ArticleAge and ageing2022
External validation of the Hospital Frailty Risk Score in France.
Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03905629 (Validation of the Hospital Frailty Risk Score in Combination With Charlson/Elixhauser Comorbidity Coding Algorithms on French Hospital Databases), which is not on this map. Cited by 38 papers.
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.
Validation of the Hospital Frailty Risk Score in Combination With Charlson/Elixhauser Comorbidity Coding Algorithms on French Hospital Databases
Who cites it
38 citing papers in PubMed.
- The Frailty Related Index of Comorbidities is More Strongly Associated With Length of Stay Than Other Established Measures of Frailty and Function in an Australian Subacute Inpatient Cohort.Australasian journal on ageing · 2026Observational
- Hospital Frailty Risk Score Predicts Long-Term Hospital Readmissions in Very Old Patients with Heart Failure.Journal of clinical medicine · 2026Article
- Healthcare trajectories following cancer surgery in older adults: insights from the French health data system.BMC geriatrics · 2026Observational
- Predicting long-term hospital outcomes in older adults with the hospital frailty risk score: a nationwide study of repeated readmissions.BMC geriatrics · 2026Article
- Association between hospital frailty risk score, risk of sepsis and adverse outcomes across all adult ages.PloS one · 2026Article
- Article
- Comparison of two electronic medical record-based frailty assessment tools and their association with adverse outcomes in older hospitalized patients with urgent admissions.International journal of emergency medicine · 2025Article
- Physical Resilience After Hip Fracture: Unpacking the Roles of Resistance and Recovery.Journal of the American Geriatrics Society · 2025Article
- Emergency department attendance stratified by cause and frailty status: A national retrospective cohort study.Geriatrics & gerontology international · 2025Article
- Mapping the Final Journey: End-Of-Life Frailty Trajectories and Cause of Death.Journal of the American Geriatrics Society · 2025Article
- Validation of the hospital frailty risk score in China.European geriatric medicine · 2025Observational
- CORR Insights®: Frailty Is Associated With Increased 30-day Readmissions and Costs After Total Shoulder Arthroplasty.Clinical orthopaedics and related research · 2025Article
- Frailty, Comorbidities, and In-Hospital Outcomes in Older Cholangiocarcinoma Patients.Journal of clinical medicine · 2025Article
- Development and indirect validation of a model predicting frailty in the French healthcare claims database.Scientific reports · 2025Article
- Hospital frailty risk score predicts graft failure severe infection and mortality in hospitalized kidney transplant recipients from 2010 to 2018 US data.Scientific reports · 2025Observational
- Temporal Trends in Mortality and Hospitalization Risk in Patients With Heart Failure According to the Hospital Frailty Risk Score.Journal of the American Heart Association · 2025Article
- Age does not improve the predictive ability of the Hospital Frailty Risk Score for length of stay.PloS one · 2025Article
- Using the Hospital Frailty Risk Score to predict length of stay across all adult ages.PloS one · 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
- Health and Economic Impact of Different Long-Term Oxygen Therapeutic Strategies in Patients with Chronic Respiratory Failure: A French Nationwide Health Claims Database (SNDS) Study.Pulmonary therapy · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Hospital Frailty Risk Score (HFRS) has made it possible internationally to identify subgroups of patients with characteristics of frailty from routinely collected hospital data.
objectiveTo externally validate the HFRS in France.
designA retrospective analysis of the French medical information database.
setting743 hospitals in Metropolitan France. SUBJECTS: All patients aged 75 years or older hospitalised as an emergency in 2017 (n = 1,042,234).
methodsThe HFRS was calculated for each patient based on the index stay and hospitalisations over the preceding 2 years. Main outcome measures were 30-day in-patient mortality, length of stay (LOS) >10 days and 30-day readmissions. Mixed logistic regression models were used to investigate the association between outcomes and HFRS score.
resultsPatients with high HFRS risk were associated with increased risk of mortality and prolonged LOS (adjusted odds ratio [aOR] = 1.38 [1.35-1.42] and 3.27 [3.22-3.32], c-statistics = 0.676 and 0.684, respectively), while it appeared less predictive of readmissions (aOR = 1.00 [0.98-1.02], c-statistic = 0.600). Model calibration was excellent. Restricting the score to data prior to index admission reduced discrimination of HFRS substantially.
conclusionsHFRS can be used in France to determine risks of 30-day in-patient mortality and prolonged LOS, but not 30-day readmissions. Trial registration: Reference ID on clinicaltrials.gov: ID: NCT03905629.
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