SynthesisInternational journal of environmental research and public health2023
Diagnostic Accuracy of Frailty Screening Instruments Validated for Use among Older Adults Attending Emergency Departments: A Systematic Review and Meta-Analysis.
Synthesis in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- The diagnostic and predictive accuracy of the PRISMA-7 screening tool for frailty in older adults: a systematic review, and meta-analysis.BMC geriatrics · 2025Pooled it
- Pulmonary Rehabilitation Exercise Package for Enhancing Health in Elderly COPD Patients With Frailty: An Experimental Study.The journal of nursing research : JNR · 2025Trial
- Emergency Department-Initiated Frailty Screening: An Overlooked Opportunity to Promote Healthy Employment in Later Life.Geriatrics & gerontology international · 2026Article
- Impact of Elevated Blood Pressure on Cardiovascular and Cerebrovascular Outcomes in Older Adults: A Propensity-Matched Analysis.Journal of clinical medicine · 2026Article
- Authorization to Disclose: How Occupational Physicians Interpret Confidentiality in Return-to-Work Negotiations.Journal of occupational rehabilitation · 2026Article
- Exploring heart rate variability as a biomarker for frailty: A narrative review.European journal of clinical investigation · 2026Review
- Comparative prognostic performance of identification of seniors at risk tool and national early warning score for 30-day adverse outcomes in older emergency department patients.BMC emergency medicine · 2026Observational
- 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 · 2026Article
- Understanding frailty screening of older adults in the emergency department: A survey of emergency physicians in Ontario.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Rapid clinical identification of vulnerable older adults in acute and emergency care: narrative review of short geriatric screening tools.Frontiers in medicine · 2026Review
- Article
- The prevalence and factors of adverse health outcomes in Chinese older emergency patients: a cohort study.BMC geriatrics · 2025Article
- Elderly Medical Patients' Experience of an Acute Readmission to the Emergency Department-An Interpretative Phenomenological Analysis.Scandinavian journal of caring sciences · 2025Article
- A Delphi consensus-based frailty screening scale for community-dwelling older adults in China.BMC geriatrics · 2025Article
- Determining frailty index thresholds for older people across multiple countries in sub-Saharan Africa.Communications medicine · 2025Article
- Frailty Assessment Tools Influence the Outcome Associations Among Patients With Diabetes: A Retrospective Cohort Study.JACC. Asia · 2025Article
- Cross-sectional assessment of the Tinetti performance-oriented mobility tool for screening physical frailty syndrome in older adults.BMC geriatrics · 2025Article
- Assessing the utility of frailty scores in triage: a comparative study of validated scales.Internal and emergency medicine · 2025Observational
- Scaling up frailty: psychometric validation of the functional limitations and geriatric syndromes frailty questionnaire-a new tool for uniformly classifying vulnerable hospital patients.Frontiers in medicine · 2025Article
- Predicting Outcomes in Frail Older Community-Dwellers in Western Australia: Results from the Community Assessment of Risk Screening and Treatment Strategies (CARTS) Programme.Healthcare (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Early identification of frailty can prevent functional decline. Although multiple frailty screens exist for use in Emergency Departments (EDs), few are validated against diagnostic standards such as comprehensive geriatric assessment. To examine the diagnostic accuracy of ED screens for frailty, scientific databases were searched for prospective diagnostic accuracy test studies from January 2000 to September 2022. Studies were assessed for risk of bias using QUADAS-C. Psychometric properties were extracted and analysed using R. Six studies involving 1,663 participants describing seven frailty screening instruments (PRISMA-7, CFS, VIP, FRESH, BPQ, TRST, and ISAR), representing 13 unique data points, were included. The mean age of participants ranged from 76 to 86 years. The proportion that was female ranged from 45 to 60%. The pooled prevalence rate of frailty was high at 59%. The pooled estimate for sensitivity was 0.85 (95% CI: 0.76-0.91) versus 0.77 (95% CI: 0.62-0.88) for specificity. Pooled accuracy based on area under the ROC curve was 0.89 (95% CI: 0.86-0.90). Although few studies were found, limiting the ability to conduct a meta-analysis of individual instruments, available frailty screens can accurately diagnose frailty in older adults attending the ED. As specificity was comparatively low, additional assessment may be required to identify those requiring inpatient management or onward community referral. Further study is therefore required.
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