ArticleBiological research for nursing2017
Frailty Assessment in Hospitalized Older Adults Using the Electronic Health Record.
Article in Biological research for nursing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Association between Dysphagia and Frailty in Older Adults: A Systematic Review and Meta-Analysis.Nutrients · 2022Pooled it
- Handling missingness in electronic health record laboratory data for secondary use: a decision-making process.BMJ open · 2026Review
- Comparison of Multiple Frailty Scoring Metrics in Renal Transplant Candidates: A Large Single-center Cohort Study.Transplantation direct · 2026Article
- Identifying core adverse health outcomes for frailty assessment in older adults using administrative data.Frontiers in medicine · 2025Article
- Deciphering the Interplay of Frailty, Age, and Gender in Orthopedic Surgical Outcomes Among the Elderly: Insights From a Prospective Cohort Study.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Article
- Preoperative dysphagia risk in community-dwelling adults aged ≥50 years: Prevalence and risk factors.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2023Article
- Benefits of both physical assessment and electronic health record review to assess frailty prior to heart transplant.Clinical transplantation · 2022Observational
- Machine learning for predicting readmission risk among the frail: Explainable AI for healthcare.Patterns (New York, N.Y.) · 2022Article
- Mortality, Falls, and Fracture Risk Are Positively Associated With Frailty: A SIDIAP Cohort Study of 890 000 Patients.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Predictive value of chart-based frailty evaluation for lung transplant candidates.Clinical transplantation · 2022Article
- Influencing factors of Barthel index scores among the community-dwelling elderly in Hong Kong: a random intercept model.BMC geriatrics · 2021Article
- Real-World Data and Machine Learning to Predict Cardiac Amyloidosis.International journal of environmental research and public health · 2021Article
- Association Between Dysphagia and Inpatient Outcomes Across Frailty Level Among Patients ≥ 50 Years of Age.Dysphagia · 2020Article
- Measuring Frailty in Health Care Databases for Clinical Care and Research.Annals of geriatric medicine and research · 2020Review
- The Frailty Risk Score predicts length of stay and need for rehospitalization after kidney transplantation in a retrospective cohort: a pilot study.Pilot and feasibility studies · 2019Article
- Comparing clinician descriptions of frailty and geriatric syndromes using electronic health records: a retrospective cohort study.BMC geriatrics · 2017Article
- Calming the Agitated Patient: Providing Strategies to Support Clinicians.Medsurg nursing : official journal of the Academy of Medical-Surgical NursesArticle
- Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty.Journal of nutrition in gerontology and geriatricsArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
introductionFrailty, a clinical syndrome of decreased physiologic reserve and dysregulation in multiple physiologic systems, is associated with increased risk for adverse outcomes. PURPOSE: The aim of this retrospective, cross-sectional, correlational study was to characterize frailty in older adults admitted to a tertiary-care hospital using a biopsychosocial frailty assessment and to determine associations between frailty and time to in-hospital mortality and 30-day rehospitalization.
methodsThe sample included 278 patients ≥55 years old admitted to medicine units. Frailty was determined using clinical data from the electronic health record (EHR) for symptoms, syndromes, and conditions and laboratory data for four serum biomarkers. A frailty risk score (FRS) was created from 16 risk factors, and relationships between the FRS and outcomes were examined.
resultsThe mean age of the sample was 70.2 years and mean FRS was 9.4 ( SD, 2.2). Increased FRS was significantly associated with increased risk of death (hazard ratio = 1.77-2.27 for 3 days ≤ length of stay (LOS) ≤7 days), but depended upon LOS ( p < .001). Frailty was marginally associated with rehospitalization for those who did not die in hospital (adjusted odds ratio = 1.18, p = .086, area under the curve [AUC] = 0.66, 95% confidence interval for AUC = [0.57, 0.76]). DISCUSSION: Clinical data in the EHR can be used for frailty assessment. Informatics may facilitate data aggregation and decision support. Because frailty is potentially preventable and treatable, early detection is crucial to delivery of tailored interventions and optimal patient outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.