ArticleBMC geriatrics2023
Prevalence of frailty and associated factors in older adults seeking care at Swedish emergency departments.
Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Acute medical care resource utilization of frail older patients presenting at the emergency department.European geriatric medicine · 2026Article
- Frail Older Patients' Experiences During Boarding in the Emergency Department: A Qualitative Study.Journal of advanced nursing · 2026Article
- Individual Patient Sociodemographic Characteristics Are Associated With Waiting Time to Physician Assessment in Seven Swedish Emergency Departments: An Observational 5-Year Cohort Study of Emergency Department Visits in the Stockholm Region.Journal of the American College of Emergency Physicians open · 2025Article
- Balancing care needs - a qualitative study on prehospital emergency nurses' experiences of providing self-care advice and home referrals for frail older patients.BMC emergency medicine · 2025Article
- The Implementation of Frailty Assessment Tools in the Acute Care Setting: A Scoping Review.Journal of the American Geriatrics Society · 2025Article
- External validation of the TFC (triage frailty and comorbidity) tool: a prospective observational study.Internal and emergency medicine · 2025Observational
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- Article
- Revisits and frailty in older patients in the emergency department - a prospective observational multicenter study.BMC emergency medicine · 2024Observational
- Geriatric Syndromes and Their Relationship with Mortality in a Population of Mexican Older Adults Aged 65 and Over, Admitted to the Emergency Department of a Second-Level Care Hospital.Healthcare (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInternationally, prolonged length of stay for older adults in the emergency department (ED) is associated with increased risk of in-hospital adverse events. In Sweden patients 65 years and older account for 35% of emergency visits, and according to consensus from an international expert group, all persons over 70 should be screened for frailty. This is not routinely done in Swedish EDs, and therefore, knowledge about prevalence, characteristics and clinical outcomes associated with frailty is limited.
aimTo describe the prevalence of frailty and associated factors in older adults seeking care at Swedish EDs.
methodsThe study has a cross-sectional design. Data was collected at three hospital-based EDs, varying in level and size of setting, for one month. Patients age 70 and older presenting at the EDs and agreed to participate were screened for frailty using the FRail Elderly Support researcH group (FRESH) instrument. Data were analysed using descriptive statistics to assess the distribution of patient characteristics and clinical outcomes. Multivariate logistic regression was used to model the association between frailty and demographic characteristics, and Cox regression was used to model the association between frailty and clinical outcomes.
resultsA total of 3101 patients were eligible for inclusion; of these, 984 (32%) were included and screened for frailty. Of the final sample, 57.3% were assessed as frail. Characteristics significantly associated with frailty were living in a residential care facility, age (> 80 years), being a woman and arriving with emergency medical service (EMS). There was a significant association between frailty and admittance to in-hospital care.
conclusionOur study shows a high prevalence of frailty in older people. Factors associated with frailty were living in a residential care facility, age ≥ 80 years, being a woman and arriving with EMS to the ED and being admitted to in-hospital care. Frailty screening should be incorporated in the triage system to identify frail patients who need tailored interventions. More studies using the FRESH instrument are needed to further confirm our findings and to develop the methods for screening for frailty in the ED.
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