To assess feasibility, validity and reliability of the *Clinical Frailty Scale (CFS)*, the *Groningen Frailty Indicator (GFI)* and the *Burn Frailty Index (BFI)* in the burn population and compare them to two reference standards (*Frailty Phenotype…
ID
Source
Brief title
Condition
- Other condition
- Epidermal and dermal conditions
Synonym
Health condition
brandwonden
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
To assess feasibility of three frailty assessment tools in middle-aged and
elderly patients with burn injuries; Clinical Frailty Scale, (CFS) Burn Frailty
Index (BFI), Groningen Frailty Indicator (GFI).
Secondary outcome
To assess predictive validity, construct validity, concurrent validity and
discriminative validity of the CFS, BFI and GFI in middle-aged and elderly
patients with burn injuries.
To assess reliability of the CFS, BFI and GFI in middle-aged and elderly
patients with burn injuries.
To gain insight in the course of frailty over time.
Background summary
Frailty is highly prevalent in elderly and is related to an increased risk of
falls, disability, hospitalization, and mortality. Frailty assessment has the
potential to improve burn care in middle-aged and elderly patients (>=50 years).
If diagnosed in time, improvement is possible which enhances both burn care
treatment and rehabilitation by preventing frailty from worsening if possible.
Currently, the frailty risk is assessed in burn centres in patients aged >=70
years, using the *Veiligheids Management Systeem Kwetsbare ouderen* (VMS). It
is unknown whether the VMS is usable in acute burn care. Applying frailty
assessment tools to an elderly population in acute care, such as burn patients,
is challenging. An assessment tool should be easy to use and trustworthy
(valid, feasible and reliable). Several more advanced/better assessment tools
are available, like the Clinical Frailty Scale, Frailty Phenotype, Groningen
Frailty Indicator and the Burn Frailty Index however, till this day, there is
no information regarding their feasibility, validity and reliability in
specialized burn care.
Study objective
To assess feasibility, validity and reliability of the *Clinical Frailty Scale
(CFS)*, the *Groningen Frailty Indicator (GFI)* and the *Burn Frailty Index
(BFI)* in the burn population and compare them to two reference standards
(*Frailty Phenotype* and *Veiligheids Programma Kwetsbare ouderen*).
Study design
Prospective multicentre cohort study with a 12-month follow-up.
Study burden and risks
The burden of participation is limited, and associated risks are minimal. There
are no medical interventions involved in the study. The frailty assessment
tools consist of questionnaires and performance-based measures. Data collection
at inclusion consists of a short interview of 8 minutes and two short
questionnaires. Also, two performance tests will be conducted (hand grip
strength test and 4.57m (15 feet) walking test - if possible) in the first 72
hours of admission. At discharge they will fill in a short questionnaire (ca 7
minutes). Together, this takes approximately 28 extra minutes on admission. In
case patients are not able to complete one or both performance tests, these
tests will be replaced by validated questions. Participants are requested to
complete a short follow-up questionnaire at discharge and 3- and 12-months post
burn. This questionnaire takes approximately 12 minutes to complete. The
patient can choose to complete the questionnaire during the regular outpatient
visits, to receive it by post, or to answer the questionnaire by phone. The
main disadvantage of participation for the patient is thus the investment of
time. The group benefit is mainly the further improvement of tailoring acute
care of specialized burn centres to the individual patient.
*
Maasstadweg 21
Rotterdam 3079DZ
NL
Maasstadweg 21
Rotterdam 3079DZ
NL
Listed location countries
Age
Inclusion criteria
- Patients with a burn injury aged 50 years or more admitted to a burn centre
in the Netherlands
- Admission of at least 24 hours
- Informed consent of the patient or legal representative
Exclusion criteria
- Poly-trauma (ISS>16)
- Direct comfort care treatment / expected early mortality <48 hours
- Insufficient knowledge of the Dutch language of the patient or the legal
representative
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL75729.100.20 |
| OMON | NL-OMON29337 |