Evidence map›Paper›PMID 39635564›Full record

ArticleJournal of frailty, sarcopenia and falls2024

Modified Hospital Frailty Risk Score (mHFRS) as a Tool to Identify and Predict Outcomes for Hospitalised Older Adults at Risk of Frailty.

Lydia Sim, Ting Yu Chang, Kyaw Khine Htin, Aileen Lim, Thevapriya Selvaratnam, Simon Conroy, Kiat Sern Goh, Barbara Rosario

Abstract read
In one paragraph

Article in Journal of frailty, sarcopenia and falls, 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

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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.

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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

8 authors.

Lydia SimHealth Systems Intelligence, Changi General Hospital, Singapore.
Ting Yu ChangNational University of Singapore, Singapore.
Kyaw Khine HtinDepartment of Geriatric Medicine, Changi General Hospital, Singapore.
Aileen LimHealth Systems Intelligence, Changi General Hospital, Singapore.
Thevapriya SelvaratnamHealth Systems Intelligence, Changi General Hospital, Singapore.
Simon ConroyUniversity College, London, UK.
Kiat Sern GohDepartment of Geriatric Medicine, Changi General Hospital, Singapore.
Barbara RosarioDepartment of Geriatric Medicine, Changi General Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aims to determine whether modified Hospital Frailty Risk Score (mHFRS) can identify frail hospitalised older adults by comparing mHFRS to HFRS and Clinical Frailty Scale (CFS). Methods: A retrospective review was undertaken in patients =>65 years hospitalised following an Emergency Department attendance between 1 Results: Of 3042 patients, CFS categorised 1635 (53.7%) patients as non-frail (CFS 1-4) and 1407 (46.3%) as frail (CFS 5-9,p<0.001). Frail patients were more likely to be female (55.9%), older (81.8 years, SD 8.41 vs 75.3 years, SD 7.20, p<0.001), with longer LOS (52.5% % vs 31.5%, p<0.001), higher 30-day emergency re-admission (18.5% vs 9.9%, p<0.001) and higher mortality at all time points. We could compute mHFRS for 1623 (53.4%) patients, of whom, 37.5% were low risk, 40.5% intermediate risk and 22.1% high frailty risk. mHFRS showed significant correlation with CFS (p<0.001) and HFRS (p<0.001), respectively and achieved comparable association with clinical outcomes. Conclusion: mHFRS was better at identifying non-frail patients and provides a novel, standardised and comparable frailty risk stratification tool for screening older hospitalised patients.

Indexed as

Clinical Frailty ScaleFrailtyGeriatricsHospital Frailty Risk Score

Identifiers

PMID39635564
PMCPMC11613971

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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.