Evidence map›Paper›PMID 38014479›Full record

Trial reportJournal of cachexia, sarcopenia and muscle2024

Effectiveness of a randomized intervention by a geriatric team in frail hospital inpatients in non-geriatric settings: FRAILCLINIC project.

Marta Checa-López, Alba Costa-Grille, Alejandro Álvarez-Bustos, Jose A Carnicero-Carreño, Alan Sinclair, Angelo Scuteri, Francesco Landi, Juan José Solano-Jaurrieta, Srikanth Bellary, Leocadio Rodríguez-Mañas

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cachexia, sarcopenia and muscle, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT02643069 nacompletednot on this map

Feasibility and Effectiveness of Frailty Screening and Management Programs Implemented in Different Clinical Settings (FRAILCLINIC)

TypeinterventionalSponsorHospital Universitario GetafeRan2014 to 2021Enrolled821ConditionsFrailty SyndromeArmsIntervention Geriatric Program
NCT06875024 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Series of Studies on Influencing Factors and Intelligent Intervention Programs for Hospitalized Elderly People With Frailty

TypeinterventionalSponsorNational Taipei University of Nursing and Health SciencesRan2025 to 2026Enrolled156ConditionsFrailty in Older AdultsArmsIntelligent intervention programs
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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  4. Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026
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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

10 authors at 6 institutions in 4 countries.

Marta Checa-LópezServicio de Geriatría, Hospital Universitario de Getafe, Getafe, Spain.
Alba Costa-GrilleServicio de Geriatría, Hospital Universitario de Getafe, Getafe, Spain.
Alejandro Álvarez-BustosCentro de Investigación Biomédica en Red sobre Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain.
Jose A Carnicero-CarreñoCentro de Investigación Biomédica en Red sobre Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain.
Alan SinclairFoundation for Diabetes Research in Older People, Diabetes Frail, Medici Medical Practice, Luton, UK.
Angelo ScuteriDepartment of Clinical and Experimental Medicine, University of Sassari, Sassari, Italy.
Francesco LandiDepartment of Geriatrics, Neurosciences and Orthopedics, Catholic University of the Sacred Heart School of Medicine, Rome, Italy.
Juan José Solano-JaurrietaInstituto de Investigación Sanitaria del Principado de Asturias (ISPA) and Geriatric Service, Monte Naranco Hospital, Oviedo, Spain.
Srikanth BellaryAston University Hospital, Birmingham, UK.
Leocadio Rodríguez-MañasServicio de Geriatría, Hospital Universitario de Getafe, Getafe, Spain.ORCID 0000-0002-6551-1333
Instituto de Salud Carlos III · ESAston University · GBHospital Universitario de Getafe · ESInstituto de Investigación Sanitaria del Principado de Asturias · ESUniversità Cattolica del Sacro Cuore · ITUniversity of Sassari · IT

Funding

CIBERFESEuropean Commission Directorate General for Health and Consumer Affairs (DG SANTE) - Third Health ProgrammeFEDER Funds ISCIIIFEDER Funds PI20/00977MITOFUN, Fundación Francisco Soria MelguizoSpanish Ministry of Economy, Industry and Competitiveness
6 · The paper itself

Abstract

backgroundLittle research has been undertaken on the benefits of frailty management within different hospital settings. The objective of this study is to provide evidence on the viability and effectiveness of frailty management in non-geriatric hospital settings on mortality and functional decline after discharge.

methodsData from the FRAILCLINIC (NCT02643069) study were used. FRAILCLINIC is a randomized controlled trial developed in non-geriatric hospital inpatient settings (emergency room, cardiology and surgery) from Spain (2), Italy (2) and the United Kingdom (1). Inpatients must met frailty criteria (according to the Frailty Phenotype and/or FRAIL scale), ≥75 years old. The control group (CG) received usual care. The intervention group (IG) received comprehensive geriatric assessment (CGA) and a coordinated intervention consisting in recommendations to the treating physician about polypharmacy, delirium, falls, nutrition and physical exercise plus a discharge plan. The main outcomes included functional decline (worsening ≥5 points in Barthel Index) and mortality at 3 months. We used multivariate logistic regression models adjusted by age, gender and the Charlson index. Intention-to-treat (ITT) and per-protocol (PP) analyses were used.

resultsEight hundred twenty one participants (IG: 416; mean age 83.00 ± 4.91; 51.44% women; CG: 405; mean age 82.46 ± 6.03; 52.35% women) were included. In the IG, 77.16% of the participants followed the geriatric team's recommendations as implemented by the treating physicians. The intervention showed a benefit on functional decline and mortality [OR: 0.67(0.47-0.96), P-value 0.027 and 0.29(0.14-0.57), P-value < 0.001, respectively) when fully followed by the treating physician. A trend to benefit (close to statistical significance) in functional decline and mortality were also observed when any of the recommendations were not followed [OR (95% CI): 0.72 (0.51-1.01), P-value: 0.055; and 0.64 (0.37-1.10), P-value: 0.105, respectively].

conclusionsAn individualized intervention in frail in-patients reduces the risk of functional deterioration and mortality at 3 months of follow-up when a care management plan is designed and followed.

Indexed as

FrailtyAgedAged, 80 and overFemaleFrail ElderlyHospitalsHumansInpatientsMalePatient DischargeFrailtyFunctional declineHospitalizationInterventionMortality

Identifiers

PMID38014479
PMCPMC10834340
OpenAlexW4389091789

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.