Evidence map›Paper›PMID 40178742›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Frailty and hospital outcomes among patients with neurological disorders.

Marco Toccaceli Blasi, Fabrizio Raffaele, Daniele Belvisi, Simona Buscarnera, Giuseppe Bruno, Giovanni Fabbrini, Marco Canevelli

Abstract read
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Marco Toccaceli BlasiDepartment of Human Neuroscience, "Sapienza" University, Viale dell'Università 30, Rome, 00185, Italy. marco.toccaceliblasi@uniroma1.it.ORCID http://orcid.org/0000-0002-1336-0932
Fabrizio RaffaeleDepartment of Human Neuroscience, "Sapienza" University, Viale dell'Università 30, Rome, 00185, Italy.
Daniele BelvisiDepartment of Human Neuroscience, "Sapienza" University, Viale dell'Università 30, Rome, 00185, Italy.
Simona BuscarneraDepartment of Human Neuroscience, "Sapienza" University, Viale dell'Università 30, Rome, 00185, Italy.
Giuseppe BrunoDepartment of Human Neuroscience, "Sapienza" University, Viale dell'Università 30, Rome, 00185, Italy.
Giovanni FabbriniDepartment of Human Neuroscience, "Sapienza" University, Viale dell'Università 30, Rome, 00185, Italy.
Marco CanevelliDepartment of Human Neuroscience, "Sapienza" University, Viale dell'Università 30, Rome, 00185, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with neurological disorders, particularly those who are chronologically and biologically older, may display highly varied clinical courses and trajectories. The present study explored the association between frailty and hospital outcomes among patients with acute neurological presentations admitted to an Italian university hospital. MATERIALS AND

methodsA cross-sectional study considered all patients consecutively admitted to the Neurology Unit of the Policlinico Umberto I University Hospital of Rome (Italy). A 40-item Frailty Index (FI) was retrospectively developed based on the clinical information collected in the Emergency Department (ED). Data on hospitalization outcomes were prospectively collected during the patient's stay at the Neurology Unit. Linear and logistic regression models were conducted to test the association between FI and hospital outcomes.

resultsOverall, 185 participants (women 50.3%; mean age 68.6, SD 18.6 years) were included. FI scores ranged between 0 and 0.43, with a median value of 0.15 [IQR 0.10], and were positively correlated with age (Spearman's rho 0.55, p < 0.001). In a linear regression model adjusted by age, sex, and diagnosis, FI was significantly associated with the number of days spent in the Neurology Unit (B 2.18, 95%CI 0.25-4.11, per 0.1 increase; p = 0.03). In bivariate logistic regression models adjusted by age, sex, and diagnosis, increasing FI scores were significantly associated with a lower likelihood of being discharged at home (OR 0.37, 95%CI 0.20-0.63, per 0.1 increase; p < 0.001), with higher odds of nosocomial infections (OR 1.67, 95%CI 1.05-2.73 per 0.1 increase; p = 0.03), and prescription of antibiotics (OR 1.77, 95%CI 1.11-2.92, per 0.1 increase; p = 0.02).

conclusionFrailty is adversely associated with hospital outcomes in patients with acute neurological disorders. Assessing frailty could improve patient stratification, prognostication, and care planning, with a relevant impact on healthcare resources.

Indexed as

FrailtyHospitalizationNervous System DiseasesAgedAged, 80 and overCross-Sectional StudiesFemaleHumansItalyLength of StayMaleMiddle AgedRetrospective StudiesEmergency department assessmentFrailtyNeurological diseasePrognosis

Identifiers

PMID40178742
PMCPMC12267349

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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.