Evidence map›Paper›PMID 39448091›Full record

ArticleAging2024

Development and validation of an electronic frailty index in a national health maintenance organization.

Fabienne Hershkowitz Sikron, Rony Schenker, Yishay Koom, Galit Segal, Orit Shahar, Idit Wolf, Bawkat Mazengya, Maor Lewis, Irit Laxer, Dov Albukrek

Abstract readValidation Study
In one paragraph

Article in Aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
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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.

Fabienne Hershkowitz SikronMeuhedet Health Maintenance Organization (HMO), Tel-Aviv, Israel.
Rony SchenkerThe Joint-Eshel Organization, Jerusalem, Israel.
Yishay KoomMeuhedet Health Maintenance Organization (HMO), Tel-Aviv, Israel.
Galit SegalMeuhedet Health Maintenance Organization (HMO), Tel-Aviv, Israel.
Orit ShaharThe Joint-Eshel Organization, Jerusalem, Israel.
Idit WolfMeuhedet Health Maintenance Organization (HMO), Tel-Aviv, Israel.
Bawkat MazengyaMeuhedet Health Maintenance Organization (HMO), Tel-Aviv, Israel.
Maor LewisMeuhedet Health Maintenance Organization (HMO), Tel-Aviv, Israel.
Irit LaxerDepartment of Geriatrics, Israeli Ministry of Health, Jerusalem, Israel.
Dov AlbukrekMeuhedet Health Maintenance Organization (HMO), Tel-Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrailty constitutes a major factor that puts the elderly at risk of health and functional deterioration.

objectivesTo develop and validate an Electronic Frailty Index based on electronic data routinely collected in the HMO. STUDY DESIGN AND

settingA retrospective cohort of the HMO members.

participants120,986 patients, aged 65 years and over at the beginning of 2023. PREDICTORS: A cumulative frailty index including 36 medical, functional, and social deficits. OUTCOMES: One-year all-cause mortality or hospitalization. STATISTICAL ANALYSIS: One-year hazard ratios were estimated for composite outcome of mortality or hospitalization using multivariable hierarchical Cox regression.

resultsThe mean EFI score increased with the Social Security Nursing Benefit. Compared to fit patients, mild, moderate, and severe frailty patients had 2.07, 3.35, and 4.4-fold increased risks of mortality or hospitalization, after controlling for covariates.

conclusionsThe findings showed that the Electronic Frailty Index version we created is valid in predicting mortality or hospitalization. In addition, the Electronic Frailty Index converged with an independent measurement produced by National Social Security.

Indexed as

Frail ElderlyFrailtyGeriatric AssessmentHospitalizationAgedAged, 80 and overFemaleHealth Maintenance OrganizationsHumansMaleRetrospective Studieselectronic frailty indexelectronic health recordfrailtyhealth maintenance organizationolder people

Identifiers

PMID39448091
PMCPMC11552639

What OpenQuestion holds

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LicenceCC BY
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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.