ArticleClinical interventions in aging2018
Frailty and health care use among community-dwelling older adults with diabetes: a population-based study.
Article in Clinical interventions in aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Characterization of Models for Identifying Physical and Cognitive Frailty in Older Adults With Diabetes: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Frailty as a predictor of all-cause mortality and readmission in older patients with acute coronary syndrome : A systematic review and meta-analysis.Wiener klinische Wochenschrift · 2020Pooled it
- Relationship between frailty and mortality, hospitalization, and cardiovascular diseases in diabetes: a systematic review and meta-analysis.Cardiovascular diabetology · 2019Pooled it
- Phase angle, extracellular to intracellular water ratio, and advanced glycation end products according to four sarcopenia categories and in relation to muscle strength/mass in elderly out-patients with diabetes.Diabetology international · 2026Article
- Prevalence and impact of frailty on unplanned hospitalizations among adult patients with cancer in Taiwan.The oncologist · 2025Article
- Practical Considerations in the Management of Frail Older People with Diabetes.Diseases (Basel, Switzerland) · 2025Review
- Management of older adults with diabetes mellitus: Perspective from geriatric medicine.Journal of diabetes investigation · 2024Review
- Article
- Impact of frailty on mortality, hospitalization, cardiovascular events, and complications in patients with diabetes mellitus: a systematic review and meta-analysis.Diabetology & metabolic syndrome · 2024Article
- Functional fitness and risk factors of older patients with diabetes combined with sarcopenia and/or frailty: A cross-sectional study.Nursing open · 2024Article
- Multimorbidity, Frailty and Diabetes in Older People-Identifying Interrelationships and Outcomes.Journal of personalized medicine · 2022Review
- A family nurse-led intervention for reducing health services' utilization in individuals with chronic diseases: The ADVICE pilot study.International journal of nursing sciences · 2021Article
- Frailty predicts a higher risk of incident urolithiasis in 525 368 patients with diabetes mellitus: a population-based study.BMJ open diabetes research & care · 2020Article
- Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of China.Iranian journal of public health · 2019Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aims of this study were to investigate the prevalence of frailty and its relationship with health care use among community-dwelling older adults with diabetes.
methodsWe analyzed data from a nationally representative sample of people aged 65 years and above (n=3,203) participating in the 2013 National Health Interview Survey in Taiwan. A total of 719 participants had a history of self-reported physician-diagnosed diabetes. The presence of frailty was determined based on the Fatigue, Resistance, Ambulation, Illness, and Loss of weight (FRAIL) scale proposed by the International Association of Nutrition and Aging. FRAIL scores range from 0 to 5 and are categorized as frail (3-5), pre-frail (1-2), and robust (0). Participants were asked whether they had been hospitalized or had visited an emergency department in the past year.
resultsAmong community-dwelling older adults with diabetes, 9.4% of participants were frail and 35.3 % were pre-frail. After adjustment for other factors, being frail was significantly associated with hospitalization during the past year (OR =5.31, 95% CI =1.87-15.10), whereas being pre-frail was not associated with hospitalization. Both being pre-frail and frail were significantly associated with emergency department visits during the past year (OR =2.64, 95% CI =1.35-5.17 and OR =4.05, 95% CI =1.31-12.49, respectively) after adjustment for other factors.
conclusionOur results highlight the high prevalence of frailty in community-dwelling older adults with diabetes. Furthermore, being frail is associated with a greater burden of hospitalizations and emergency department visits.
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