ArticleAge and ageing2021
A comparison of two national frailty scoring systems.
Article in Age and ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Systematic Review of the Association of the Hospital Frailty Risk Score with Mortality in Patients with Cerebrovascular and Cardiovascular Disease.Current cardiology reviews · 2024Pooled it
- Trajectory of frailty among the older people in a community setting: A cohort study from the Shizuoka Kokuho Database.Aging clinical and experimental research · 2026Article
- Can laboratory test-based frailty indices contribute to frailty screening in emergency departments?Age and ageing · 2025Article
- Article
- Kidney outcomes with SGLT2 inhibitor versus DPP4 inhibitor use in older adults with diabetes.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025Article
- Article
- 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
- Developing a framework of concerns from people living with frailty, for the Measure Yourself Concerns and Wellbeing (MYCaW) person-centred outcome measure.BMJ open quality · 2024Article
- Comparison of a multidomain frailty index from routine health data with the hospital frailty risk score in older patients in an Australian hospital.Australasian journal on ageing · 2023Article
- New horizons in the role of digital data in the healthcare of older people.Age and ageing · 2023Article
- Prevalence and outcomes of frailty in unplanned hospital admissions: a systematic review and meta-analysis of hospital-wide and general (internal) medicine cohorts.EClinicalMedicine · 2023Article
- Development of an Electronic Frailty Index for Hospitalized Older Adults in Sweden.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- A comparison between the clinical frailty scale and the hospital frailty risk score to risk stratify older people with emergency care needs.BMC emergency medicine · 2022Article
- External validation of the hospital frailty risk score among older adults receiving mechanical ventilation.Scientific reports · 2022Article
- Utility of hospital frailty risk score for predicting postoperative outcomes in craniopharyngioma.Journal of neuro-oncology · 2022Article
- Article
- Assessment of coding-based frailty algorithms for long-term outcome prediction among older people in community settings: a cohort study from the Shizuoka Kokuho Database.Age and ageing · 2022Article
- External validation of the Hospital Frailty Risk Score in France.Age and ageing · 2022Article
- Frailty assessed by administrative tools and mortality in patients with pneumonia admitted to the hospital and ICU in Wales.Scientific reports · 2021Article
- Frailty and comorbidity in predicting community COVID-19 mortality in the U.K. Biobank: The effect of sampling.Journal of the American Geriatrics Society · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThe electronic Frailty Index (eFI) has been developed in primary care settings. The Hospital Frailty Risk Score (HFRS) was derived using secondary care data.
objectiveCompare the two different tools for identifying frailty in older people admitted to hospital. DESIGN AND
settingRetrospective cohort study using the Secure Anonymised Information Linkage Databank, comprising 126,600 people aged 65+ who were admitted as an emergency to hospital in Wales from January 2013 up until December 2017.
methodsPearson's correlation coefficient and weighted kappa were used to assess the correlation between the tools. Cox and logistic regression were used to estimate hazard ratios (HRs) and odds ratios (ORs). The Concordance statistic and area under the receiver operating curves (AUROC) were estimated to determine discrimination.
resultsPearson's correlation coefficient was 0.26 and the weighted kappa was 0.23. Comparing the highest to the least frail categories in the two scores the HRs for 90-day mortality, 90-day emergency readmission and care home admissions within 1-year using the HFRS were 1.41, 1.69 and 4.15 for the eFI 1.16, 1.63 and 1.47. Similarly, the ORs for inpatient death, length of stay greater than 10 days and readmission within 30-days were 1.44, 2.07 and 1.52 for the HFRS, and 1.21, 1.21 and 1.44 for the eFI. AUROC was determined as having no clinically relevant difference between the tools.
conclusionsThe eFI and HFRS have a low correlation between their scores. The HRs and ORs were higher for the increasing frailty categories for both the HFRS and eFI.
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Registered trials
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.