ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017
Use of the electronic Frailty Index to identify vulnerable patients: a pilot study in primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed.
- Reducing dropout rates in cardiac rehabilitation among cardiac patients in a vulnerable situation: systematic development and feasibility testing of the Heart Priority Programme.BMC health services research · 2024Trial
- Association between hospital frailty risk score and in-hospital mortality in critically ill patients with sepsis: results from MIMIC-IV database.Scientific reports · 2026Article
- Projected trends in frailty prevalence and associated health service use and costs in the over-50s in England, 2025 to 2040: a simulation modelling study.Age and ageing · 2026Article
- Development and testing of an electronic frailty index using Canadian electronic medical record data in primary care.BMC primary care · 2025Article
- The Implementation of Frailty Assessment Tools in the Acute Care Setting: A Scoping Review.Journal of the American Geriatrics Society · 2025Article
- Validation of the hospital frailty risk score in China.European geriatric medicine · 2025Observational
- Enhancing emergency care for older persons: the role and impact of the electronic Frailty Index.GeroScience · 2025Article
- Article
- Using Existing Clinical Data to Measure Older Adult Inpatients' Frailty at Admission and Discharge: Hospital Patient Register Study.JMIR aging · 2024Article
- Development and validation of an electronic frailty index in a national health maintenance organization.Aging · 2024Article
- Article
- Perspectives on the representation of frailty in the electronic frailty index.BMC primary care · 2024Article
- Obstacles to the Early Diagnosis and Management of Sarcopenia: Current Perspectives.Clinical interventions in aging · 2024Review
- Strategies to Assess and Manage Frailty among Patients Diagnosed with Primary Malignant Brain Tumors.Current treatment options in oncology · 2024Review
- Construct validity of the electronic Veterans Affairs Frailty Index against clinician frailty assessment.Journal of the American Geriatrics Society · 2023Article
- Understanding the Contribution of Community Organisations to Healthy Ageing and Integrated Place-Based Care: Evidence from Integrated Care Data.Healthcare (Basel, Switzerland) · 2023Article
- 'Frailty as an adjective rather than a diagnosis'-identification of frailty in primary care: a qualitative interview study.Age and ageing · 2023Article
- Frailty transitions and prevalence in an ageing population: longitudinal analysis of primary care data from an open cohort of adults aged 50 and over in England, 2006-2017.Age and ageing · 2023Article
- What are lay UK public perceptions of frailty: a scoping review.Age and ageing · 2023Article
- UKRI MRC National Musculoskeletal Ageing Network: strategic prioritisation to increase healthy lifespan and minimise physical frailty.Archives of osteoporosis · 2022Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIdentifying 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.
aimTo assess the feasibility and acceptability of using the eFI in primary care. DESIGN AND
settingPilot study in one suburban primary care practice in southern England in 2016.
methodUse of the eFI on the primary care TPP SystmOne database was explained to staff at the practice where a comprehensive geriatric assessment (CGA) clinic was being trialled. The practice data manager ran an eFI report for all patients (
resultsPractice staff ran the eFI reports in 5 minutes, which they reported was feasible and acceptable. The eFI range was 0.03 to 0.61 (mean 0.23) for all patients aged ≥75 years (mean 83 years, range 75 to 102 years). For CGA patients (mean 82 years, range 75 to 94 years) the eFI range was 0.19 to 0.53 (mean 0.33). Importantly, the eFI scores identified almost 12% of patients aged ≥75 years in this practice to have severe frailty.
conclusionIt was feasible and acceptable to use the eFI in this pilot study. A higher mean eFI in the CGA patients demonstrated construct validity for frailty identification. Practice staff recognised the potential for the eFI to identify the top 2% of vulnerable patients for avoiding unplanned admissions.
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