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RESEARCH

eFI QH Project

A Digital Frailty Index for Acute Care Settings

Health care systems are currently designed to meet the needs of patients with acute, single-system problems, and many frail patients of all ages receive invasive treatments from which they cannot recover.

 

Specialists are basing their decision-making on their technical expertise, rather than on an understanding of the frailty status of patients and how that impacts the risks and benefits of interventions.

 

Frailty identifies patients at greatest risk of multiple adverse outcomes, including longer inpatient stay, hospital-acquired complications, and death.

 

We aim to develop and integrate a digital frailty index into hospital systems to enable frailty-informed decision-making about treatments and care options.

About the project

We will use existing patient data that is collected into Queensland Health integrated medical record – the ieMR – to develop an electronic Frailty Index for Queensland Hospitals (eFI QH).

 

Once developed we will undertake a shadow implementation to establish the validity of the eFI and to quantify the prevalence and impact of frailty in acute care settings in Queensland.

 

We will also test and optimise the eFI in clinical practice through a pilot implementation study within an inpatient oncology setting.

Project team and funding

This project is funded through a National Health and Medical Research Council (NHMRC) 2023 Partnership Project Grant, with a grant duration of five years.

 

Professor Ruth Hubbard, Masonic Chair of Geriatric Medicine at the Centre for Health Services Research at the University of Queensland, is the Principal Investigator for this project.

 

The research team includes academic geriatricians, biostatisticians, digital health experts, allied health professionals, and consumer representatives.

List of investigators

Investigator

Institution

Prof Ruth Hubbard

The University of Queensland

Prof Sarah Hilmer 

The University of Sydney

Dr Adrienne Young

The University of Queensland

Prof Ken Rockwood

Dalhousie Univeristy

Prof Clair Sullivan

The University of Queensland

Prof Andrew Clegg

University of Leeds

Ms Anja Cristoffersen

Consumer Investigator

Dr David Ward

The University of Queensland

Prof Tracy Comans

National Ageing Research Institute

Dr Leila Shafiee Hanjani 

The University of Queensland

Prof Elizabeth Whiting

Queensland Health

Prof Jason Pole

The University of Queensland

Ms Marianne Fenton

Queensland Health

Dr Ahmad Abdel-Hafez

eHealth Queensland

A/Prof Paul Yates

University of Melbourne

Ms Leonie Young

Consumer representative

Prof Euan Walpole

Princess Alexandra Hospital

Prof Christopher Etherton-Beer

University of Western Australia

Ms Lynne Wall 

Queensland Health

Dr Kenji Fujita

The University of Sydney

Please direct any queries to Ida Tornvall, Project Manager, at [email protected]