ArticleBMC health services research2019
Frailty and health services use among Quebec seniors with non-hip fractures: a population-based study using adminsitrative databases.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Emergency department revisits and hospital readmissions following a fall-related emergency department presentation in older adults: a systematic review and meta-analysis.Age and ageing · 2026Pooled it
- Effectiveness and safety of apixaban and rivaroxabanWorld journal of nephrology · 2023Article
- Prevalence of frailty among elderly patients with hip fracture in China: protocol for a systematic review and meta-analysis.BMJ open · 2023Article
- Development and validation of a hospital frailty risk measure using Canadian clinical administrative data.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Trends of use and factors that determine the choice of oral anticoagulants in women and men with atrial fibrillation.Pharmacology research & perspectives · 2022Article
- Polypharmacy and risk of mortality among patients with heart failure following hospitalization: a nested case-control study.Scientific reports · 2022Article
- The utilization of primary healthcare services among frail older adults - findings from the Helsinki Birth Cohort Study.BMC geriatrics · 2022Article
- Effectiveness and safety of low-dose versus standard-dose rivaroxaban and apixaban in patients with atrial fibrillation.PloS one · 2022Article
- The utilization of specialized healthcare services among frail older adults in the Helsinki Birth Cohort Study.Annals of medicine · 2021Article
- Frailty status changes are associated with healthcare utilization and subsequent mortality in the elderly population.BMC public health · 2021Article
- PRISMA-7 and Risk for Short-Term Adverse Events in Older Patients Visiting the Emergency Department: Results of a Large Observational and Prospective Cohort Study.The journal of nutrition, health & aging · 2021Article
- Comparative Effectiveness and Safety of Low-Dose Oral Anticoagulants in Patients With Atrial Fibrillation.Frontiers in pharmacology · 2021Article
- Preoperative Risk Index Among Patients Undergoing Thyroid or Parathyroid Surgery.JAMA otolaryngology-- head & neck surgery · 2020Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe number of frail elderly will increase as the world population ageing accelerates. Since frail elders are at risk of falls, hospitalizations and disabilities, they will require more health care and services. To assess frailty prevalence using health administrative databases, to examine the association between frailty and the use of medical services and to measure the excess use of health services following a non-hip fracture across frailty levels among community-dwelling seniors.
methodsA population-based cohort study was built from the Quebec Integrated Chronic Disease Surveillance System, including men and women ≥65 years old, non-institutionalized in the pre-fracture year. Frailty was measured using the Elders Risk Assessment (ERA) index. Multivariate Generalized Estimating Equation models were used to examine the relationship between frailty levels and health services while adjusting for covariates. The excess numbers of visits to Emergency Departments (ED) and to Primary Care Practitioners (PCP) as well as hospitalizations were also estimated.
resultsThe cohort included 178,304 fractures. There were 13.6 and 5.2% frail and robust seniors, respectively. In the post-fracture year, the risks of ED visits, PCP visits and hospitalizations, were significantly higher in frail vs. non-frail seniors: adjusted relative risk (RR) = 2.69 [95% CI: 2.50-2.90] for ED visits, RR = 1.28 [95% CI: 1.23-1.32] for PCP visits and RR = 2.34 [95% CI: 2.14-2.55] for hospitalizations.
conclusionOur results suggest that it is possible to characterize seniors' frailty status at a population level using health administrative databases. Furthermore, this study shows that non-institutionalized frail seniors require more health services after an incident fracture. Screening for frailty in seniors should be part of clinical management in order to identify those at a higher risk of needing health services.
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