Perioperative medicine & outcomes

Interrater reliability of the Clinical Frailty Scale in the anesthesia preadmission clinic

Can J AnaesthPublished Cohort study

Main finding · Interrater agreement on CFSResult — go to the resultKappa 0.70 95% CI 0.63–0.77

Authors' conclusion

This study suggests that CFS assessment by either anesthesiologists or nursing staff is reliable across a population of patients from a range of surgical specialities, with an acceptable degree of agreement.

Study context

Population
Elective surgical patients aged ≥ 65 yr, anesthesia preadmission clinic of a large regional university-affiliated hospital in Australia, July 2020–February 2021
Participants
238 patients
Exposure
Clinical Frailty Scale (CFS) scored by perioperative nurses vs anesthesiologists
Outcome
Interrater reliability of CFS frailty classification (Cohen's kappa)
Methodological detailsinterrater reliability, single-centre
  • Interrater reliability
  • Single-centre

Main finding

Interrater agreement on CFS

Kappa

0.70

95% CI 0.63–0.77

P < 0.001

As reported in the abstract

Perfect agreement on CFS score, patients (%)
112 (47%)
Differing by only one point, patients (%)
99 (42%)

Observational data: associations, not effects.

Original publication

Interrater reliability of the Clinical Frailty Scale in the anesthesia preadmission clinic. Can J Anaesth. Published 7 November 2023. doi:10.1007/s12630-023-02590-4

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