ArticleBMC geriatrics2020
Frailty and healthcare utilisation across care settings among community-dwelling older adults in Singapore.
Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- 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
- A Home-Based Online Psychoeducation Programme on Subjective Well-Being Amongst Community-Dwelling Older Adults With Frailty: A Pilot Randomised Controlled Trial.International journal of older people nursing · 2026Trial
- Community-based health and social care demand associated with frailty in people aged 50 and over in England 2025-40: routine data analyses and simulation modelling.Age and ageing · 2026Article
- Examining associations of social disconnectedness change patterns with subsequent healthcare utilization and costs among public healthcare users in Central Singapore.Scientific reports · 2026Article
- Societal cost of frailty in Singapore: an overview to the cost of healthcare and informal caregiving for frail older adults by frailty status, a cross-sectional study.BMC health services research · 2026Article
- Projected trends in frailty prevalence and associated health service use and costs in the over-50s in England, 2025 to 2040: a simulation modelling study.Age and ageing · 2026Article
- The Mediating Role of Frailty in Healthcare Utilization Among Sexual and Gender Minorities: A Comparison of Generalist, Specialist, and Mental Health Visits.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- What older adults say about participating in health-promoting activities to prevent frailty: a qualitative study.BMC geriatrics · 2025Article
- Association of functional impairment and frailty with the frequency of hospitalizations between sexes in a population aged 60+ years.Przeglad menopauzalny = Menopause review · 2025Article
- Cognitive Frailty and Health Care Utilization and Costs Among Middle-Aged and Older Adults: Findings from Four Longitudinal Cohort Studies.Aging and disease · 2025Article
- Enablers and constraints influencing implementation of a novel, multi-site community-based frailty programme: perspectives of leaders and implementers.BMC geriatrics · 2025Article
- Undernutrition and Increased Healthcare Demand: Evidence from a Community-Based Longitudinal Panel Study in Singapore.Nutrients · 2025Article
- A Novel Integrated Geriatric Services Hub for Frailty Identification and Comprehensive Management of Community-Dwelling Older Adults in Singapore: Impact on Health Service Utilization.Journal of the American Geriatrics Society · 2025Article
- Using routine health care data to develop and validate a system dynamics simulation model of frailty trajectories in an ageing population.Health systems (Basingstoke, England) · 2025Article
- The Relationship of Frailty with Surgical and Laser Treatment for Patients with Glaucoma.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Development of a psychological frailty index: results from the China health and retirement longitudinal study.Frontiers in psychology · 2025Article
- Modified Hospital Frailty Risk Score (mHFRS) as a Tool to Identify and Predict Outcomes for Hospitalised Older Adults at Risk of Frailty.Journal of frailty, sarcopenia and falls · 2024Article
- Determinants of polydoctoring among multimorbid older adults; a cross-sectional study in an urban area of Japan.Journal of general and family medicine · 2024Article
- Age- and sex-specific associations of frailty with mortality and healthcare utilization in community-dwelling adults from ontario, Canada.BMC geriatrics · 2024Article
- Validation of the Hospital Frailty Risk Score in older adults hospitalized with community-acquired pneumonia.Geriatrics & gerontology international · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrailty is frequently found to be associated with increased healthcare utilisation in western countries, but little is known in Asian population. This study was conducted to investigate the association between frailty and healthcare utilisation in different care settings among community-dwelling older adults in Singapore.
methodsData from a population health survey among community-dwelling adults were linked with an administrative database to retrieve data of healthcare utilisation (including government primary care clinic visits, specialised outpatient clinic visits, emergency department visits, day surgery and hospitalisations) occurred during a six-month look-back period and six-month post-baseline respectively. Baseline frailty status was measured using the five-item FRAIL scale, which was categorised into three groups: robust (0), pre-frail (1-2), and frail (3-5). Negative binomial regression was applied to examine the association between frailty with respective healthcare utilisation (dependent variables), controlling for other confounding variables.
resultsIn our sample of 701 older adults, 64.8% were of robust health, 27.7% were pre-frail, and 7.6% were frail. Compared to the robust group, frail individuals had a higher rate of specialised outpatient clinic visits (incidence rate ratio (IRR): 2.8, 95% confidence interval (CI): 1.2-6.5), emergency department visits (IRR: 3.1, 95%CI: 1.1-8.1), day surgery attendances (IRR: 6.4, 95%CI: 1.3-30.9), and hospitalisations (IRR: 6.7, 95%CI: 2.1-21.1) in the six-month period prior to the baseline and in subsequent 6 months (IRR: 3.3, 95%CI: 1.6-7.1; 6.4, 2.4-17.2; 5.8, 1.3-25.8; 13.1, 4.9-35.0; respectively), controlling for covariates.
conclusionsFrailty was positively associated with the number of specialised outpatient clinic visits, emergency department visits, day surgeries and hospitalisations occurred during 6 months prior to and after the baseline. As frailty is a potentially reversible health state with early screening and intervention, providing preventive activities that delay the onset or progression of frailty should have potential effect on delaying secondary and tertiary care utilisation.
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