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Frailty score

Scoring frailty in people with dementia The degree of frailty corresponds to the degree of dementia. Common symptoms in mild dementia include forgetting the details of a recent event, though still remembering the event itself, repeating the same question/story and social withdrawal. moderate dementia , recent memory is very impaired, eve Clinical Frailty Scale 1 Erg fit - Personen die krachtig, actief, energiek en gemotiveerd zijn. Deze ouderen doen regelmatig aan sport De Tilburg Frailty Indicator is een gebruiksvriendelijke vragenlijst voor het screenen van kwetsbare ouderen. Score bepalen. Elk antwoord is gekoppeld aan een score. Wanneer de lijst volledig is ingevuld, tel je de scores bij elkaar op. Bij meer dan 5 punten is je cliënt kwetsbaar de Groningen Frailty Indicator. Deze vragenlijst bevat 15 vragen die betrekking hebben op de volgende domeinen van kwetsbaarheid. Mobiliteit/ADL: Afname van de mobiliteit (door bijvoorbeeld evenwichts-stoornissen, vallen, krachtsverlies of artrose). Cognitie: Geheugenstoornissen, verminderd vermogen tot het plan

'Frailty' of 'kwetsbaarheid' is een syndroomdiagnose voor ouderen, die beter dan leeftijd de toegenomen kans op functionele achteruitgang, opname in het verpleeghuis en sterfte, voorspelt. Zinvolle interventies voor frailty zijn ondermeer verbetering van voeding, lichamelijke activiteit en individuele aanpassing van de relevante ziektegerichte richtlijnen Rockwood et al. berekenen een frailty index door het tel- len van het aantal aanwezige aandoeningen uit een lijst van 70 ziektes en beperkingen; deze index lijkt de sterfte nog beter te verklaren dan de frailty-indeling van Fried et al.11In Nederland worden ook het 'Easycare instrument' (www.umcn.nl/userfiles/other/Easycare__meer_dan_ een_instrument.pdf) en de 'Groningen frailty indicator' gebruikt

Op basis van het integrale conceptuele model van kwetsbaarheid is een meetinstrument ontwikkeld, de Tilburg Frailty Indicator (TFI) (zie bijlage). Met behulp van de TFI kan worden bepaald of iemand kwetsbaar is en in welke mate. De score voor kwetsbaarheid wordt bepaald door het optellen van de antwoorden op de vragen Het begrip frailty is eind jaren 1970 in de Verenigde Staten geïntroduceerd om een groep ouderen aan te duiden met een bijzondere behoefte aan zorg en bescherming. Frailty heeft alles te maken met kwetsbaarheid. Kwetsbaarheid verhoogt de kans op functionele achteruitgang en dood. Die kwetsbaarheid hebben baby's en ouderen met elkaar gemeen Groningen Frailty Indicator (GFI) De Groningen Frailty Indicator (GFI) is een eenvoudiger vragenlijst, waarin de dimensies fysieke en psychosociale kwetsbaarheid worden gemete Rockwood Clinical Frailty Score. 1 Very Fit - people who are robust, active, energetic and motivated. These people. commonly exercise regularly. They are. among the fittest for their age. 2 Well - People who have no active disease. symptoms but are less fit than categoly 1 The online Johns Hopkins Frailty Assessment Calculator allows a clinician or researcher to enter five standardized measurements. The output is a single score that is automatically generated, providing a classification of either frail (score 3-5), pre-frail (score 1 or 2) or robust (score 0)

Clinical frailty scale - NICE The National Institute for

Rockwood Clinical Frailty Scale - CGA Toolkit Plus : Resources for the CGA based Proactive Primary Care of the Elderly Frailty syndromes were coded in 2% to 24% of patient spells. Falls and fractures was the most common syndrome coded (24%). The Dr Foster Global Frailty Score was significantly associated with in-hospital mortality, 30-day non-elective readmission and long length of hospital stay The stages of frailty, based on the Fried criteria, were defined as follows: a score of 0 means that a person is robust or not frail. Persons with a score of 1 or 2 are at intermediate risk for adverse outcomes or are considered to be pre-frail. A score of 3-5 indicates that someone is frail [ 5 ]. Perceived health and healthcare us Frailty Index (FI) = No. of health deficits present / No. of health deficits measured. For example, an elderly patient with 20 health deficits out of 50 considered has a FI score of 0.4 whilst another elderly patient with 10 health deficits out of 50 considered, has a FI of 0.2 Robinson Frailty Score (RFS): involves assessments of cognition, how quickly the patient can stand up from a seated position, falls within 6 months, the Charlson Comorbidity Index, serum albumin levels, and their Katz Index of Independence in Activities of Daily Living (ADL) (17)

The eFI is presented as a score (e.g. if 9 deficits are present out of a possible total of 36 the FI score = 0.25) - higher scores indicate increasing frailty Higher scores indicate increasing frailty and greater risk of adverse outcomes (e.g. on average, those with an eFI > 0.36 have a six-fold increased risk o The Frailty Index score is calculated by dividing the total number of impairments by the total number of parameters examined. An individual is considered more frail the closer their overall score is towards 1.0. Several studies have found that the Frailty Index score is strongly related to the risk of death and institutionalisation A score of > 4 indicates the possible presence of moderate-severe frailty. Slow walking speed (less than 0.8m/s or taking more than 5 secs to walk 4m); the PRISMA 7 questionnaire and the timed-up-and-go test (with a cut off score of 10 secs) had very good sensitivity but only moderate specificity for identifying frailty Clinical Frailty Scale* 1 Very Fit - People who are robust, active, energetic and motivated. These people commonly exercise regularly. They are among the fittest for their age. 2 Well - People who have no active disease symptoms but are less fit than category 1. Often, they exercise or are very active occasionally, e.g. seasonally

Vragenlijst voor kwetsbare ouderen: Tilburg Frailty

  1. Aims: Established surgical scores have limitations in delineating risk among candidates for transcatheter aortic valve implantation (TAVI). Assessment of frailty might help to estimate the mortality risk and identify patients likely to benefit from treatment. The aim of the study was to develop a frailty score to guide the decision for TAVI
  2. al illness. The patients were admitted from A&E with shortness of breath, fever or a cough, stayed between 1 and 4 days on the unit, before being transferred to intensive care or a high dependency unit
  3. If yes , kindly propose to the patient an assessment of the causes of frailty and prevention of disabilities in a day hospital. Gerontopole Frailty Screening Tool. Cesari M et al. PLOS ONE in press If A+B ≥1, the individual is considered as disabled
  4. You can use this calculator to work out your risk of developing Frailty by answering some simple questions. The QFrailty ® score, based upon the QMortality ® and QAdmissions ® algorithms, has been developed by Julia Hippisley-Cox and Carol Coupland and are based on routinely collected data from many thousands of GPs across the country who have freely contributed data to the QResearch.
  5. ski AM, 2008)
  6. Robinson et al 23 demonstrated the association between frailty and surgical outcomes in cohorts of more than 200 patients by measuring preoperative frailty with a combination of measures including Katz score, Timed Up-and-Go, Charlson Index, Mini-Cog, hemoglobin, and falls reported in the last 6 months
  7. The number of variables means this is a difficult measure to use in practice, many of these are highly variable and most predict not only frailty but also worsening functionality and disease. One issue in the table - that does surprise me - is that a BMI of >30 is considered a deficit and therefore adds to a frailty score

'Frailty' bij ouderen Nederlands Tijdschrift voor

Kwetsbaarheid (frailty) - De canon van de gerontologi

Key points. The Clinical Frailty Scale (CFS) is being used to assess older COVID-19 patients' risk of adverse outcome in critical care. Using frailty primarily to quantify risk and ration access to care could reinforce the socio-economic gradient in health Lilian Peters: Toward tailored elderly care with self-assessment measures of frailty case complexity. Twee nieuwe meetinstrumenten, de Groningen Frailty Indicator (GFI) en INTERMED Elderly Self Assessment (IM-E-SA), blijken nauwkeurig te kunnen vaststellen welke ouderen kwetsbaar zijn en of zij complexe (zorg)behoeften hebben Frailty is a slowly progressing complex clinical syndrome that can be identified at an early stage. There are interventions that can slow decline and prevent crises. Nurses should identify frail older people in their area of practice using validated screening and assessment tools and direct patients and carers to supportive services and interventions

Platform Ouderenzor

  1. or) New institutionalisation at discharge Comprehensive Assessment of Frailty Score Increase in 30-day mortality Cardiac surgery Sundermann et al
  2. The Hospital Frailty Risk Score provides hospitals and health systems with a low-cost, systematic way to screen for frailty and identify a group of patients who are at greater risk of adverse outcomes and for whom a frailty-attuned approach might be useful
  3. The score is a measure of vulnerability to adverse outcomes and as the score increases so does the degree of risk. The Frailty Risk Score is reported as a percentage ranging from under 25% for those who are fit to 50% and over for the most frail. It is rare for someone to survive much past 70%
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Rockwood Clinical Frailty Score

Frailty; een kwetsbaar begrip r.m. collard, r.c. oude voshaar achtergrond Frailty kan worden beschouwd als een toestand waarbij de reservecapaciteit van verschillende fysiologische systemen tot een kritisch minimum is gedaald, waardoor kleine verstoringen kunnen leiden tot de ontwikkeling van ernstige gezondheidsproblemen frailty score associated with postoperative complications (Dasgupta et al, Arch Geron Geriatr, 2009) • In another study, PFP score associated with postoperative complications, length of stay and unfavorable discharge (Makary, J AM Coll Surg, 2010) Surgery and Frailty Assessment Edmonton Frail Scale (EFS) and Frailty Frailty is a dynamic process in which there is a reduction in the physical, psychological and/or social function associated with aging. The aim of this study was to identify instruments for the detection of frailty in older adults, characterizing their components, application scenarios, ability to identify pre-frailty and clinimetric properties evaluated Frailty in surgical patients. Future projections predict that by 2030, one-fifth of surgical procedures will be conducted in patients aged over 75 years. 5 By the nature of surgical pathology, which is often degenerative (eg osteoarthritis), neoplastic (eg bladder cancer) or metabolic (eg vascular disease), it is unsurprising that the surgical population is ageing

Rockwood Clinical frailty Scale SNCCG v1.4 adopted from West Suffolk frailty project 2017 pg. 2 Suggested actions for patients with frailty score 7-9 Clinical Assessments: Undertake a medication review. Aspirin, warfa rin, opiates, anti -cholinergics, antidepressants, AC Frailty Risk Score The Frailty Risk Score predicts the degree of risk for adverse outcomes and is better than age or diagnosis to determine the benefit or harm of a specific treatment for a patient. It helps frame communications around care planning, supports resource utilization, and identifies the most appropriate setting for rehab and recovery Introduction An acute hospital stay increases the risk of negative outcomes for those living with frailty. This paper describes the application of quality improvement methodology to design and implement a regional audit to gain an understanding of care provision. Methods Small scale tests of change (Plan-Do-Study-Act cycles) were used to design the audit structure and questions

However, a Hospital Frailty Risk Score (HFRS) derived from ICD-10-CM codes in the EHR using cluster analysis in adjusted models with CCI in hospitalized older adults aged >75 years demonstrated. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci. 2004; 59:255-263. Crossref Medline Google Scholar; 5. Abellan van Kan G, Rolland Y, Bergman H, Morley JE, Kritchevsky SB, Vellas B. The I.A.N.A Task Force on frailty assessment of older people in. The electronic frailty index (eFI) is a tool that can be used to identify people as they progress through different levels of frailty, and is based upon a person's needs, rather than their service use. The eFI uses a cumulative deficit model to identify and score frailty based on routine interactions with their GP A frailty score was calculated for each participant by dividing the sum of the health deficit scores by the total number of health deficits measured. This resulted in a score between 0 (no deficits present) and 1 (all deficits present). For example, if a person has six points out of 32, the LASA-FI score was 6/32 = 0.19

Frailty Assessment Calculator - Johns Hopkins HealthCare

Frailty and malnutrition are related but distinct conditions in community-dwelling older adults. The contribution of poor nutrition to frailty in this population is notably greater. Both frail/prefrail elderly and those who are malnourished/at nutritional risk should be identified early and offered The score on total frailty ranges from 0 to 15, and the ranges of the scores on physical, psychological, and social frailty are 0 to 8, 0 to 4, and 0 to 3, respectively. The maximum scores refer to the highest level of frailty. An individual is considered frail if the total TFI-score is five or higher. 14 Routine frailty screening of the general population of older adults is not recommended. 7 Instead, use a case finding approach to identify patients with frailty, particularly in older adults who regularly or increasingly require health and social services (e.g. emergency room visits, ambulance crew attendance, adult day clinics, hospitalization, home support, referral to residential care). 7.

The Frailty Index is calculated by counting the number of deficits out of a total list of potential deficits for that person 3. For example, if an individual has 10 deficits from a total of 40, the index is 0.25. Scores of 0.2 and over are considered as approaching frailty Perspectives of Frailty and Frailty Screening: Since that time point (early 2015), we have confirmed in Australia that a higher score on the FRAIL-NH which indicates a greater risk of frailty was associated with higher care needs, poorer quality of life and increased neuro-psychiatric symptoms Latest Pubmed frailty article feed [Effects of a multifactorial intervention for improving frailty on risk of long-term care insurance certification, death, and long-term care cost among community-dwelling older adults: A quasi-experimental study using propensity score matching] Aim To determine the agreement and predictive value of emergency department (ED) triage nurse scoring of frailty using the Rockwood Clinical Frailty Scale (CFS) when compared with inpatient medical assessment using the same scale. Methods Prospective, dual-centre UK-based study over a 1-year period (1 April 2017 to 31 March 2018) of CFS recorded digitally at nursing triage on ED arrival and on.

Role of frailty assessment in patients undergoing cardiac

Clinical Frailty Scale - Geriatric Medicine Research

Verder hadden zij minder somatische comorbiditeit, geringere handknijpkracht, en een hogere score op frailty vergeleken met ouderen met somatisch verklaarde lichamelijke klachten. De kans op frailty was zelfs drie keer hoger. Auteurs sluiten af met twee belangrijke bevindingen Hospital Frailty Risk Score. Cluster analysis to identify a group of older people (≥75 years) admitted to hospital who had high resource use and diagnoses associated with frailty. Created a Hospital Frailty Risk Score based on ICD-10 codes that characterised this group

Rockwood Clinical Frailty Score There is no single generally accepted clinical definition of frailty. Previously developed tools to assess frailty that have been shown to be predictive of death or need for entry into an institutional facility have not gained acceptance among practising clinicians The addition of the frailty score to the Meta‐analysis Global Group in Chronic HF (MAGGIC) risk score, one of the most predictive scores in HF, 40 results in a significant improvement in risk classification of HF patients, 41 thus suggesting that frailty defines a risk not yet captured by traditional risk scores

Rockwood Clinical Frailty Score. FRAILTY: Please CIRCLE Pre-Admission (2 weeks prior) Rockwood Score: (compulsory for patients >75) - consider referral to frailty team in hours if score 5 or more if admission likel Clinical Frailty Scale 1 4 7 6 9 5 8 Very fit 2 3 People who are robust, active, energetic and motivated. These people commonly exercsie reguarl yl . They are among the fittest for their age. Vulnerable While not dependent on others for daily help, often symptoms limit activities. A common complaint is being slowed up, and/or being tired. MELD Score (Model For End-Stage Liver Disease) (12 and older) Stratifies severity of end-stage liver disease, for transplant planning. HAS-BLED Score for Major Bleeding Risk. Estimates risk of major bleeding for patients on anticoagulation to assess risk-benefit in atrial fibrillation care A simple frailty score that combines age, Charlson Comorbidity Index (CCI), and ECOG performance status was predictive of clinical outcomes among patients with transplant-ineligible multiple.

The frailty of showing how the harmful people can be known is that these then apply the characteristics to decent people to get them hunted down and eradicated. De zwakheid van het aangeven hoe schadelijke mensen kunnen worden herkend, is dat deze dan die karakteristieken op fatsoenlijke mensen toepassen om ze te laten vervolgen en uit te laten roeien CFS score 1-3 CFS score 4 CFS score 5 CFS score 6-8 CFS score 9 Missing •9,080 unique admissions to 15 Alberta ICUs between Jan 1 - Sept 9 2016 •All patients screened for frailty with CFS (28.7% missing) •Prevalence ~ 17.5% (frail) •Undertaking further validation work and dissemination performance report

MYELOMA FRAILTY SCORE CALCULATOR. Developed by International Myeloma Working Group for the prognosis of elderly myeloma patients. The score system (range 0-5), based on age, comorbidities, cognitive and physical conditions, developed by Palumbo A. et al 1, identifies 3 groups of patients: . fit (score=0 The electronic frailty index uses data that is available in the GP electronic health record to identify and severity grade frailty. This enables the identification of older people who are fit, and those with mild, moderate and severe frailty self-reported health status (that is, 'how would you rate your health status on a scale from 0 to 10?', with scores of 6 or less indicating frailty) a formal assessment of gait speed, with more than 5 seconds to walk 4 metres indicating frailty; the PRISMA-7 questionnaire, with scores of 3 and above indicating frailty Avoid frailty score in Covid-19 guidance when assessing LD patients. 24 March, 2020 By Jo Stephenson. People with learning disabilities and conditions like cerebral palsy risk being denied life-saving treatment because of the way those with Covid-19 are being assessed for critical care, warn experts

Clinical Frailty Scale — Specialised Clinical Frailty Networ

Strikingly, frailty by any scale was a predictor of death within 30 days, death within 1 year, and worsening disability at 1 year. Out of all of the different tests, however, the EFT was the strongest predictor of all three endpoints, even after adjustment for procedure type, STS-PROM score, and other baseline covariates {{configCtrl2.info.metaDescription} frailty) is een specifieke conditie bij ouderen die geassocieerd is met een verhoogd risico op vooral fysiek functieverlies. Dit risico op functie-verlies is niet identiek aan, maar wordt wel geassocieerd met veroudering, beperkingen en multimorbiditeit (Ferrucci 2004, Walston 2006). Kwetsbare personen zijn vaker oud, hebbe The principal investigators of the study request that you use the official version of the modified score here. Charlson Comorbidity Index (CCI) Predicts 10-year survival in patients with multiple comorbidities. IMPORTANT. We launched a COVID-19 Resource Center, including a critical review of recommended calcs Disclaimer: The ACS NSQIP Surgical Risk Calculator estimates the chance of an unfavorable outcome (such as a complication or death) after surgery. The risk is estimated based upon information the patient gives to the healthcare provider about prior health history. The estimates are calculated using data from a large number of patients who had a surgical procedure similar to the one the patient.

NHS England » Identifying frailty

Multidimensional Frailty Score for the Prediction of

Design, setting, participants, & measurements A cohort study of incident chronic dialysis patients was conducted between January of 2009 and June of 2013 (last follow-up in December of 2013). On the basis of overall clinical impression, the Clinical Frailty Scale (CFS) score was determined for patients at the start of dialysis by their primary nephrologist The clinical frailty scale score was associated with increased mobility disability at ICU discharge in septic patients receiving early rehabilitation. Sepsis is associated with the highest mortality among critically ill patients admitted to the ICU, with reported mortality rates in the range of 17% to 32% ( 1 , 2 )

Episode 8

Frailty — NICE Critical Car

  1. Does the clinical frailty score improve the accuracy of the SOFA score in predicting hospital mortality in elderly critically ill patients? A prospective observational study. Journal of Critical Care 2018;46:67-72. 15. Zeng A, Song X, Dong J, et al. Mortality in Relation to Frailty in Patients Admitted to a Specialized Geriatric Intensive Care.
  2. Objective To assess the association of baseline imaging markers of cerebral small vessel disease (SVD) and brain frailty with clinical outcome after acute stroke in the Efficacy of Nitric Oxide in Stroke (ENOS) trial. Methods ENOS randomized 4,011 patients with acute stroke (<48 hours of onset) to transdermal glyceryl trinitrate (GTN) or no GTN for 7 days
  3. Frailty score for elderly patients is associated with short-term clinical outcomes in patients with ST-segment elevated myocardial infarction treated with primary percutaneous coronary intervention Leiden Repository
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  5. Objectives Recently, the Hospital Frailty Risk Score based on a derivation and validation study in the UK has been proposed as a low-cost, systematic screening tool to identify older, frail patients who are at a greater risk of adverse outcomes and for whom a frailty-attuned approach might be useful. We aimed to validate this Score in an independent cohort in Switzerland
  6. Atrial fibrillation (AF) is common in older people with frailty and is associated with an increased risk of stroke and systemic embolism. Whilst oral anticoagulation is associated with a reduction in this risk, there is a lack of data on the safety and efficacy of direct oral anticoagulants (DOACs) in people with frailty. This study aims to report clinical outcomes of patients with AF in the.
  7. February 03, 2021 Clinical frailty scale Linkedin; Twitter; Facebook; Pinterest; Share by Email; Print; Category Tags: Definition, Classification & Diagnosis, For Health-care Providers; Back to Top. Go to Diabetes Canada Home. National Office. 1300-522 University Ave. Toronto.

Frailty is increasingly recognized as an important risk factor for worse short- and long-term outcomes and for greater health care service use in hospitalized patients [1,2,3].Research has estimated that approximately one-third of critically ill patients are frail [1, 4, 5].A higher prevalence of frailty in females has been found in both critically ill and non-critically ill populations [1, 2. Increasing frailty RAI score correlated with increasing stroke, death, and MI (P < .0001) as well as with length of stay. RAI demonstrated increasing risk of stroke and death on the basis of risk stratification (low risk [0-10], 2.1%; high risk [>10], 5.0%) It organises over 2000 clinical codes into 36 variables (deficits) and produces a numeric score between 0 and 1 to grade the severity of an individual's frailty risk. Frailty is graded as no frailty, mild frailty, moderate frailty, or severe frailty Frailty is common among people with one or more long-term condition. 1, 7 Evidence from a study conducted in the United Kingdom including over 490,000 middle aged and older adults, found that multiple sclerosis, chronic fatigue syndrome, chronic obstructive pulmonary disease, connective tissue disease, diabetes, cerebrovascular disease, cardiovascular disease and depression were most commonly.

Background Identifying frailty is key to providing appropriate treatment for older people at high risk of adverse health outcomes. Screening tools proposed for primary care often involve additional workload. The electronic Frailty Index (eFI) has the potential to overcome this issue. Aim To assess the feasibility and acceptability of using the eFI in primary care Frailty is characterised by a decline in body functions and systems. A frail person may have difficulty recovering from illness or surgery or coping with minor illness and events. Identifying frailty. Screening and assessing frailty should consider a person's physical performance, nutritional status, cognition and mental health. Responding to. This frailty score predicts mortality and the risk of toxicity in elderly myeloma patients. The International Myeloma Working group proposes this score for the measurement of frailty in the treatment decision-making process and in designing future clinical trials. The score system (range 0-5), based on age, comorbidities, cognitive and physical.. This score is known as electronic frailty index (EFI) and has been useful in general practice. EFI is now automatically calculated by GPs from electronic medical records. To validate this type of score in cancer we need to undertake a research project in 2 parts Toolbox Indicatieproces Wijkverpleging - Functioneren. Tools voor ADL, kwetsbaarheid, medicatie, zelfredzaamheid, ziekte-inzicht en ziekteperceptie

Association of Modified Frailty Index Score WithTop Tips to help you use the Clinical Frailty ScaleRisk Analysis Index and Measuring Frailty in Surgical[Full text] Association between frailty and delirium inFrailty as a Predictor of Morbidity and Mortality inScreening for Frailty in Hospitalized Older Adults

The Frailty Taskforce will focus on how to improve care for people living with frailty or at high risk of becoming frail. This will include strengthening a more integrated approach to frailty, ageing well and end of life care. The Frailty Taskforce will be exploring and advising on all aspects of the frailty spectrum Use the Clinical Frailty Scale (CFS), available from the NHS Specialised Clinical Frailty Network, as part of a holistic assessment where appropriate.Be aware of the limitations of using the CFS as the sole assessment of frailty. The CFS should not be used in younger people, people with stable long-term disabilities (for example, cerebral palsy), learning disabilities or autism Static and dynamic measures of frailty predicted decline in performance-based and self-reported physical functioning. J Clin Epidemiol 2005;58:1188-98. CrossRef PubMed. go back to reference Fried LP, Ferrucci L, Darer J, et al. Untangling the concepts of disability, frailty, and comorbidity:implications for improved targeting and care

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