Evidence map›Paper›PMID 29905755›Full record

ArticleAge and ageing2018

Is frailty a stable predictor of mortality across time? Evidence from the Cognitive Function and Ageing Studies.

Andria Mousa, George M Savva, Arnold Mitnitski, Kenneth Rockwood, Carol Jagger, Carol Brayne, Fiona E Matthews

Abstract readMulticenter Study
In one paragraph

Article in Age and ageing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–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

38 citing papers in PubMed.

  1. Trial
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  12. Living Longer But Frailer? Temporal Trends in Life Expectancy and Frailty in Older Swedish Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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  13. Review
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  16. Review
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  19. Article
  20. Physiological Systems in Promoting Frailty.Comprehensive Physiology · 2022
    Review
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

7 authors.

Andria MousaDepartment of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK.
George M SavvaSchool of Health Sciences, University of East Anglia, Norwich, UK.
Arnold MitnitskiDepartment of Medicine, Dalhousie University, Nova Scotia, Canada.
Kenneth RockwoodDivision of Geriatric Medicine, Department of Medicine, Dalhousie University, Nova Scotia, Canada.
Carol JaggerInstitute of Health and Society, Newcastle University Institute for Ageing, Newcastle University, Newcastle, UK.
Carol BrayneDepartment of Public Health and Primary Care, Cambridge Institute of Public Health, Cambridge, UK.
Fiona E MatthewsInstitute of Health and Society, Newcastle University Institute for Ageing, Newcastle University, Newcastle, UK.

Funding

Medical Research Council G0601022Medical Research Council G9901400Medical Research Council MC_U105292687Medical Research Council MC_UU_00002/12
6 · The paper itself

Abstract

Background: age-specific mortality reduction has been accompanied by a decrease in the prevalence of some diseases and an increase in others. Whether populations are becoming 'healthier' depends on which aspect of health is being considered. Frailty has been proposed as an integrative measure to quantify health status. Objective: to investigate changes in the near-term lethality of frailty before and after a 20-year interval using the frailty index (FI), a summary of age-related health deficit accumulation. Design: baseline data from the Cognitive Function and Ageing Studies (CFAS) in 1991 (n = 7,635) and 2011 (n = 7,762). Setting: three geographically distinct UK centres (Newcastle, Cambridgeshire and Nottingham). Subjects: individuals aged 65 and over (both institutionalised and community-living). Methods: a 30-item frailty score was used, which includes morbidities, risk factors and subjective measures of disability. Missing items were imputed using multiple imputations by chained equations. Binomial regression was used to investigate the relationship between frailty, age, sex and cohort. Two-year mortality was modelled using logistic regression. Results: mean frailty was slightly higher in CFAS II (0.19, 95% confidence interval (CI): 0.19-0.20) than CFAS I (0.18, 95% CI: 0.17-0.18). Two-year mortality in CFAS I was higher than in CFAS II (odds ratio (OR) = 1.16, 95% CI: 1.03-1.30). The association between frailty and 2-year mortality was non-linear with an OR of ~1.6 for each 0.10 increment in the FI. Conclusions: the relationship between frailty and mortality did not significantly differ across the studies. Severe frailty as an indicator of mortality is shown to be a stable construct.

Indexed as

AgedAge FactorsAgingEnglandFemaleFrail ElderlyFrailtyGeriatric AssessmentHumansLongitudinal StudiesMalePrognosisRisk AssessmentRisk FactorsSeverity of Illness IndexTime Factors

Identifiers

PMID29905755
PMCPMC6108394

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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.