P-659: Southampton Arm Fracture Frailty and Sarcopenia Study (SAFFSS): is it feasible to assess frailty and sarcopenia among older people in fracture clinic?

摘要

Background: Frailty and sarcopenia are associated with increased risk of falls but are not routinely identified in fracture clinics. This study will evaluate the feasibility of assessing frailty and sarcopenia among older people attending fracture clinic as a novel opportunity for identification and intervention. Methods: 100 people aged 65 + years with a wrist/upper arm fracture attending fracture clinics in one English acute trust will be assessed using six validated frailty measures and two sarcopenia tools. Those with either condition will be referred for comprehensive geriatric assessment by geriatric clinical services. Interviews with patients and healthcare professionals will explore their views about the acceptability of assessing frailty and sarcopenia. Results: So far 14 patients (median age 75 years; 5 male) have been recruited since March 2019. Frailty was identified among 3/14 (21%) patients using the Clinical Frailty Scale (CFS); 2/14 (14%) using each of Fried Frailty Phenotype, FRAIL scale and PRISMA; and 1/14 (7%) using the electronic frailty index (e-FI) and the Study of Osteoporotic Fractures (SOF) tool. Sarcopenia was found among 3/14 (21%) patients using both SARC-F and the European Working Group on Sarcopenia in Older People (EWGSOP). Data was complete for all patients with average assessment times of 1 min for PRISMA, CFS and SARC-F; 4-5 min for Fried Frailty Phenotype, FRAIL scale and SOF; and 9 min for EWGSOP criteria. Discussion: This study is ongoing and will demonstrate the best tools to screen for frailty and sarcopenia in this population, and identify the feasibility of using existing care pathways for their management.