Evidence map›Paper›PMID 37280371›Full record

ArticleEuropean journal of ageing2023

Relationship of frailty status with health resource use and healthcare costs in the population aged 65 and over in Catalonia.

Àngel Lavado, Júlia Serra-Colomer, Mateu Serra-Prat, Emili Burdoy, Mateu Cabré

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in European journal of ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06897410 (Reforça't), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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.

NCT06897410 narecruitingnot on this mapstarted 2025, after this paper: background citation

Reforça't: A Randomized Community Clinical Trial With a Social and Healthcare Approach to Improve Functional Outcomes in Patients With Chronic Cardiac, Respiratory, or Mixed Conditions After Hospital Discharge

TypeinterventionalSponsorCorporació de Salut del Maresme i la SelvaRan2025 to 2026Enrolled200ConditionsChronic Obstructive Lung Disease (COLD), Heart FailureArmsInterdisciplinary Program for Post-Hospitalization / Hospital at home Management and Long-Term Outcomes in Older Adults with Chronic Cardiorespiratory Condition
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  6. Observational
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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

5 authors at 3 institutions in 1 country.

Àngel LavadoInformation Management Unit, Consorci Sanitari del Maresmes, Mataró, Barcelona, Spain.
Júlia Serra-ColomerClinical Research Unit, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.
Mateu Serra-PratResearch Unit, Consorci Sanitari del Maresmes, Hospital de Mataró, Carretera de Cirera S/N, 08304, Mataró, Barcelona, Spain. mserra@csdm.cat.
Emili BurdoyPrimary Care Department, Consorci Sanitari del Maresmes, Mataró, Barcelona, Spain.
Mateu CabréInternal Medicine Department, Consorci Sanitari del Maresmes, Mataró, Barcelona, Spain.
Maresme Health Consortium · ESHospital del Mar Research Institute · ESHospital de Mataró · ES

Funding

Government of Catalunya PECT; PRE/161/2019Instituto de Salud Carlos III PI19/00500
6 · The paper itself

Abstract

backgroundFrailty is a geriatric syndrome with repercussions on health, disability, and dependency.

objectivesTo assess health resource use and costs attributable to frailty in the aged population.

methodsA population-based observational longitudinal study was performed, with follow-up from January 2018 to December 2019. Data were obtained retrospectively from computerized primary care and hospital medical records. The study population included all inhabitants aged ≥ 65 years ascribed to 3 primary care centres in Barcelona (Spain). Frailty status was established according to the Electronic Screening Index of Frailty. Health costs considered were hospitalizations, emergency visits, outpatient visits, day hospital sessions, and primary care visits. Cost analysis was performed from a public health financing perspective.

resultsFor 9315 included subjects (age 75.4 years, 56% women), frailty prevalence was 12.3%. Mean (SD) healthcare cost in the study period was €1420.19 for robust subjects, €2845.51 for pre-frail subjects, €4200.05 for frail subjects, and €5610.73 for very frail subjects. Independently of age and sex, frailty implies an additional healthcare cost of €1171 per person and year, i.e., 2.25-fold greater for frail compared to non-frail.

conclusionsOur findings underline the economic relevance of frailty in the aged population, with healthcare spending increasing as frailty increases.

Indexed as

Emergency visitsFrailtyHealthcare costsHealth resource useHospitalizationsOutpatient visitsPopulation ageingPrimary care visits

Identifiers

PMID37280371
PMCPMC10244310
OpenAlexW4379600156

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.