Evidence map›Paper›PMID 35162397›Full record

ArticleInternational journal of environmental research and public health2022

The Diagnostic Accuracy and Clinimetric Properties of Screening Instruments to Identify Frail Older Adults Attending Emergency Departments: A Protocol for a Mixed Methods Systematic Review and Meta-Analysis.

Elizabeth Moloney, Duygu Sezgin, Mark O'Donovan, Kadjo Yves Cedric Adja, Keith McGrath, Aaron Liew, Jacopo Lenzi, Davide Gori, Kieran O'Connor, David William Molloy and 5 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Development of a Novel Frailty Trigger for Use at Triage in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  4. Article
  5. Validation of the Risk Instrument for Screening in the Community (International journal of environmental research and public health · 2023
    Article
  6. Article
  7. Article
  8. Article
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

15 authors.

Elizabeth MoloneyHealth Research Board Clinical Research Facility, Mercy University Hospital, T12 WE28 Cork, Ireland.ORCID 0000-0002-7717-1532
Duygu SezginSchool of Nursing and Midwifery, College of Medicine, Nursing and Health Sciences, National University of Ireland, H92 N2R2 Galway, Ireland.ORCID 0000-0001-8378-6835
Mark O'DonovanHealth Research Board Clinical Research Facility, Mercy University Hospital, T12 WE28 Cork, Ireland.ORCID 0000-0001-8498-7567
Kadjo Yves Cedric AdjaDepartment of Biomedical & Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy.ORCID 0000-0001-6440-1602
Keith McGrathDepartment of Geriatric Medicine, Mercy University Hospital, T12 WE28 Cork, Ireland.
Aaron LiewClinical Sciences Institute, National University of Ireland, H91 TK33 Galway, Ireland.
Jacopo LenziDepartment of Biomedical & Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy.ORCID 0000-0003-2882-4223
Davide GoriDepartment of Biomedical & Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy.ORCID 0000-0003-4954-9419
Kieran O'ConnorDepartment of Geriatric Medicine, Mercy University Hospital, T12 WE28 Cork, Ireland.
David William MolloyDepartment of Geriatric Medicine, Mercy University Hospital, T12 WE28 Cork, Ireland.ORCID 0000-0001-7370-8630
Evelyn FlanaganHealth Research Board Clinical Research Facility, Mercy University Hospital, T12 WE28 Cork, Ireland.
Darren McLoughlinDepartment of Emergency Medicine, Mercy University Hospital, T12 WE28 Cork, Ireland.
Maria Pia FantiniDepartment of Biomedical & Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy.ORCID 0000-0002-3257-6552
Suzanne TimmonsCentre for Gerontology and Rehabilitation, School of Medicine, University College Cork, T12 WE28 Cork, Ireland.
Rónán O'CaoimhHealth Research Board Clinical Research Facility, Mercy University Hospital, T12 WE28 Cork, Ireland.ORCID 0000-0002-1499-673X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrompt and efficient identification and stratification of patients who are frail is important, as this cohort are at high risk of adverse healthcare outcomes. Numerous frailty screening tools have been developed to support their identification across different settings, yet relatively few have emerged for use in emergency departments (EDs). This protocol provides details for a systematic review aiming to synthesize the accumulated evidence regarding the diagnostic accuracy and clinimetric properties of frailty screening instruments to identify frail older adults in EDs.

methodsSix electronic databases will be searched from January 2000 to March 2021. Eligible studies will include adults aged ≥60 years screened in EDs with any available screening instrument to identify frailty (even if not originally designed for this purpose). Studies, including case-control, longitudinal, and cohort studies, will be included, where instruments are compared to a reference standard to explore diagnostic accuracy. Predictive accuracy for a selection of outcomes, including mortality, institutionalization, and readmission, will be assessed. Clinical and methodological heterogeneity will be examined, and a random effects meta-analysis performed if appropriate.

conclusionUnderstanding whether frailty screening on presentation to EDs is accurate in identifying frailty, and predicting these outcomes is important for decision-making and targeting appropriate management.

Indexed as

Frail ElderlyFrailtyAgedEmergency Service, HospitalGeriatric AssessmentHumansMass ScreeningMeta-Analysis as TopicMiddle AgedSystematic Reviews as Topicdiagnostic accuracyemergency departmentfrailtyfrailty screening toolsolder adultsystematic review

Identifiers

PMID35162397
PMCPMC8834939

What OpenQuestion holds

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LicenceCC BY
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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.