Prevalence of Frailty in European Emergency Departments (FEED): an international flash mob study
Timothy Coats,Simon Conroy,Bas de Groot,Pieter Heeren,Stephen Lim,Jacinta Lucke,Simon Mooijaart,Christian H. Nickel,Rose Penfold,Katrin Singler,James D. van Oppen,Effie Polyzogopoulou,Arina Kruis,Rosa McNamara,Bas de Groot,Santiago Castejon-Hernandez,Oscar Miro,Mehmet Akif Karamercan,Zerrin Defne Dundar,James D. van Oppen,Martina Pavletic,Pavla Libicherova,Frederic Balen,Axel Benhamed,Xavier Dubucs,Romain Hernu,Said Laribi,Katrin Singler,Othon Fraidakis,Varvara Polyvios Fyntanidou,Effie Polyzogopoulou,Szabolcs Gaal,Anna Bjorg Jonsdottir,Mary Elizabeth Kelly-Friel,Claire Alexandra McAteer,Lisa Diandra Sibthorpe,Aoife Synnott,Maria Beatrice Zazzara,Sophie Maria Coffeng,Bas de Groot,Jacinta Anna Lucke,Rosalinde A. L. Smits,Santiago Castejon-Hernandez,Lluis Llauger,Sira Aguilo Mir,Miguel Sanchez Ortiz,Eduardo Enrique Padilla,Santiago Cotobal Rodeles,Wojciech Rojewski-Rojas,Davide Fadini,Natalie Sabrina Jegerlehner,Christian Hans Nickel,Sara Rezzonico,Enrico Carlo Zucconi,Sumeyye Cakmak,Huseyin Avni Demir,Zerrin Defne Dundar,Ramazan Guven,Mehmet Akif Karamercan,Ozgur Sogut,Ismail Tayfur,James Alexander Adams,Janice Bernardo,Leanne Brown,Joel Burton,Matthew James Butler,Renate Isabelle Claassen,Francesca Compton,Jamie G. Cooper,Ruth Heyes,Sally Ko,Calvin John Lightbody,Jane A. H. Masoli,Stephen Thomas Gerard McKenzie,David Mawhinney,Nicola Jayne Moultrie,Angeline Price,Rajendra Raman,Lauren Heather Rothwell,Ravishankar Prabhakar Shashikala,Erica Jane Smith,Vittoria Sorice,James D. van Oppen,James Michael Wallace,Tom Young,Ana Benvin,Edita Breski,Alda Cefo,Dijana Dumic,Rea Ferenac,Ivanka Jurica,Marinka Otocan,Petra Sverko Zinaic,Benedicte Clement,Laurent Jacquin,Blandine Royer,Stefanie Irmgard Apfelbacher,Sofia Bezati,Sofia Gkarmiri,Christina V. Kaltsidou,George Klonos,Zoi Korka,Afroditi Koufogianni,Vasileios Mavros,Adamantia Nano,Angelos Ntousopoulos,Nikolaos Papadopoulos,Rakel Sason,Sofia-Chrysovalantou Zagalioti,Ingibjorg Hjaltadottir,Ingibjorg Sigurorsdottir,Sigrun Sunna Skuladottir,Thordis Thorsteinsdottir,Deirdre Breslin,Colm Patrick Byrne,Anita Dolan,Olivia Harte,Durriya Kazi,Aoife McCarthy,Shane Stephen McMillan,Dineo Ntesang Moiloa,Ide Louise O'Shaughnessy,Vinny Ramiah,Susan Williams,Tommaso Giani,Elena Levati,Rossella Montenero,Andrea Russo,Sara Salini,Bianca van den Berg,Anja Martine Booijen,Ozcan Sir,Anne Elisabeth Vermeulen,Michele Anna ter Voert,Alicia C. Alvarez-Galarraga,Youcef Azeli,Rocio Garcia-Gutierrez Gomez,Rebeca Gonzalez Gonzalez,Dayris Lizardo,Marta Lopez Perez,Coral Nunez Madan,Jesus Angel Medina,Javier Sierra Moreno,Erika Vanessa Bolivar Patino,David Martin-Crespo Posada,Irene Cabrera Rodrigo,Catherine Franca Vitucci,Marco Ballinari,Thomas Dreher,Tanguy Espejo,Leone Gianinazzi,Wolf E. Hautz,Burcu Bayramoglu,Sumeyye Cakmak,Burhan Comruk,Tuba Dogan,Fulya Kose,Thomas Paul Allen,Robert Ardley,Claire Marie Beith,Keith Alan Boath,Hannah Louise Britton,Marion Madeleine Francoise Campbell,Jonathon Capel,Conall Catney,Suzanne Clements,Brigid Pauline Collins,Francesca Compton,Alison Cook,Emma Jane Cosgriff,Tina Coventry,Nancileigh Doyle,Zoe Evans,Toluwalase Abdulrazak Fasina,John Francis Ferrick,Gail Mclaughlin Fleming,Caroline Gallagher,Mark Golden,Darshan Gorania,Lynn Glass,Hannah Greenlees,Zara Patricia Haddock,Ruth Harris,Carol Hollas,Amy Hunter,Claire Ingham,Shirley Sau Yin Ip,Jacqueline Anne James,Christopher Kenenden,Gabrielle Elizabeth Jenkinson,Emma Lee,Sophie Amelia Lovick,Margaret McFadden,Roisin McGovern,Jasmine Medhora,Farah Merchant,Srishti Mishra,Gayle Betsy Moreland,Subha Narayanasamy,Amy Rebecca Neal,Emma Louise Nicholls,Mariam Turkey Omar,Noleen Osborne,Favour Oghenevwaire Oteme,Jemma Pearson,Robert Price,Monika Sajan,Loveleen Kaur Sandhu,Harriet Scott-Murfitt,Beth Sealey,Eleanor Paige Sharp,Benjamin Andrew Charles Spowage-Delaney,Fiona Stephen,Lynn Stevenson,Ian Tyrrell,Chukwunonso Kalu Ukoh,Rebekah Walsh,Alice May Watson,June Elizabeth Cowan Whiteford,Corinne Allston-Reeve,Thomas James Barson,Margherita Grotzkyj Giorgi,Yasmin L. Godhania,Vicki Inchley,Evgeny Mirkes,Sajid Rahman
EUROPEAN GERIATRIC MEDICINE（2024）
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摘要
AimTo determine the prevalence of frailty among older people attending emergency care.FindingsAcross 14 European countries, 40% of older people using emergency care were living with at least mild frailty. 14% of all adult users were older people with frailty.MessageThe high prevalence of frailty in emergency care indicates the need to accordingly configure healthcare systems and plan workforces. IntroductionCurrent emergency care systems are not optimized to respond to multiple and complex problems associated with frailty. Services may require reconfiguration to effectively deliver comprehensive frailty care, yet its prevalence and variation are poorly understood. This study primarily determined the prevalence of frailty among older people attending emergency care.MethodsThis cross-sectional study used a flash mob approach to collect observational European emergency care data over a 24-h period (04 July 2023). Sites were identified through the European Task Force for Geriatric Emergency Medicine collaboration and social media. Data were collected for all individuals aged 65 + who attended emergency care, and for all adults aged 18 + at a subset of sites. Variables included demographics, Clinical Frailty Scale (CFS), vital signs, and disposition. European and national frailty prevalence was determined with proportions with each CFS level and with dichotomized CFS 5 + (mild or more severe frailty).ResultsSixty-two sites in fourteen European countries recruited five thousand seven hundred eighty-five individuals. 40% of 3479 older people had at least mild frailty, with countries ranging from 26 to 51%. They had median age 77 (IQR, 13) years and 53% were female. Across 22 sites observing all adult attenders, older people living with frailty comprised 14%.Conclusion40% of older people using European emergency care had CFS 5 + . Frailty prevalence varied widely among European care systems. These differences likely reflected entrance selection and provide windows of opportunity for system configuration and workforce planning.
