ArticleBMC public health2021
Frailty status changes are associated with healthcare utilization and subsequent mortality in the elderly population.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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The trial behind it
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Who cites it
32 citing papers in PubMed, 39 citations in OpenAlex.
- Beyond the Numbers: Frailty as a Therapeutic Target in CKD.Kidney international reports · 2026Article
- A simplified clinical frailty scale predicts mortality in emergency department patients with acute dyspnea.GeroScience · 2026Article
- Epigenetic aging markers in the association between frailty and mortality among U.S. adults.BMC medicine · 2026Article
- Prevalence and predictors of frailty among older patients with lung cancer: a systematic review and meta-analysis.Journal of thoracic disease · 2026Article
- Frailty level, cancer history and healthcare utilization among older adults: Results from the US National Health Interview Survey.Asia-Pacific journal of oncology nursing · 2025Article
- Access to and Use of Health Services by Older Men and Women Experiencing Frailty and Ageing in Place Alone in Italy.Healthcare (Basel, Switzerland) · 2025Article
- Forecasting impact of demographic changes on the expenditures of healthcare and social security in Italy from 2022 to 2060.Archives of public health = Archives belges de sante publique · 2025Article
- Article
- Analysis of frailty change trajectories and its risk factors in patients with gastrointestinal tumor surgery: a prospective observational longitudinal study.World journal of surgical oncology · 2025Observational
- High Hospitalization Rates and Risk Factors Among Frail Patients With Cirrhosis: A 10-year Population-based Cohort Study.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025Article
- Poorer performance on physical frailty-related parameters is associated with depression among older rural Indians.Scientific reports · 2025Article
- Capturing factors associated with frailty using routinely collected electronic medical record data in British Columbia, Canada, primary care settings.Primary health care research & development · 2025Article
- Association of changes in frailty with mortality in the aged with hypertension.Scientific reports · 2025Article
- Article
- Development of a psychological frailty index: results from the China health and retirement longitudinal study.Frontiers in psychology · 2025Article
- Daily consumption of specific categories of fruit and vegetables negatively correlated with frailty: findings from the US National Health and Nutrition Examination Survey.Nutrition research and practice · 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
- Health care utilization and costs for frail vs nonfrail patients with diffuse large B-cell lymphoma.Blood advances · 2024Article
- Perceived Loneliness, Social Isolation, and Social Support Resources of Frail Older People Ageing in Place Alone in Italy.Healthcare (Basel, Switzerland) · 2024Article
- Effects of an integrated ambulatory care program on healthcare utilization and costs in older patients with multimorbidity: a propensity score-matched cohort study.BMC geriatrics · 2024Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThis study determined (1) whether a change in frailty status after a 1 year follow up is associated with healthcare utilization and evaluated (2) whether a change in frailty status after a 1 year follow up and health care utilization are associated with all-cause mortality in a sample of Taiwan population.
methodsThis work is a population-based prospective cohort study involving residents aged ≥65 years in 2009. A total of 548 elderly patients who received follow-ups in the subsequent year were included in the current data analysis. Fried frailty phenotype was measured at baseline and 1 year. Information on the outpatient visits of each specialty doctor, emergency care utilization, and hospital admission during the 2 month period before the second interview was collected through standardized questionnaires administered by an interviewer. Deaths were verified by indexing to the national database of deaths.
resultsAt the subsequent 1 year follow-up, 73 (13.3%), 356 (64.9%), and 119 (21.7%) elderly participants exhibited deterioration, no change in status, and improvement in frailty states, respectively. Multivariate logistic analysis showed the high risk of any type of outpatient use (odds ratios [OR] 1.94, 95% confidence interval [CI] 1.02-3.71) among older adults with worse frailty status compared with those who were robust at baseline and had unchanged frailty status after 1 year. After multivariate adjustment, participants with high outpatient clinic utilization had significantly higher mortality than those with low outpatient clinic visits among unchanged pre-frail or frail (hazard ratios [HR] 2.79, 95% CI: 1.46-5.33) and frail to pre-frail/robust group (HR 9.32, 95% CI: 3.82-22.73) if the unchanged robustness and low outpatient clinic visits group was used as the reference group.
conclusionsThe conditions associated with frailty status, either after 1 year or at baseline, significantly affected the outpatient visits and may have increased medical expenditures. Combined change in frailty status and number of outpatient visits is related to increased mortality.
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