Trial reportInternational journal of environmental research and public health2019
Comparison of Frailty Screening Instruments in the Emergency Department.
Trial report in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
59 citing papers in PubMed, 3 syntheses or guidelines pooled it, 116 citations in OpenAlex.
- The diagnostic and predictive accuracy of the PRISMA-7 screening tool for frailty in older adults: a systematic review, and meta-analysis.BMC geriatrics · 2025Pooled it
- Prevalence and risk factors of frailty in people experiencing homelessness: A systematic review and meta-analysis.The Journal of frailty & aging · 2025Pooled it
- Diagnostic Accuracy of Frailty Screening Instruments Validated for Use among Older Adults Attending Emergency Departments: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Patient-Reported Outcome Measures in the Emergency Department: A Scoping Review.Journal of the American College of Emergency Physicians open · 2026Review
- Differences in clinical presentation and treatment decisions between frail and not-frail head and neck cancer patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Acute medical care resource utilization of frail older patients presenting at the emergency department.European geriatric medicine · 2026Article
- Development of a Predictive Model for Identifying High-Risk Older Adults for Geriatric Emergency Department Screening.Journal of the American College of Emergency Physicians open · 2026Article
- Development of a Novel Frailty Trigger for Use at Triage in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Clinical frailty score for hospital outcome for patients aged ≥ 75 following emergency department resuscitation room admission: a retrospective monocenter study.Internal and emergency medicine · 2026Article
- External validation of the TFC (triage frailty and comorbidity) tool: a prospective observational study.Internal and emergency medicine · 2025Observational
- Article
- Assessing the utility of frailty scores in triage: a comparative study of validated scales.Internal and emergency medicine · 2025Observational
- Optimising prehospital trauma triage for older adults: challenges, limitations, and future directions.Frontiers in medicine · 2025Review
- The impacts of ageing-related changes on prehospital trauma care for older adults: challenges and future directions.Frontiers in medicine · 2025Review
- Frailty and comorbidity in older adults with and without diabetes and chronic leg ulcer: A cross-sectional study.International wound journal · 2025Article
- What is the level of nutrition care provided to older adults attending emergency departments? A scoping review.BMC geriatrics · 2024Article
- Frailty and Clinical Outcomes of Older Patients Admitted to an Emergency Department in Japan.Cureus · 2024Article
- Which Comprehensive Geriatric Assessment (CGA) instruments are currently used in Germany: a survey.BMC geriatrics · 2024Article
- Clinical Frailty Scale at presentation to the emergency department: interrater reliability and use of algorithm-assisted assessment.European geriatric medicine · 2024Article
- Core requirements of frailty screening in the emergency department: an international Delphi consensus study.Age and ageing · 2024Article
Corrections and comments
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Authors and funding
12 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Early identification of frailty through targeted screening can facilitate the delivery of comprehensive geriatric assessment (CGA) and may improve outcomes for older inpatients. As several instruments are available, we aimed to investigate which is the most accurate and reliable in the Emergency Department (ED). We compared the ability of three validated, short, frailty screening instruments to identify frailty in a large University Hospital ED. Consecutive patients aged ≥70 attending ED were screened using the Clinical Frailty Scale (CFS), Identification of Seniors at Risk Tool (ISAR), and the Programme on Research for Integrating Services for the Maintenance of Autonomy 7 item questionnaire (PRISMA-7). An independent CGA using a battery of assessments determined each patient's frailty status. Of the 280 patients screened, complete data were available for 265, with a median age of 79 (interquartile ±9); 54% were female. The median CFS score was 4/9 (±2), ISAR 3/6 (±2), and PRISMA-7 was 3/7 (±3). Based upon the CGA, 58% were frail and the most accurate instrument for separating frail from non-frail was the PRISMA-7 (AUC 0.88; 95% CI:0.83-0.93) followed by the CFS (AUC 0.83; 95% CI:0.77-0.88), and the ISAR (AUC 0.78; 95% CI:0.71-0.84). The PRISMA-7 was statistically significantly more accurate than the ISAR (
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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.