Integrating frailty and acute illness severity scoring for risk stratification in acute geriatric care: Review and practical guide

Figure 3 Proposed 4-step clinical triage algorithm for acute geriatric care. The algorithm dictates integration of the “Two-Week Rule” (baseline Clinical Frailty Scale) and acute physiological derangement (National Early Warning Score 2, Sequential Organ Failure Assessment and/or quick SOFA) to guide phenotype-driven triage and shared decision-making. CFS: Clinical Frailty Scale; NEWS2: National Early Warning Score 2; SOFA: Sequential Organ Failure Assessment; qSOFA: Quick Sequential Organ Failure Assessment; HDU: High dependency unit; AGU: Acute geriatric unit; GOC: Goals-of-care; TLT: Time-limited trial.