Evidence map›Paper›PMID 28874140›Full record

ArticleBMC geriatrics2017

The impact of frailty on healthcare utilisation in Ireland: evidence from the Irish longitudinal study on ageing.

Lorna Roe, Charles Normand, Maev-Ann Wren, John Browne, Aisling M O'Halloran

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 4% 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.

NCT03609658 nacompletednot on this mapstarted 2018, after this paper: background citation

Integrated Approach to Patient and Family Engagement for Advance Care Planning for Vulnerable Older Adult Within an Accountable Care Organization (ACO)

TypeinterventionalSponsorWake Forest University Health SciencesRan2018 to 2019Enrolled146ConditionsAdvance Care PlanningArmsNurse Navigator Pathway, Usual Care
NCT05527223 completednot on this mapstarted 2022, after this paper: background citation

Integrated Care with GP Participation for Older Persons in the Ambulatory Care Hub: a Prospective Cohort Study of Clinical and Process Outcomes.

TypeobservationalSponsorUniversity of LimerickRan2022 to 2023Enrolled303ConditionsFrailty, Comprehensive Geriatric Assessment
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 3 syntheses or guidelines pooled it, 125 citations in OpenAlex.

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  13. Conference Abstracts "Bridges in Rehabilitation" of the 2Journal of frailty, sarcopenia and falls · 2025
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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.

Lorna RoeCentre for Health Policy and Management, Trinity College Dublin, 3-4 Foster Place, College Green, Dublin 2, Ireland. loroe@tcd.ie.ORCID 0000-0002-6751-313X
Charles NormandCentre for Health Policy and Management, Trinity College Dublin, 3-4 Foster Place, College Green, Dublin 2, Ireland.
Maev-Ann WrenThe Economic and Social Research Institute, Whitaker Square, Sir John Rogerson's Quay, Dublin 2, Ireland.
John BrowneEpidemiology & Public Health, University College Cork, College Road, Cork, Ireland.
Aisling M O'HalloranThe Irish Longitudinal Study on Ageing, Trinity College Dublin, College Green, Dublin 2, Ireland.
Trinity College Dublin · IEEconomic and Social Research Institute · IEUniversity College Cork · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo examine the impact of frailty on medical and social care utilisation among the Irish community-dwelling older population to inform strategies of integrated care for older people with complex needs.

methodsParticipants aged ≥65 years from the Irish Longitudinal Study on Ageing (TILDA) representative of the Irish community-dwelling older population were analysed (n = 3507). The frailty index was used to examine patterns of utilisation across medical and social care services. Multivariate logistic and negative binomial regression models were employed to examine the impact of frailty on service utilisation outcomes after controlling for other factors.

resultsThe prevalence of frailty and pre-frailty was 24% (95% CI: 23, 26%) and 45% (95% CI: 43, 47%) respectively. Frailty was a significant predictor of utilisation of most social care and medical care services after controlling for the main correlates of frailty and observed individual effects.

conclusionsFrailty predicts utilisation of many different types of healthcare services rendering it a useful risk stratification tool for targeting strategies of integrated care. The pattern of care is predominantly medical as few of the frail older population use social care prompting questions about sub-groups of the frail older population with unmet care needs.

Indexed as

AgingPatient Acceptance of Health CareAgedCross-Sectional StudiesFemaleFrailtyHumansIndependent LivingIrelandLongitudinal StudiesMalePrevalenceAgeingComplex needsFrailtyHealth and social care planningHealthcare utilisation

Identifiers

PMID28874140
PMCPMC5583758
OpenAlexW2752649716

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.