{
  "abstract": "Introduction Frailty is a complex, multidimensional syndrome characterised by loss of physiological reserves that increase patients’ susceptibility to adverse health outcomes. Rockwood Clinical Frailty Score (CFS), a semi quantitative tool used in the BTS adult respiratory support audit in 2023 showed that patients in our ARCU ranged from moderate to very severely frail and this was higher compared to national average. Inpatient respiratory admissions increase the burden of frailty and less is known about the impact on various clinical outcomes in patients admitted to ARCU and we have evaluated this further.Methods This was a single centre retrospective observational cohort study, and patients admitted to ARCU acutely for respiratory support (NHFT, CPAP or NIV) based on pre-set admission criteria were included over a 12 month period (May 2023-April 2024). Patients not needing respiratory support and elective admissions were excluded. Baseline demographics and CFS ranging from score 1–9 were obtained (score 1= very fit to score 9= terminally ill). The CFS score was divided into two groups; non frail (CFS score 4 or less) and frail (CFS score of 5 or more). Length of stay (LOS), 30 day readmission rate to ARCU, inpatient and 90 day mortality between the two groups were compared.Results Patients (n=735, 56% females, mean age-67± 2) were included. No patients had a CFS score of 9 (terminally ill). As compared to non-frail group, patients in frail group had increased LOS (mean days= 4.5 ±1 v/s 5.6 ±1; P= 0.01, 95% CI 0.19- 1.92, figure 1) and were more likely to get readmitted to ARCU within 30 days (11.4% v/s 24.5%; P= < 0.0001, OR= 2.5). The inpatient and 90 day mortality was higher in the frail group as compared to no frail group (30.4% v/s 19.4%; P= 0.002, OR =1.8) and (13.4% v/s 3.68%; P= 0.001, OR= 4.0) respectively.Abstract P226 Figure 1Showing the length of stay between non frail and frail group of patientsConclusion Our data suggests that higher CFS score predict adverse outcomes and may identify the high-risk patients with guarded prognosis. When incorporated into acute assessment, this may be a potential tool to help prognosticate, to aid effective communication with patients/relatives and better patient flow.",
  "authors": [
    {
      "affiliations": [
        "Mid Yorkshire Teaching NHS Trust, Wakefield, UK"
      ],
      "name": "A Mehmood"
    },
    {
      "affiliations": [
        "Mid Yorkshire Teaching NHS Trust, Wakefield, UK"
      ],
      "name": "H Hegab"
    },
    {
      "affiliations": [
        "Mid Yorkshire Teaching NHS Trust, Wakefield, UK"
      ],
      "name": "O Idris"
    },
    {
      "affiliations": [
        "Mid Yorkshire Teaching NHS Trust, Wakefield, UK"
      ],
      "name": "H Aslam"
    },
    {
      "affiliations": [
        "Mid Yorkshire Teaching NHS Trust, Wakefield, UK"
      ],
      "name": "A Dwarakanath"
    }
  ],
  "title": "P226 Utilising rockwood clinical frailty score (CFS) in evaluating the impact of pre- admission frailty on clinical outcomes in patients admitted to acute respiratory care unit (ARCU)",
  "uid": "5e61c6f8-f63f-587c-a6e1-131a9e0ce60c"
}