ArticleInternational journal of geriatric psychiatry2020
Frailty as a predictor of mortality in older adults within 5 years of psychiatric admission.
Article in International journal of geriatric psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Integrated physical and mental healthcare for older adults in Europe: from concept to implementation-a joint EuGMS and EAGP perspectives paper.European geriatric medicine · 2026Article
- Frailty identifies early and non-cardiac healthcare utilization after cardiovascular hospitalization.Frontiers in cardiovascular medicine · 2026Article
- Does mental illness history affect primary care chronic disease management in older adults? A population-based propensity score-matched study.Age and ageing · 2025Article
- Article
- The Influence of Frailty on Pharmacotherapy Adherence and Adverse Drug Reactions in Older Psychiatric Patients.Geriatrics (Basel, Switzerland) · 2025Article
- Article
- Prevalence of Frailty and Its Association with Depressive Symptoms among European Older Adults from 17 Countries: A 5-Year Longitudinal Study.International journal of environmental research and public health · 2022Article
- Frailty in individuals with depression, bipolar disorder and anxiety disorders: longitudinal analyses of all-cause mortality.BMC medicine · 2022Article
- Post-discharge Mortality in Patients With Delirium and Dementia: A 3-Year Follow Up Study.Frontiers in psychiatry · 2022Article
- A 6-year prospective clinical cohort study on the bidirectional association between frailty and depressive disorder.International journal of geriatric psychiatry · 2021Article
- Gut Microbiota Predicts Healthy Late-Life Aging in Male Mice.Nutrients · 2021Article
- Serum level of Vitamin D is associated with COVID-19 mortality rate in hospitalized patients.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2021Article
- Frailty as a predictor of mortality in older adults within 5 years of psychiatric admission.International journal of geriatric psychiatry · 2020Article
- Hospital frailty risk score predicts worse outcomes in patients with chronic pancreatitis.Annals of gastroenterologyArticle
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesOlder adults with psychiatric disorders have a substantially lower life expectancy than age-matched controls. Knowledge of risk factors may lead to targeting treatment and interventions to reduce this gap in life expectancy. In this study, we investigated whether frailty independently predicts mortality in older patients following an acute admission to a geriatric psychiatry hospital.
methodsClinical cohort study with a 5-year follow-up of 120 older patients admitted to a psychiatric hospital between February 2009 and September 2010. On admission, we assessed frailty with a frailty index (FI). We applied Cox regression analyses with time to death as the dependent variable, to examine whether the FI was a predictor for mortality, adjusted for age, sex, level of education, multimorbidity (Cumulative Illness Rating Scale for Geriatrics, CIRS-G scores), functional status (Barthel Index), neuropsychiatric symptoms (NPS), and severity of psychiatric symptoms at admission (Clinical Global Impressions Scale of Severity).
resultsOf the 120 patients, 63 (53%) patients were frail (FI ≥ 0.25), and 59 (49%) had died within 5 years. The FI predicted mortality with a hazard ratio (HR) of 1.78 (95% CI, 1.06-2.98) per 0.1 point increase, independent of the covariates. Co-morbidity measured by the CIRS-G and functional status measured by the Barthel Index were not significantly associated.
conclusionsFrailty was a strong predictor of mortality, independent of age, gender, multimorbidity, and functional status. This implies that frailty may be helpful in targeting inpatient psychiatric treatment and aftercare according to patients' life expectancy.
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