An integrative review on screening for frailty in acute care: Accuracy, barriers to implementation and adoption strategies.


Journal Article (Review)

Frailty is a multifactorial clinical syndrome associated with increased vulnerability to negative health-related outcomes including disease and disability. Many frailty screening tools are established for use in community settings with few for acute care. An integrative review methodology by Whittemore and Knafl, was adopted to summarise the reliability and validity of different frailty screening tools, barriers to implementation and adoption strategies in acute care settings. Thirteen relevant papers met the inclusion criteria. Validity and reliability of 14 screening tools were reported in 10 studies, whereas barriers identified in implementing frailty screening and potential adoption strategies were reported in 5 studies. Accuracy of screening tools require further improvement before use in hospitalized elderly. Strategies including the improvement of hospital guidelines and practices, promoting early involvement of stakeholders, and choosing a reliable and quick to administer screening tool can be implemented to help improve and facilitate early frailty screening in acute care.

Full Text

Duke Authors

Cited Authors

  • Lim, SH; Ang, SY; Abu Bakar Aloweni, FB; Østbye, T

Published Date

  • November 2019

Published In

Volume / Issue

  • 40 / 6

Start / End Page

  • 603 - 613

PubMed ID

  • 31277961

Pubmed Central ID

  • 31277961

Electronic International Standard Serial Number (EISSN)

  • 1528-3984

Digital Object Identifier (DOI)

  • 10.1016/j.gerinurse.2019.06.005


  • eng

Conference Location

  • United States