Evidence map›Paper›PMID 40552748›Full record

SynthesisAustralasian journal on ageing2025

Implementing frailty interventions in hospitals: A systematic review of strategies and outcomes.

Kisani Manuel, Madison Chapman, Maria Crotty, Gill Harvey, Susan E Kurrle, Kate Laver

Abstract readSystematic Review
In one paragraph

Synthesis in Australasian journal on ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

6 authors.

Kisani ManuelRehabilitation, Aged and Palliative Care Division, Southern Adelaide Local Health Network, Bedford Park, South Australia, Australia.
Madison ChapmanCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0009-0009-8857-4749
Maria CrottyRehabilitation, Aged and Palliative Care Division, Southern Adelaide Local Health Network, Bedford Park, South Australia, Australia.
Gill HarveyCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Susan E KurrleFaculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Kate LaverRehabilitation, Aged and Palliative Care Division, Southern Adelaide Local Health Network, Bedford Park, South Australia, Australia.

Funding

Royal Australasian College of Physicians
6 · The paper itself

Abstract

objectivesThis systematic review aimed to identify the nature and effects of implementation strategies used to improve the care of older people with frailty in hospital settings.

methodsWe included randomised controlled trials (RCTs), non-RCTs, before-after studies and interrupted time series describing clinical frailty-focussed interventions and implementation strategies aimed at improving outcomes for older people with frailty in hospital settings. We included peer-review articles and PhD theses published from the Year 2000 onwards. We excluded publications not in English and conference abstracts. Four electronic databases (Medline, PsycInfo, CINAHL and Scopus) were searched, alongside grey literature, in April 2024. Risk of bias was analysed using the NIH Quality Assessment Tool. A narrative synthesis approach was undertaken, with the RE-AIM framework used to present data for implementation outcomes and the Expert Recommendations for Implementing Change (ERIC) taxonomy used to categorise implementation strategies.

resultsFifteen studies were included; all were pre-/postdesigns and published post-2014. Most studies involved implementing frailty assessments to trigger care planning and pathways for people with frailty. Twelve studies reported positive improvements in one or more primary outcomes. Common implementation strategies included developing quality monitoring tools, mandating change, promoting adaptability of the intervention and distributing educational materials.

conclusionsFrailty interventions in hospital settings are usually multicomponent and highly influenced by context. This review confirms the feasibility of frailty screening and intervention in hospital settings, but implementation strategies are not well-reported. Future research should prioritise rigorous study designs and reporting to optimise the transferability of successful implementation strategies for frailty interventions to other health-care settings.

Indexed as

Frail ElderlyFrailtyHealth Services for the AgedHospitalsAgedAged, 80 and overAge FactorsGeriatric AssessmentHumansMaleQuality Improvementfrailtygeriatric nursinghospitalsimplementation scienceknowledge translationquality improvement

Identifiers

PMID40552748
PMCPMC12186596

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.