Observational studyAge and ageing2021
Predicting readmission and death after hospital discharge: a comparison of conventional frailty measurement with an electronic health record-based score.
Observational study 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, 3 of them syntheses that pooled it.
What it found
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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
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- The diagnostic and predictive accuracy of the PRISMA-7 screening tool for frailty in older adults: a systematic review, and meta-analysis.BMC geriatrics · 2025Pooled it
- A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital: A Clinical Practice Guideline.Physical therapy · 2025Guideline
- Frequency of use and characterization of frailty assessments in observational studies on older women with breast cancer: a systematic review.BMC geriatrics · 2024Pooled it
- Metastatic spinal tumor frailty index and New England spinal metastasis score show the most consistent performance for short-term postoperative outcomes: Single-center validation in 114 patients.North American Spine Society journal · 2026Article
- Advancing a patient-centered and holistic approach for older patients with frailty in a vascular surgical department: a quality improvement initiative.European geriatric medicine · 2026Article
- Can laboratory test-based frailty indices contribute to frailty screening in emergency departments?Age and ageing · 2025Article
- Enhancing emergency care for older persons: the role and impact of the electronic Frailty Index.GeroScience · 2025Article
- Sex Bias in Frailty Screening: A Cross-Sectional Analysis of PRISMA-7 and the Clinical Frailty Scale in Primary Care.Diagnostics (Basel, Switzerland) · 2025Article
- Impact of hospital readmissions following hospitalisation with delirium on 12-month mortality: a quaternary Australian hospital experience.European geriatric medicine · 2025Article
- Identifying core adverse health outcomes for frailty assessment in older adults using administrative data.Frontiers in medicine · 2025Article
- Prospective Cohort Study Examining the Ability of Performance-Based and Self-Reported Frailty Measures to Predict 30-Day Rehospitalizations After Kidney Transplantation.Clinical transplantation · 2024Observational
- Global frailty screening tools: Review and application of frailty screening tools from 2001 to 2023.Intractable & rare diseases research · 2024Review
- Association of CT-Derived Skeletal Muscle and Adipose Tissue Metrics with Frailty in Older Adults.Academic radiology · 2024Article
- Identifying Predictors of Nursing Home Admission by Using Electronic Health Records and Administrative Data: Scoping Review.JMIR aging · 2023Article
- Common non-cardiovascular multimorbidity groupings and clinical outcomes in older adults with major cardiovascular disease.Journal of the American Geriatrics Society · 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
- Induced frailty and acute sarcopenia are overlapping consequences of hospitalisation in older adults.Journal of frailty, sarcopenia and falls · 2022Article
- The future of frailty: Opportunity is knocking.Journal of the American Geriatrics Society · 2022Article
- Article
- Predictive Abilities of the Frailty Phenotype and the Swiss Frailty Network and Repository Frailty Index for Non-Home Discharge and Functional Decline in Hospitalized Geriatric Patients.The Journal of frailty & aging · 2022Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundfrailty measurement may identify patients at risk of decline after hospital discharge, but many measures require specialist review and/or additional testing.
objectiveto compare validated frailty tools with routine electronic health record (EHR) data at hospital discharge, for associations with readmission or death.
designobservational cohort study.
settinghospital ward. SUBJECTS: consented cardiology inpatients ≥70 years old within 24 hours of discharge.
methodspatients underwent Fried, Short Physical Performance Battery (SPPB), PRISMA-7 and Clinical Frailty Scale (CFS) assessments. An EHR risk score was derived from the proportion of 31 possible frailty markers present. Electronic follow-up was completed for a primary outcome of 90-day readmission or death. Secondary outcomes were mortality and days alive at home ('home time') at 12 months.
resultsin total, 186 patients were included (79 ± 6 years old, 64% males). The primary outcome occurred in 55 (30%) patients. Fried (hazard ratio [HR] 1.47 per standard deviation [SD] increase, 95% confidence interval [CI] 1.18-1.81, P < 0.001), CFS (HR 1.24 per SD increase, 95% CI 1.01-1.51, P = 0.04) and EHR risk scores (HR 1.35 per SD increase, 95% CI 1.02-1.78, P = 0.04) were independently associated with the primary outcome after adjustment for age, sex and co-morbidity, but the SPPB and PRISMA-7 were not. The EHR risk score was independently associated with mortality and home time at 12 months.
conclusionsfrailty measurement at hospital discharge identifies patients at risk of poorer outcomes. An EHR-based risk score appeared equivalent to validated frailty tools and may be automated to screen patients at scale, but this requires further validation.
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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.