Observational studyBMC geriatrics2025
Frailty in older adults admitted to hospital: outcomes from the Western Sydney Clinical Frailty Registry.
Observational study in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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.
Who cites it
5 citing papers in PubMed.
- Metastatic spinal tumor frailty index and New England spinal metastasis score show the most consistent performance for short-term postoperative outcomes: Single-center validation in 114 patients.North American Spine Society journal · 2026Article
- How Frailty Is Considered, Measured and Managed in Clinical Practice, Quality Improvement and Research in Australia: Insights From a National Survey.Australasian journal on ageing · 2026Article
- Association of gait, balance, and handgrip strength with cognitive performance in hospitalized older adults: a retrospective analysis.Frontiers in aging neuroscience · 2026Article
- Clinical and Geriatric Predictors of In-Hospital Mortality in Older Adults Admitted to Internal Medicine Wards: A Retrospective Observational Study.Journal of clinical medicine · 2025Article
- TRANSFER-I: Hospitalised Older Adults and Their Carers' Perspectives of the Transition Home: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo examine baseline frailty and its association with rehospitalisation and mortality within 12 months among older adults enrolled in the Western Sydney Clinical Frailty Registry.
designProspective observational cohort study. SETTING AND
participants592 adults admitted to an acute geriatric medicine service in NSW, Australia, were included in this study.
methodsThe Western Sydney Clinical Frailty Registry is a study of adults admitted to acute geriatric wards in a 570-bed two-site district general hospital in Western Sydney, NSW, Australia. Recruitment began in April 2020 and is ongoing. Each participant is recruited while an inpatient and followed up for 12 months, including baseline visits and three-, six- and 12-month follow-ups via telephone interviews. The primary outcome of this study was rehospitalisation and/or mortality at 12 months.
resultsMedian age 82 years; half the cohort were classified as mild-moderately frail, and 21% were classified as severely frail. A total of 134 participants died (22.6%) within the 12-month follow-up period. Increased cumulative incidence of first rehospitalisation and/or death during the first 12 months post-discharge was significantly associated with higher modified Charlson comorbidity (p < 0.001) and Clinical Frailty Scale (CFS) scores (p < 0.001). Compared to the 'non-frail' group (CFS 1-4), those who were severely frail (CFS 7-9) had an 85% increased risk of rehospitalisation and/or death (95% CI 1.36-2.52), and those who were mild-moderately frail (CFS 5-6) had a 52% increased risk after adjusting for effects of the other variables (95% CI 1.18-1.94).
conclusionsFrailty is very common in older adults admitted to acute geriatric services. Assessing frailty using the CFS is feasible and is independently predictive of rehospitalisation and mortality. Our findings suggest that integrating frailty assessment into clinical practice goes beyond simple risk stratification, offering valuable insights for tailored clinical management strategies.
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