Evidence map›Paper›PMID 35039007›Full record

ArticleBMC geriatrics2022

Perspectives on frailty screening, management and its implementation among acute care providers in Singapore: a qualitative study.

Xiao Liu, Mai Khanh Le, Amber Yew Chen Lim, Emily Jiali Koh, Tu Ngoc Nguyen, Naveed Anjum Malik, Christopher Tsung Chien Lien, Jer En Lee, Lydia Shu Yi Au, James Alvin Yiew Hock Low and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Perianesthesia Nurses' Perspectives Managing Frailty: A Qualitative Study.Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2026
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  5. Review
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  12. Identifying and Managing Frailty: A Survey of UK Healthcare Professionals.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
  13. Article
  14. Article
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  16. Frailty in an Adult Acute Hospital Population: Predictors, Prevalence, and Outcomes.International journal of environmental research and public health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Xiao Liu *Geriatric Education and Research Institute, Yishun, Singapore.
Mai Khanh Le *Geriatric Education and Research Institute, Yishun, Singapore.
Amber Yew Chen LimGeriatric Education and Research Institute, Yishun, Singapore.
Emily Jiali KohGeriatric Education and Research Institute, Yishun, Singapore.
Tu Ngoc NguyenGeriatric Education and Research Institute, Yishun, Singapore.
Naveed Anjum MalikKhoo Teck Puat Hospital, Yishun, Singapore.
Christopher Tsung Chien LienChangi General Hospital, Simei, Singapore.
Jer En LeeWoodlands Health Campus, Yishun, Singapore.
Lydia Shu Yi AuNg Teng Fong General Hospital, Jurong East, Singapore.
James Alvin Yiew Hock LowGeriatric Education and Research Institute, Yishun, Singapore.
Shiou Liang WeeGeriatric Education and Research Institute, Yishun, Singapore. weeshiouliang@gmail.com.
Geriatric Education and Research Institute · SGChangi General Hospital · SGKhoo Teck Puat Hospital · SGNg Teng Fong General Hospital · SGSingapore Institute of Technology · SGWoodlands Health Campus · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 pandemic has reminded how older adults with frailty are particularly exposed to adverse outcomes. In the acute care setting, consideration of evidence-based practice related to frailty screening and management is needed to improve the care provided to aging populations. It is important to assess for frailty in acute care so as to establish treatment priorities and goals for the individual. Our study explored understanding on frailty and practice of frailty screening among different acute care professionals in Singapore, and identify barriers and facilitators concerning frailty screening and its implementation.

methodsA qualitative study using focus group discussion among nurses and individual interviews among physicians from four departments (Accident & Emergency, Anesthesia, General Surgery, Orthopedics) in three acute hospitals from the three public health clusters in Singapore. Participants were recruited through purposive sampling of specific clinicians seeing a high proportion of older patients at the hospitals. Thematic analysis of the data was performed using NVIVO 12.0.

resultsFrailty was mainly but inadequately understood as a physical and age-related concept. Screening for frailty in acute care was considered important to identify high risk patients, to implement targeted treatment and care, and to support decision making and prognosis estimation. Specific issues related to screening, management and implementation were identified: cooperation from patient/caregivers, acceptance from healthcare workers/hospital managers, need for dedicated resources, guidelines for follow-up management and consensus on the scope of measurement for different specialties.

conclusionOur findings indicated the need for 1) frailty-related education program for patients/care givers and stakeholders 2) inter-professional collaboration to develop integrated approach for screening and management of hospital patients with frailty and 3) hospital-wide consensus to adopt a common frailty screening tool.

Indexed as

COVID-19FrailtyAgedHumansPandemicsQualitative ResearchSARS-CoV-2SingaporeFrailty ScreeningHealthcare ProvidersImplementationPerspective

Identifiers

PMID35039007
PMCPMC8762449
OpenAlexW4225604635

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.