Curie Brief
Turn on cookies to sign in
Signing in saves your progress to your Curie account. We can only do that with cookies on — turn them on to continue.
News
Bedside frailty ratings by nurses can predict death risk in dialysis patients. A French cohort study found that the Clinical Frailty Scale (CFS), rated by trained nurses, independently predicted all-cause mortality over 24 months — performing on par with a standard comorbidity-based score. Frail patients had nearly a 46% mortality rate at two years, compared to under 10% for those rated as well.
A new study out of France suggests that a simple, nurse-administered frailty assessment can meaningfully predict mortality risk in patients on maintenance dialysis — and it holds its own against more complex comorbidity-based tools. Researchers followed 792 dialysis patients across six centers over 24 months, using the 9-point Clinical Frailty Scale (CFS) rated by trained nurses at a single time point.
The results were striking: patients classified as frail (CFS score 6–9) had a 45.87% cumulative mortality rate at 24 months, compared to just 9.78% for those rated as well (CFS 1–3). The CFS performed comparably to the established REIN Predictive Score, and the two tools provided independent, complementary information about mortality risk.
By the Numbers:
Why it matters: Frailty is common in dialysis patients but often goes unassessed in routine care. This study shows that nurses — not just physicians — can reliably capture functional risk using a straightforward tool, potentially enabling earlier, more personalized care planning for high-risk patients.
