Evidence map›Paper›PMID 28112778›Full record

ArticleThe journal of nutrition, health & aging2017

Use of Health Resources and Healthcare Costs associated with Frailty: The FRADEA Study.

I García-Nogueras, I Aranda-Reneo, L M Peña-Longobardo, J Oliva-Moreno, P Abizanda

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of nutrition, health & aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07182747 (Feasibility of a Multidisciplinary Intervention Programme Carried Out by Nursing and Physical Activity and Sports Sciences Students to Improve Frailty and Other Related Variables in Older Adults Living in Nursing Homes.), which is not on this map. Cited by 70 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 6 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT07182747 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Feasibility of a Multidisciplinary Intervention Programme Carried Out by Nursing and Physical Activity and Sports Sciences Students to Improve Frailty and Other Related Variables in Older Adults Living in Nursing Homes.

TypeinterventionalSponsorUniversidad de AlmeriaRan2025 to 2026Enrolled60ConditionsFrailtyArmsNursing students' intervention programme, Standard care from Public Andalusian Health Service
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 6 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Pooled it
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  10. Impact of frailty on surgical outcomes in degenerative cervical myelopathy: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  11. Article
  12. Article
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  14. Emergency hernia hospitalizations in older adults with and without multimorbidity.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
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  16. Article
  17. Observational
  18. Article
  19. Article
  20. Review

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

I García-NoguerasPedro Abizanda, Head of the Geriatrics Department, Hospital Perpetuo Socorro, Complejo Hospitalario Universitario de Albacete, 02006 Albacete, Spain, Tfn: +34967597651 Fax: +34967597635, email: pabizanda@sescam.jccm.es.
I Aranda-Reneo
L M Peña-Longobardo
J Oliva-Moreno
P Abizanda
University of Castilla-La Mancha · ESComplejo Hospitalario Universitario de Albacete · ESHospital Perpetuo Socorro · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrailty is associated with adverse health outcomes, but its association with hospital healthcare costs has not been analyzed. The main objective was to estimate the adjusted annual costs and use of hospital healthcare resources in frail older adults compared to non frail ones.

designFRADEA Study. Mean follow-up 1044 days (SD 314).

settingAlbacete city, Spain.

participants830 adults ≥70 years. MEASUREMENTS: Age, sex, comorbidity measured with the Charlson index and Fried´s Frailty phenotype as independent variables, and use of hospital resources (hospital admissions, emergency visits, and specialist visits), and hospital healthcare costs as outcome variables. Outcome data were collected from Minimum Data Set of the Complejo Hospitalario Universitario Albacete. The cost base year was 2013. Logistic regression and two-part models were used to analyze the association between frailty and the use of healthcare resources. Generalized Linear Models were applied to estimate the impact of frailty and comorbidity on the healthcare costs.

resultsThe average cost associated with the use of health resources was 1,922€/year. Frail participants had an average total cost of health resources of 2,476€/year, pre-frail 2,056€/year, and non-frail 1,217€/year. 67% of the total health cost was associated with hospital admission cost, 29% with specialist visits cost and 4% with emergency visits cost. Frailty and comorbidity were the most important factors associated with the use of hospital healthcare resources. Adjusted healthcare costs were 592€/year and 458€/year greater in frail and pre-frail participants respectively, compared to non-frail ones, and having a Charlson index ≥ 3, was associated with an increased costs of 2,289€/year.

conclusionFrailty and comorbidity are meaningful and complementary associated with increased hospital healthcare resources use, and related costs.

Indexed as

Frail ElderlyHealth Care CostsHospital CostsAgedAged, 80 and overChronic DiseaseCosts and Cost AnalysisFemaleFollow-Up StudiesHealth ResourcesHospitalizationHumansLinear ModelsLogistic ModelsMaleSpain

Identifiers

PMID28112778
PMCPMC12879863
OpenAlexW2339598093

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.