55 Frailty Assessment in Lower Limb Critical Limb Ischaemia Patients
Bibliographic record
Abstract
Abstract Introduction An increasing number of frail older patients are undergoing surgical procedures. Frailty is an independent risk factor for increased hospital stay and adverse postoperative outcomes. This project aimed to assess frailty and its management in lower limb critical limb ischaemia patients on the vascular ward at Manchester Royal Infirmary. Method A prospective review of consecutive admissions admitted with lower limb critical limb ischaemia identified from ward list and vascular activity, and subsequently discharged. Assessment of frailty status using the Edmonton and Rockwood scales within 48 hrs of admission. Results A total of 15 patients were identified with an average age of 69.2 years. The average length of hospital stay was 19 days. 69 total days were spent in the hospital once patients were declared ‘medically fit for discharge’ across all patients. Frailty is associated with increased length of hospital stay and discharge to other institutions. Both the Edmonton and Rockwood scales were congruent in assessing frailty. Conclusions Frailty needs to be assessed and identified early so it can be flagged to therapy services and discharge arrangements commenced early. Measures need to be put in place to manage frailty and reduce the length of hospital stay.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".