Evidence map›Paper›PMID 29590362›Full record

ArticleEuropean journal of public health2018

Frailty as a predictor of mortality and hospital services use in older adults: a cluster analysis in a cohort study.

Francesco Gilardi, Paola Scarcella, Maria Grazia Proietti, Giovanni Capobianco, Gennaro Rocco, Alessandra Capanna, Sandro Mancinelli, Maria Cristina Marazzi, Leonardo Palombi, Giuseppe Liotta

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In one paragraph

Article in European journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  12. Frailty in an Adult Acute Hospital Population: Predictors, Prevalence, and Outcomes.International journal of environmental research and public health · 2024
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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

10 authors.

Francesco GilardiDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Paola ScarcellaDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Maria Grazia ProiettiCenter of Excellence, IPASVI, Rome, Italy.
Giovanni CapobiancoGeriatric Division, Hospital Sant'Eugenio, Local Health Unit Roma 2, Rome, Italy.
Gennaro RoccoCenter of Excellence, IPASVI, Rome, Italy.
Alessandra CapannaSchool of Specialization in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Rome, Italy.
Sandro MancinelliDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Maria Cristina MarazziHuman Science Department, LUMSA University, Rome, Italy.
Leonardo PalombiDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Giuseppe LiottaDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lowering mortality and hospitalization of older adults is one of the main goals of public health to improve both health systems' sustainability and older adults' quality of life. The aim of this study is to identify the determinants associated with mortality and the use of hospital services in the population older than 64 years of age. Methods: A randomized sample from the population of the Lazio region (Italy) above the age of 64 was enrolled in 2014 by the administration of a questionnaire to assess frailty; the rates of use of hospital services and mortality in the year following the enrolment have been retrieved by the regional database. Univariable and multivariable analyses addressed the association of health status, social and economic variables with health outcomes. Results: One thousand two hundred and eighty persons were recruited; 52 deaths were reported at 1 year of follow-up (robust 1.8%, frail 10.1% and very frail 19.1%, P < 0.001). The mean rate of use of hospital services was 692.2 per 1000 observation/year (robust 589.5, frail 1191.1 and very frail 848.4, P < 0.001). In the multivariate analysis, the higher rate of use of hospital services was independently associated with functional status, social support, psychological/psychiatric discomfort, availability of home care services and physical health. Conclusions: Frailty, as a multidimensional issue, is also a strong predictor of survival in the short term. The use of the hospital services by older adults is associated mainly with functional status, social resources, psycho-physical status and health service organization factors.

Indexed as

Cause of DeathAgedAged, 80 and overCluster AnalysisCohort StudiesFemaleForecastingFrail ElderlyGeriatric AssessmentHumansItalyMaleMortalityPatient Acceptance of Health CareSurveys and Questionnaires

Identifiers

PMID29590362
PMCPMC6148968

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.