Evidence map›Paper›PMID 40372279›Full record

ArticleAging2025

Frailty transitions in electronic health records: who first? what first?

Fabienne Hershkowitz Sikron, Rony Schenker, Orit Shahar, Achinoam Ben Akiva-Maliniak, Galit Segal, Yishay Koom, Idit Wolf, Bawkat Mazengya, Maor Lewis, Tzippy Shochat and 1 more

Abstract read
In one paragraph

Article in Aging, 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

11 authors.

Fabienne Hershkowitz SikronDepartment of Epidemiology and Medical Quality Assessment, Meuhedet HMO, Tel-Aviv Yaffo 6203854, Israel.
Rony SchenkerDirector of Knowledge Development and Research, Joint-Eshel, 9 Eliezer Kaplan, Jerusalem 9103401, Israel.
Orit ShaharDirector, Rehabilitation and Preservation of Functionality, Joint-Eshel, 9 Eliezer Kaplan, Jerusalem 9103401, Israel.
Achinoam Ben Akiva-MaliniakCoordinator of Preservation of Functionality, Joint-Eshel, 9 Eliezer Kaplan, Jerusalem 9103401, Israel.
Galit SegalChief Geriatric Physician Meuhedet HMO, Tel-Aviv Yaffo 6203854, Israel.
Yishay KoomDirector, Senior Citizen Department, Meuhedet HMO, Tel-Aviv Yaffo 6203854, Israel.
Idit WolfChief Geriatric Nurse, Meuhedet HMO, Tel-Aviv Yaffo 6203854, Israel.
Bawkat MazengyaData Analytics, Meuhedet HMO, Tel-Aviv Yaffo 6203854, Israel.
Maor LewisMD, Medical Division, Meuhedet HMO, Tel-Aviv Yaffo 6203854, Israel.
Tzippy ShochatResearch Institute, Meuhedet HMO, Tel-Aviv Yaffo 6203854, Israel.
Dov AlbukrekChief Medical Officer, Meuhedet HMO, Tel-Aviv Yaffo 6203854, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrailty is associated with an increased risk of adverse health outcomes and may worsen over time.

objectivesThis study aims to describe the dynamic trajectory of frailty, identify the characteristics of those who deteriorate first, and determine what deteriorates first. STUDY DESIGN AND

settingA primary care longitudinal population-based cohort with repeated measures at baseline and one year later.

participantsThe cohort included all 119,952 Meuhedet members aged 65 years and over as of January 2023. PREDICTORS: Demographic factors, health indicators, and the Meuhedet Electronic Frailty Index containing 36 deficits. OUTCOMES: Worsening frailty is defined as a higher frailty level one year later in 2024 compared to 2023. A new frailty deficit is defined as a deficit appearing in 2024 that was not present in 2023. STATISTICAL ANALYSIS: The comparison of worsening percentages by demographic and clinical characteristics was tested using the chi-square test at the univariable level and logistic regression at the multivariable level.

resultsOverall, 13.3% of participants worsened after one year of follow-up, with 2.3% dying. Higher risk groups for worsening included females, older individuals, those belonging to the Arab sector, and those with multimorbidity. New deficits mainly included modifiable risk factors related to general health and functionality, despite chronic diseases being more frequent at baseline.

conclusionsEmphasizing intervention programs based on these health promotion issues may significantly impact disease control and slow frailty worsening.

Indexed as

Electronic Health RecordsFrail ElderlyFrailtyAgedAged, 80 and overFemaleGeriatric AssessmentHumansLongitudinal StudiesMaleRisk Factorselectronic frailty indexfrailty transitionhealth maintenance organizationolder peoplestatistics and numerical data

Identifiers

PMID40372279
PMCPMC12151512

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.