frailty Risk Index is grounded in the latest evidence-based frailty research. Read up on extensive, world-wide Frailty based clinical research.

Age-related frailty and its association with biological markers of ageing
Superiority of Frailty Over Age in Predicting Outcomes Among Geriatric Trauma Patients: A Prospective Analysis
Identifying Common Characteristics of Frailty Across Seven Scales
The risk of adverse outcomes in hospitalized older patients in relation to a frailty index based on a comprehensive geriatric assessment
Patient frailty: the elephant in the operating room
The frailty phenotype and the frailty index: different instruments for different purposes
Frailty Consensus: A Call to Action
New horizons in frailty: ageing and the deficit-scaling problem
Frailty in older adults: implications for end-of-life care

Frailty in elderly people

Prediction of Adverse Health Outcomes in Older People Using a Frailty Index Based on Routine Primary Care Data
Frailty: enhancing the known knowns
Predictors of adverse outcomes on an acute geriatric rehabilitation ward
A Comparison of two pre-operative frailty measures in older surgical cancer patients
The Frailty Syndrome: Definition and Natural History
Frailty defined by deficit accumulation and geriatric medicine defined by frailty
Outcome instruments to measure frailty: a systematic review
Comprehensive geriatric assessment can predict complications in elderly patients after elective surgery for colorectal cancer: A prospective observational cohort study
Frailty as a predictor of surgical outcomes in older patients
Prevalence and 10-Year Outcomes of Frailty in Older Adults in Relation to Deficit Accumulation
The Multidimensional Prognostic Index Predicts Short- and Long-Term Mortality in Hospitalized Geriatric Patients with Pneumonia
A Comparison of Two Approaches to Measuring Frailty in Elderly People
Understanding frailty

Understanding frailty

Long-term risks of death and institutionalization of elderly people in relation to deficit accumulation at age 70
A global clinical measure of fitness and frailty in elderly people

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