Evidence map›Paper›PMID 33115896›Full record

ArticleBMJ open2020

Predictive validity of PRISMA-7 as a screening instrument for frailty in a hospital setting.

Sarah Hoffmann, Amalie Wiben, Marie Kruse, Katja Kemp Jacobsen, Maurice A Lembeck, Ellen Astrid Holm

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  10. Measurement and optimization of perioperative risk among patients undergoing surgery for esophageal cancer.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2024
    Article
  11. Research Progress on Frailty in Elderly People.Clinical interventions in aging · 2024
    Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Sarah HoffmannMedical Department, Nykøbing F Sygehus, Nykøbing, Sjaelland, Denmark.
Amalie WibenDanish Centre for Health Economics, University of Southern Denmark, Odense, Syddanmark, Denmark.
Marie KruseDanish Centre for Health Economics, University of Southern Denmark, Odense, Syddanmark, Denmark.ORCID 0000-0001-7159-8781
Katja Kemp JacobsenDepartment of Technology, Faculty of Health and Technology, University College Copenhagen, Kobenhavn, Hovedstaden, Denmark.
Maurice A LembeckMedical Department, Nykøbing F Sygehus, Nykøbing, Sjaelland, Denmark.
Ellen Astrid HolmMedical Department, Nykøbing F Sygehus, Nykøbing, Sjaelland, Denmark ellh@regionsjaelland.dk.ORCID 0000-0002-7600-6025
Sjællands Universitetshospital, Nykøbing F. · DKUniversity of Southern Denmark · DKUniversity College Copenhagen · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFrailty is a major clinical geriatric syndrome associated with serious adverse events including functional disability, falls, hospitalisation, increased morbidity and mortality. The aim of this study was to study the associations between frailty defined as Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA-7) score ≥3 and use of healthcare resources in hospital and in the municipality as well as association between frailty and mortality.

designRegister-based retrospective study.

settingThe target population consists of patients aged 75 years or above who, during hospital stay, were assessed by a physiotherapist, and at discharge from hospital were prescribed further physical training in the community.

participants973 individuals aged 75+ years were included. OUTCOME MEASURES: We examined associations between frailty and use of healthcare resources in hospital and in the municipality as well as the association between frailty and mortality.

results973 individuals aged 75+ years were included. Of these, 63.9% had a PRISMA-7 score ≥3 and were thus defined as frail. Frail individuals were older compared with non-frail with mean ages of 84.6 and 80.4 years, respectively, p>0.001. Age and gender-adjusted mortality after 1 year was higher among the frail (OR 2.46, 95% CI 1.53 to 3.97). Use of healthcare services in the municipality as well as hospital admissions was significantly higher among frail individuals.

conclusionsBased on these findings we consider PRISMA-7 to be useful in an in-hospital setting as a screening tool to identify frail elderly patients who may profit from further geriatric assessment during hospital stay. TRIAL REGISTRATION NUMBER: ID REG-070-2017.

Indexed as

FrailtyGeriatric AssessmentAgedAged, 80 and overFemaleFrail ElderlyHospitalsHumansMaleRetrospective Studiesepidemiologygeriatric medicineinternal medicinerehabilitation medicine

Identifiers

PMID33115896
PMCPMC7594371
OpenAlexW3095799033

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.