ArticleThe journal of nutrition, health & aging2020
A Frailty Screening Questionnaire (FSQ) to Rapidly Predict Negative Health Outcomes of Older Adults in Emergency Care Settings.
Article in The journal of nutrition, health & aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis 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
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Impact of Frailty on Activities of Daily Living in Hospitalized Older Adults: A Systematic Review and Meta-Analysis.Geriatrics & gerontology international · 2026Pooled it
- Frailty assessment tools in the emergency department and their predictive value for clinical outcomes: review of the literature.GeroScience · 2026Review
- Can laboratory test-based frailty indices contribute to frailty screening in emergency departments?Age and ageing · 2025Article
- The Experience of Frail Older Patients in the Boarding Area in the Emergency Department: A Qualitative Systematic Review.Journal of clinical medicine · 2025Review
- What can we learn from 68 000 clinical frailty scale scores? Evaluating the utility of frailty assessment in emergency departments.Age and ageing · 2025Article
- Association between Boarding of Frail Individuals in the Emergency Department and Mortality: A Systematic Review.Journal of clinical medicine · 2024Review
- Global frailty screening tools: Review and application of frailty screening tools from 2001 to 2023.Intractable & rare diseases research · 2024Review
- Frailty assessment tools in the emergency department: A geriatric emergency department guidelines 2.0 scoping review.Journal of the American College of Emergency Physicians open · 2024Article
- Oral Health and Its Associated Factors Among the Elderly in the Emergency Department: A Latent Class Analysis.Journal of multidisciplinary healthcare · 2024Article
- Prevalence of frailty and associated factors in older adults seeking care at Swedish emergency departments.BMC geriatrics · 2023Article
- Predictive nomogram for in-hospital mortality among older patients with intra-abdominal sepsis incorporating skeletal muscle mass.Aging clinical and experimental research · 2023Article
- Frailty assessment in emergency medicine using the Clinical Frailty Scale: a scoping review.Internal and emergency medicine · 2022Article
- Comparison of three frailty screening instruments for prediction of adverse outcomes among older adults in the emergency department.Geriatrics & gerontology international · 2022Article
- Development and Validation of the Chinese Frailty Screening Scale: A Study among Community-Dwelling Older Adults in Shanghai.International journal of environmental research and public health · 2022Article
- Frailty in China: From Research to Practice.The journal of nutrition, health & aging · 2021Review
- Frailty and hypertension in older adults: current understanding and future perspectives.Hypertension research : official journal of the Japanese Society of Hypertension · 2020Review
- Age-Related Frailty: A Clinical Model for Geroscience?The journal of nutrition, health & aging · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrailty, at the core of geriatric medicine, is an important concept underpinning health problems but the rapid and valid measurement of frailty for older adults in the Emergency Department (ED) is lacking in China. The Frailty Screening Questionnaire (FSQ), has been shown to be a simple, rapid and practical tool to identify frailty in both community and inpatients settings, yet its utility in acute care settings is not well understood.
objectiveTo determine whether FSQ is useful to identify frailty and predict adverse outcomes in an emergency care setting. DESIGN AND
participantsThis prospective study included 350 adults aged 60 and over and admitted to the ED. MEASUREMENTS: The FSQ questionnaire which assessed self-reported slowness, weakness, inactivity, exhaustion, and weight loss was used to rapidly recognize frailty. FRAIL, Clinical frailty score (CFS), activities of daily living (ADL) and nutrition risk screening 2002 were also assessed. Outcome measures included all-cause 28-day mortality, ADL dependency, mechanical ventilation, length of hospital stay, and ICU readmissions 30 and 90 days after discharge. Cox proportional hazard model was used for survival comparison.
resultsThe prevalence of FSQ frailty and prefrailty in older adults were 44.6% and 30.9% respectively in the emergency setting. FSQ frailty was associated with increasing age, chronic diseases, malnutrition risk, poor physical function and worse outcomes indicated by higher 28-d mortality, ADL dependency, mechanical ventilation, length of hospital stay, and ICU readmissions after discharge. The Kappa coefficient between the FSQ and FRAIL was 0.552. FSQ score was negatively correlated with grip strength and positively correlated with Barthel index, length of hospital stay and CFS score. Cox regression adjusted by epidemiological variables and chronic diseases showed FSQ and all components predicted mortality except weight loss.
conclusionThe FSQ is a rapid and useful tool to screen frailty and an effective tool to predict mortality in busy emergency settings.
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