Evidence map›Paper›PMID 36571783›Full record

ArticleAge and ageing2022

Frailty and the impacts of the COVID-19 pandemic on community-living middle-aged and older adults: an analysis of data from the Canadian Longitudinal Study on Aging (CLSA).

Lauren E Griffith, Jacqueline McMillan, David B Hogan, Sina Pourfarzaneh, Laura N Anderson, Susan Kirkland, Nicole E Basta, Edwin van den Heuvel, Parminder Raina, Canadian Longitudinal Study on Aging (CLSA) Team

Open access · bronzeAbstract read
In one paragraph

Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

10 authors at 5 institutions in 2 countries.

Lauren E GriffithDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Jacqueline McMillanDivision of Geriatric Medicine, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
David B HoganDivision of Geriatric Medicine, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Sina PourfarzanehDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Laura N AndersonDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Susan KirklandDepartment of Community Health & Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
Nicole E BastaDepartment of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada.
Edwin van den HeuvelDepartment of Mathematics and Computer Science, Eindhoven University of Technology, Eindhoven, TheNetherlands.
Parminder RainaDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Canadian Longitudinal Study on Aging (CLSA) Team
Impact · CAUniversity of Calgary · CADalhousie University · CAEindhoven University of Technology · NLMcGill University Health Centre · CA

Funding

CIHR LSA 94473
6 · The paper itself

Abstract

backgroundfrailty imparts a higher risk for hospitalisation, mortality and morbidity due to COVID-19 infection, but the broader impacts of the pandemic and associated public health measures on community-living people with frailty are less known.

methodswe used cross-sectional data from 23,974 Canadian Longitudinal Study on Aging participants who completed a COVID-19 interview (Sept-Dec 2020). Participants were included regardless of whether they had COVID-19 or not. They were asked about health, resource, relationship and health care access impacts experienced during the pandemic. Unadjusted and adjusted prevalence of impacts was estimated by frailty index quartile. We further examined if the relationship with frailty was modified by sex, age or household income.

resultscommunity-living adults (50-90 years) with greater pre-pandemic frailty reported more negative impacts during the first year of the pandemic. The frailty gradient was not explained by socio-demographic or health behaviour factors. The largest absolute difference in adjusted prevalence between the most and least frail quartiles was 15.1% (challenges accessing healthcare), 13.3% (being ill) and 7.4% (increased verbal/physical conflict). The association between frailty and healthcare access differed by age where the youngest age group tended to experience the most challenges, especially for those categorised as most frail.

conclusionalthough frailty has been endorsed as a tool to inform estimates of COVID-19 risk, our data suggest it may have a broader role in primary care and public health by identifying people who may benefit from interventions to reduce health and social impacts of COVID-19 and future pandemics.

Indexed as

COVID-19FrailtyAgedAgingCanadaCross-Sectional StudiesFrail ElderlyHumansIndependent LivingLongitudinal StudiesMiddle AgedPandemicsCanadian Longitudinal Study on Aging (CLSA)COVID-19frailtyhealth care utilisationolder peoplepandemic

Identifiers

PMID36571783
PMCPMC9792085
OpenAlexW4312219536

What OpenQuestion holds

Textmetadata
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.