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RECRUITINGOBSERVATIONAL

Frailty and Outcomes in Older Emergency Department Patients With Pneumonia

Impact of Clinical Frailty Scale on Morbidity and Mortality in Older Adults Diagnosed With Pneumonia in the Emergency Department: A Prospective Observational Cohort Study

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

Pneumonia is one of the leading causes of infection-related mortality in the older population. Traditional severity scores used in emergency departments, such as the Pneumonia Severity Index (PSI) and CURB-65, primarily focus on acute physiological derangements and may not adequately capture biological reserve and frailty in older adults. Frailty is a geriatric syndrome reflecting increased vulnerability to stressors and reduced recovery capacity. This prospective observational cohort study aims to evaluate the predictive value of the Clinical Frailty Scale (CFS) for in-hospital mortality, 30-day mortality, and morbidity in patients aged 65 years and older presenting to the emergency department with pneumonia. Additionally, the study will assess whether incorporating frailty assessment into existing pneumonia severity scores improves prognostic accuracy.

Who May Be Eligible (Plain English)

Who May Qualify: - Age ≥65 years - Clinical and radiological diagnosis of pneumonia in the emergency department - Ability to obtain willing to sign a consent form from the patient or legal representative - Availability of a caregiver or relative able to describe baseline functional status Who Should NOT Join This Trial: - Presentation with cardiopulmonary arrest or ongoing cardiopulmonary resuscitation at admission - Confirmed COVID-19 pneumonia - Inability to obtain reliable baseline functional history due to absence of an informant - Refusal to provide willing to sign a consent form Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Age ≥65 years * Clinical and radiological diagnosis of pneumonia in the emergency department * Ability to obtain informed consent from the patient or legal representative * Availability of a caregiver or relative able to describe baseline functional status Exclusion Criteria: * Presentation with cardiopulmonary arrest or ongoing cardiopulmonary resuscitation at admission * Confirmed COVID-19 pneumonia * Inability to obtain reliable baseline functional history due to absence of an informant * Refusal to provide informed consent

Treatments Being Tested

OTHER

Clinical frailty scale

Frailty assessment performed at emergency department presentation using the 9-point Clinical Frailty Scale.

DIAGNOSTIC_TEST

Clinical Frailty Scale (CFS)

The Clinical Frailty Scale (CFS) will be assessed on a 1-9 scale. The CFS score obtained at presentation will also be compared with the patient's baseline CFS prior to the onset of the current illness symptoms.

Locations (1)

Özge Can
Izmir, Bornova, Turkey (Türkiye)