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Articles Published Processes
8/27/2026 8:00:27 AM | Browse: 2 | Download: 8
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Received |
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2026-03-11 03:22 |
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Peer-Review Started |
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2026-03-11 03:23 |
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First Decision by Editorial Office Director |
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2026-04-08 08:39 |
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Return for Revision |
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2026-04-08 08:39 |
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Revised |
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2026-05-01 06:13 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2026-05-25 02:40 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-05-25 08:10 |
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Articles in Press |
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2026-05-25 08:10 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-08-18 02:09 |
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Publish the Manuscript Online |
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2026-08-27 08:00 |
| 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. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| 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
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Mae-Jane Khaw and Wei-Ven Chin |
| ORCID |
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| Funding Agency and Grant Number |
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| 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. |
| Publish Date |
2026-08-27 08:00 |
| 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; 15(3): 120866
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| URL |
https://www.wjgnet.com/2220-3141/full/v15/i3/120866.htm |
| DOI |
https://doi.org/10.5492/wjccm.120866 |
Copyright © 1993-2026 Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA. All rights reserved, including rights relating to text and data mining, AI training, and similar technologies. For open-access content, the applicable copyright and licensing terms govern.