Observational studyAge and ageing2025
Frailty in older adults admitted to hospital: a six-year dual-centre retrospective study of over 53 000 clinical frailty scale assessments.
Observational study in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of Digital Health Interventions in Older Adults With Frailty and Sarcopenia: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2026Pooled it
- Case management in emergency care: insights on health-related quality of life from the Case management for At-Risk patients in the Emergency Department (CARED) programme.Singapore medical journal · 2026Article
- A European paramedic curriculum for geriatric emergency medicine developed via a modified Delphi technique.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo examine frailty assessments in older patients admitted to hospital, and explore associations with sex, admission and discharge status. METHODOLOGY: Worldwide, the prevalence of frailty is increasing. Stratifying frailty can be beneficial at a population level to improve public health and target local services. At an individual level, recognition of frailty can help inform prognosis and advanced planning. The Clinical Frailty Scale (CFS) is validated for predicting outcomes of older hospitalised adults.All patients admitted into two hospitals in the South-East of England between 1 January 2017 and 31 December 2022, aged ≥65 years old with an electronically recorded CFS were included.
resultsOver the study period there were 100 933 admissions, representing 53 361 individual patients. A single admission was observed in 16 284 (30.5%), whilst 37 077 (69.5%) had more than one admission. The mean CFS was 4.62 (SD 1.66) and 49.5% were living with frailty (CFS ≥5). Across 6 years, before, during and after the Covid-19 pandemic, this percentage remained stable. Females had a higher average CFS than males (4.74 vs 4.46, P < 0.01). Patients with a single admission had a higher mean CFS than patients with subsequent readmissions. Patients who died during admission had a higher average CFS than those who survived to discharge (6.02 vs 4.52, P < 0.01).
conclusionThis large cohort study of acutely admitted older adults found half were living with frailty. This highlights the importance of frailty identification to optimise personalised care. There was no significant change in frailty severity between 2018 and 2022.
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