Evidence map›Paper›PMID 36634091›Full record

ArticlePloS one2023

Healthcare utilization among pre-frail and frail Puerto Ricans.

Cheyanne Barba, Brian Downer, Olivio J Clay, Richard Kennedy, Erin Ballard, Michael Crowe

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 1 institution in 1 country.

Cheyanne BarbaDepartment of Psychology, University of Alabama at Birmingham, Birmingham, Alabama, Unites States of America.ORCID 0000-0001-8222-2069
Brian DownerDepartment of Nutrition, Metabolism, and Rehabilitation Sciences, University of Texas Medical Branch, Birmingham, Alabama, Unites States of America.
Olivio J ClayDepartment of Psychology, University of Alabama at Birmingham, Birmingham, Alabama, Unites States of America.ORCID 0000-0002-7529-6120
Richard KennedyDivision of Gerontology, Geriatrics, & Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, Unites States of America.
Erin BallardDepartment of Psychology, University of Alabama at Birmingham, Birmingham, Alabama, Unites States of America.
Michael CroweDepartment of Psychology, University of Alabama at Birmingham, Birmingham, Alabama, Unites States of America.
University of Alabama at Birmingham · US

Funding

Aging in Puerto Rico: Longitudinal Follow-Up of the PREHCO StudyR01AG064769 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CROWE, MICHAEL GABRIEL · 2019 to 2023
$3.5M
Improvement in Patients' Cognition and Relationship with SNF Quality MeasuresK01AG058789 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI DOWNER, BRIAN GREGORY · 2019 to 2023
$613k
NIA NIH HHS K01 AG058789NIA NIH HHS R01 AG064769
6 · The paper itself

Abstract

Frailty is associated with adverse health outcomes and greater healthcare utilization. Less is known about the relationship between frailty and healthcare utilization in Puerto Rico, where high rates of chronic conditions and limited healthcare may put this group at a higher likelihood of using healthcare resources. This study examined the association between pre-frailty and frailty with healthcare utilization at baseline and 4-year follow-up among a cohort of community dwelling Puerto Ricans living on the island. We examined data from 3,040 Puerto Ricans (mean age 70.6 years) from The Puerto Rican Elderly: Health Conditions (PREHCO) study between 2002-2003 and 2006-2007. We used a modified version of the Fried criteria defined as 3 or more of the following: shrinking, weakness, poor energy, slowness, and low physical activity. Pre-frailty was defined as 1-2 components. The number of emergency room visits, hospital stays, and doctor visits within the last year were self-reported. Zero-inflated negative binomial regression models were used for ER visits and hospital stays. Negative binomial models were used for doctor visits. Pre-frailty was associated with a higher rate of doctor visits with a rate ratio of 1.11 (95% CI = 1.01-1.22) at baseline. Frailty was associated with a higher rate of ER visits (1.48, 95% CI = 1.13-1.95), hospital stays (1.69, 95% CI = 1.08-2.65), and doctor visits (1.24, 95% CI = 1.10-1.39) at baseline. Pre-frailty and frailty were not associated with any healthcare outcomes at follow-up. Pre-frailty and frailty are associated with an increased rate of healthcare services cross-sectionally among Puerto Rican adults, which may cause additional burdens on the already pressured healthcare infrastructure on the island.

Indexed as

FrailtyAdultAgedDelivery of Health CareFrail ElderlyGeriatric AssessmentHispanic or LatinoHumansIndependent LivingPatient Acceptance of Health CarePuerto Rico

Identifiers

PMID36634091
PMCPMC9836292
OpenAlexW4315754097

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.