ArticleJournal of clinical nursing2022
Frailty measurements in hospitalised orthopaedic populations age 65 and older: A scoping review.
Article in Journal of clinical nursing, 2022. 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.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- The Current Status of Frailty and Influencing Factors in Elderly Patients With Hip Fractures: A Meta-Analysis.BioMed research international · 2025Pooled it
- Preoperative frailty and postoperative complications after non-cardiac surgery: a systematic review.The Journal of international medical research · 2024Pooled it
- Pooled it
- The Trauma-specific Frailty Index Identifies Orthopaedic Trauma Patients at Risk for Stepdown Admission, Skilled Nursing Facility Discharge, and Prolonged Hospitalization.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Comparison of the long-term prognostic value of different frailty instruments in older inpatients: a 5-year prospective cohort study.European journal of medical research · 2025Article
- Risk Analysis Index for Estimation of 30-Day Postoperative Mortality in Hip Fractures.JAMA network open · 2025Article
- Predicting Multiple Outcomes Associated with Frailty based on Imbalanced Multi-label Classification.Journal of healthcare informatics research · 2024Article
- Methodological quality of 100 recent systematic reviews of health-related outcome measurement instruments: an overview of reviews.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Review
- Article
- Longitudinal characteristics of physical frailty and its components in men and women post hip fracture.Journal of the American Geriatrics Society · 2024Article
- Adverse outcomes following pelvic fracture: the critical role of frailty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Development of a Frailty Index in the Irish Hip Fracture Database.Archives of orthopaedic and trauma surgery · 2023Article
- A nationwide analysis on the interaction between frailty and beta-blocker therapy in hip fracture patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Prevalence and Related Factors of Lower Urinary Tract Infection in Frail Older Adults Undergoing Major Noncardiac Surgery.Geriatrics (Basel, Switzerland) · 2023Article
- Health factors associated with cognitive frailty in older adults living in the community.Frontiers in aging neuroscience · 2023Article
- Article
- Frailty measurements in hospitalised orthopaedic populations age 65 and older: A scoping review.Journal of clinical nursing · 2022Article
- Developing and validating a scoring system for measuring frailty in patients with hip fracture: a novel model for predicting short-term postoperative mortality.Trauma surgery & acute care open · 2022Article
- The Impact of Frailty on Perioperative Outcomes in Patients Receiving Short-Level Posterior Lumbar Interbody Fusion: A Stepwise Propensity Score Matching Analysis.Clinical interventions in aging · 2022Article
- Frailty and sarcopenia as predictors of postoperative outcomes in elderly patients undergoing lower limb orthopedic surgeries in South India.Journal of anaesthesiology, clinical pharmacologyArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
Abstract
AIMS AND
objectivesTo identify and compare frailty instruments used with hospitalised orthopaedic patients aged over 65.
backgroundFrailty predicts clinical events in orthopaedic patients aged over 65. However, the strengths and limitations of different approaches to measuring frailty in this population are rarely discussed. As such, a comprehensive review to address the gap is needed.
designScoping review using Arksey and O'Malley framework.
methodsPubMed, CINAHL, PsycINFO, Scopus and EMBASE databases were searched to identify studies published from 2006 to 2020 regarding frailty instruments in older orthopaedic patients. The Preferred Reporting Items for Systematic Reviews and Meta-analyses were followed.
resultsThe initial search resulted in 1,471 articles. After review against inclusion and exclusion criteria, a final set of 31 articles containing 15 unique frailty instruments were evaluated. Most of the articles were from Western countries. Fried's phenotype and Frailty Index were commonly used. The frailty index was mostly modified to measure frailty. In hip fracture, physical function items were frequently modified in the measurement of frailty. Trained physicians and nurses administered most frailty instruments. Frailty screening was commonly conducted at hospital admission and used to prognosticate both postoperative complications and hospital outcomes. Most instruments could be completed within 10 min. Reported psychometrics had acceptable reliability and validity.
conclusionMany reliable frailty measures have been used in the inpatient orthopaedic settings; however, evidence is still lacking for a gold standard frailty instrument. More research is needed to identify the best-performing measure. Frailty evaluation in patients with physical limitations is challenging with existing instruments. Clinical context, resources required and instrument quality are essential factors in selecting a frailty instrument. RELEVANCE TO CLINICAL PRACTICE: Musculoskeletal symptoms in older patients may bias frailty assessment. Proactive frailty screening with valid and practical instruments is vital to strengthen preoperative risk stratification and improve post-surgical outcomes.
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Registered trials
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