Evidence map›Paper›PMID 35790904›Full record

ArticleBMC geriatrics2022

Research on the frailty status and adverse outcomes of elderly patients with multimorbidity.

Jing Lv, Rao Li, Li Yuan, Xiao-Ling Yang, Yi Wang, Zi-Wei Ye, Feng-Mei Huang

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 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

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

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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

7 authors at 1 institution in 1 country.

Jing Lv *West China School of Nursing/ West China Hospital Endocrinology and Metabolism Department, Sichuan University, Chengdu, 610041, People's Republic of China.
Rao Li *West China Hospital Endocrinology and Metabolism Department/ West China School of Nursing, Sichuan University, Chengdu, 610041, People's Republic of China.
Li YuanWest China Hospital Endocrinology and Metabolism Department/ West China School of Nursing, Sichuan University, Chengdu, 610041, People's Republic of China. 1409933235@qq.com.
Xiao-Ling YangWest China Hospital Endocrinology and Metabolism Department/ West China School of Nursing, Sichuan University, Chengdu, 610041, People's Republic of China.
Yi WangWest China School of Nursing/ West China Hospital Endocrinology and Metabolism Department, Sichuan University, Chengdu, 610041, People's Republic of China.
Zi-Wei YeWest China Hospital Endocrinology and Metabolism Department/ West China School of Nursing, Sichuan University, Chengdu, 610041, People's Republic of China.
Feng-Mei HuangWest China School of Nursing/ West China Hospital Endocrinology and Metabolism Department, Sichuan University, Chengdu, 610041, People's Republic of China.
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs patients age, the frailty of those with multimorbidity increases, often resulting in adverse health outcomes. The current study investigated the frailty status and the factors which influence it in elderly patients with multimorbidity in Chinese hospitals. The relationship between the frailty of patients with multimorbidity and adverse outcomes was explored.

methodsThe current prospective cohort study investigated inpatients in the internal medicine department of 5 tertiary hospitals in Sichuan Province, China. A total of 3836 elderly patients with multimorbidity were enrolled. Frailty was assessed using the FRAIL scale and adverse outcome events occurring during hospitalization were tracked. Descriptive statistics and logistic regressions were used for data analysis.

resultsThe prevalence of frailty was 27.2% and of pre-frailty, 58.9%. Logistic regression analysis showed that increasing age, low BMI, low education level, lack of exercise, multiple types of medications and multiple numbers of chronic diseases were the main risk factors for frailty in elderly patients with multimorbidity (OR values: 1.020, 1.469, 2.350, 2.836, 1.156 and 1.308, respectively). The incidence of adverse outcomes was 13.9% among the cohort with the most common being deep vein thrombosis (42.4%), followed by pressure injury (38.8%). Regression analysis showed a significant correlation of frailty with adverse outcome (OR: 1.496; p < 0.01).

conclusionsThe prevalence of frailty and pre-frailty in hospitalized elderly patients with multimorbidity was high. Increasing age, low BMI, low education level, lack of exercise, multiple types of medications and multiple numbers of chronic diseases were factors which influenced frailty and frailty was an important factor in the occurrence of adverse outcomes. The most common adverse outcome of elderly multimorbidity patients during hospitalization was deep vein thrombosis.

Indexed as

FrailtyVenous ThrombosisAgedFrail ElderlyHumansMultimorbidityProspective StudiesAdverse outcomesChronic diseasesElderlyFrailtyMultimorbidityRisk factors

Identifiers

PMID35790904
PMCPMC9258158
OpenAlexW4284666689

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LicenceCC BY
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Registered trials

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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.