Department of Critical Care

Measuring Frailty in Critical Illness: Province-Wide Implementation of the Clinical Frailty Scale Score in a Population-Based Electronic Medical Record System in Alberta

The Clinical Frailty Scale (CFS)

The CFS is a nine-point physician judgment-based tool that provides a simple reproducible measure of frailty.

Physician admission form addition

The CFS has been added to the Physician Admission Form and can be accessed through a drop down menu under the Acuity Scoring menu.

Detailed visual analogue scale

A more detailed visual analogue scale defining each score on the CFS can be accessed by the ‘Clinical Frailty Scale' button to the right of the drop down tab.

Integrated CFS score

The CFS score is integrated into inter-professional EMR charting including bedside RN charting...

And...

Physiotherapy and occupational therapy charting.

Study purpose

This study aims to evaluate the feasibility of implementing the Clinical Frailty Scale (CFS) score as part of the routine admission documentation for adult patients admitted to Alberta ICU’s. Applying a frailty score to ICU patients will allow us to:

  1. Describe the prevalence of frailty among ICUs in Alberta
  2. Translate of frailty-specific information between care providers and across a spectrum of care settings.
  3. Provide a platform to design, evaluate and implement further interventions specifically targeting vulnerable and frail patients.
  4. Provide opportunity to develop predictive analytic tools aimed to trigger consultations with geriatric medicine or specialized “care pathways” among “high-risk” frail survivors of critical illness

The Clinical Frailty Scale

The Clinical Frailty Scale (CFS) is a nine-point clinician judgment-based tool that provides a simple, reproducible measure of frailty. In the ICU setting a score would be assigned by the admitting physician and would be based on the patient’s condition prior to the event that brought them to the ICU.

  • For this study, the CFS has been added to eCritical as part of the Physician Admission Form.
  • The CFS score can be accessed by a drop down tab on the “acuity scoring” menu.
  • A more detailed visual analogue scale defining each score on the CFS can be accessed by the “Clinical Frailty Scale” button to the right of the drop down tab.
  • The assigned frailty score is then integrated into the inter-professional EMR charting (RN, physiotherapy, occupational therapy).

Project Contact

Sean Bagshaw
Principal Investigator
(780) 492-9162

Dawn Opgenorth
Project Manager
(780) 492-4698


This study is funded by the Canadian Frailty Network.


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