Publication Name	World Journal of Critical Care Medicine
Manuscript ID	120866
Country	Malaysia

Category	Critical Care Medicine
Manuscript Type	Review
Article Title	Integrating frailty and acute illness severity scoring for risk stratification in acute geriatric care: Mini-review and practical guide
Manuscript Source	Invited Manuscript
All Author List	Mae-Jane Khaw and Wei-Ven Chin
Funding Agency and Grant Number
Corresponding Author	Mae-Jane Khaw, MD, MRCP, Division of Geriatric Medicine, Sarawak General Hospital, Jalan Hospital, Kuching 93586, Sarawak, Malaysia. janekhaw@gmail.com
Key Words	Acute geriatric care; Frailty; Clinical Frailty Scale; Sequential Organ Failure Assessment; Acute Physiology and Chronic Health Evaluation; National Early Warning Score; Risk stratification; Triage; Emergency department; Critical care
Core Tip	Conventional acute illness severity scoring often neglects baseline frailty, leading to inaccurate risk stratification in acute and critical care settings. This mini-review proposes a novel framework comprising a synergistic 2 × 2 risk stratification matrix and a 4-step clinical triage algorithm that integrates acute illness severity scores with the “Two-Week Rule” for baseline Clinical Frailty Scale assessment. By identifying distinct clinical phenotypes, specifically masked resilience and masked risk, clinicians can move beyond one-dimensional triage to make precise, person-centered decisions regarding treatment escalation and goals-of-care planning. This ensures acute geriatric care remains medically proportionate to attainable functional recovery rather than simple physiological stabilization.
Citation	Khaw MJ, Chin WV. Integrating frailty and acute illness severity scoring for risk stratification in acute geriatric care: Mini-review and practical guide. World J Crit Care Med 2026; In press

Received	2026-03-11 03:22
Peer-Review Started	2026-03-11 03:23
First Decision by Editorial Office Director	2026-04-08 08:39
Return for Revision	2026-04-08 08:39
Revised	2026-05-01 06:13
Publication Fee Transferred
Second Decision by Editor	2026-05-25 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-05-25 08:10
Articles in Press	2026-05-25 08:10
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3141(online)
Open Access	This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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