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The Clinical Frailty Scale: Do Staff Agree?

机译:临床脆弱规模:员工同意吗?

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摘要

The term frailty is being increasingly used by clinicians, however there is no strict consensus on the best screening method. The expectation in England is that all older patients should have the Clinical Frailty Scale (CFS) completed on admission. This will frequently rely on junior medical staff and nurses, raising the question as to whether there is consistency. We asked 124 members of a multidisciplinary team (consultants, junior doctors, nurses, and allied health professionals; physiotherapists, occupational therapists, dietitians, speech and language therapists) to complete the CFS for seven case scenarios. The majority of the participants, 91/124 (72%), were trainee medical staff, 16 were senior medical staff, 12 were allied health professions, and 6 were nurses. There was broad agreement both between the professions and within the professions, with median CFS scores varying by a maximum of only one point, except in case scenario G, where there was a two-point difference between the most junior trainees (FY1) and the nursing staff. No difference (using the Mann–Whitney U test) was found between the different staff groups, with the median scores and range of scores being similar. This study has confirmed there is agreement between different staff members when calculating the CFS with no specific preceding training.
机译:临床医生越来越多地使用脆弱的术语,但是对最好的筛查方法没有严格共识。英格兰的期望是,所有老年患者都应该在入学时完成临床体力缩放(CFS)。这将经常依赖初级医疗人员和护士,提出关于是否存在一致性的问题。我们要求124名多学科团队成员(顾问,初级医生,护士和盟军卫生专业人士;物理治疗师,职业治疗师,营养师,言语治疗师),以完成七种情况的CFS。大多数参与者,91/124(72%),是实习生医务人员,16名高级医疗人员,12名是盟军卫生职业,6名护士。在职业和职业范围内都有广泛的一致性,中位数CFS分数在最多只有一个点,除了情况下,除了情况下,最多的初级学员(FY1)与此外有两点差异护理人员。在不同的员工团体之间发现了没有区别(使用Mann-Whitney U测试),中位数和分数范围相似。本研究已确认不同员工之间的协议,当时没有具体前面的培训。

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