Evidence map›Paper›PMID 39633101›Full record

ArticleJournal of general internal medicine2025

Novel Electronic Health Record Strategies to Identify Frailty Among Hospitalized Older Adults with Multiple Chronic Conditions.

Julia V Loewenthal, Natalie C Ernecoff, Anuj K Dalal

Abstract readEditorial
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Julia V LoewenthalDivision of Aging, Brigham and Women's Hospital, Boston, MA, USA. jloewenthal@bwh.harvard.edu.ORCID 0000-0002-3720-6673
Natalie C ErnecoffRAND, Pittsburgh, PA, USA.
Anuj K DalalHarvard Medical School, Boston, MA, USA.

Funding

Demonstrating the potential for electronic health record interoperability to improve patient safety research of older adults over the acute episode of care.R01AG083035 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI DALAL, ANUJ K, RUDIN, ROBERT SAMUEL · 2023 to 2025
$2.7M
HRSA HHS GACA K01HP49053-01-01NIA NIH HHS NIA R01 AG083035NIA NIH HHS R01 AG083035
6 · The paper itself

Abstract

A growing number of aging adults are living with multiple chronic conditions (MCC). Older adults living with MCC are predisposed to developing frailty, a state of decreased physiologic reserve that increases risk for geriatric syndromes and associated morbidity and mortality. The electronic frailty index (eFI) is computed passively using structured EHR data and can aid in prospective screening. Unfortunately, certain diagnoses, such as functional status assessments in unstructured documentation, are less likely captured by eFI, potentially underestimating the degree of frailty. Here, we discuss current gaps for using eFI to identify frail older adults living with MCC, and artificial intelligence (AI) approaches to enhance eFI accuracy. Accurate and routine frailty assessment can aid the generalist providing care to older adults living with MCC across multiple care settings to optimize physiologic reserve for these vulnerable patients.

Indexed as

Electronic Health RecordsFrail ElderlyFrailtyGeriatric AssessmentHospitalizationMultiple Chronic ConditionsAgedAged, 80 and overArtificial IntelligenceFemaleHumansMale

Identifiers

PMID39633101
PMCPMC12045883

What OpenQuestion holds

Textmetadata
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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.