Evidence map›Paper›PMID 40849440›Full record

ArticleBMC geriatrics2025

Syncope is associated with multidimensional frailty in older adults.

Francesco Curcio, Rosaria Chiappetti, Pietro Medio, Sara Pacilio, Gennaro Alessio, Federica Trotta, Ciro Abete, Ilaria Liguori, Gaetano Gargiulo, Giuseppe Sasso and 4 more

Abstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from 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.

2 · The registry

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Francesco CurcioDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini, Naples, 80131, Italy.
Rosaria ChiappettiDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini, Naples, 80131, Italy.
Pietro MedioDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini, Naples, 80131, Italy.
Sara PacilioDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini, Naples, 80131, Italy.
Gennaro AlessioDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini, Naples, 80131, Italy.
Federica TrottaDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini, Naples, 80131, Italy.
Ciro AbeteDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini, Naples, 80131, Italy.
Ilaria LiguoriDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini, Naples, 80131, Italy.
Gaetano GargiuloDivision of Internal Medicine, AOU San Giovanni Di Dio E Ruggi Di Aragona, Salerno, Italy.
Giuseppe SassoDepartment of Emergency and Critical Care, AORN A. Cardarelli, Naples, Italy.
Francesco CacciatoreDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini, Naples, 80131, Italy.
Gianluigi GaliziaIRCCS Salvatore Maugeri Foundation, Scientific Institute of Veruno, Novara, Italy.
Pasquale AbeteDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini, Naples, 80131, Italy. p.abete@unina.it.
GIMSI (Italian Multidisciplinary Group for the Study of Syncope)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultidimensional frailty and syncope are common in older adults, yet their relationship remains unclear.

methodsThis retrospective multicenter study, involving outpatients who underwent Comprehensive Geriatric Assessment, aims to evaluate the relationship between frailty and syncope. Patients were classified as fit/light frail, moderate frail or severe frail based on their fr-AGILE score. Patients reporting one or more episodes of syncope were referred to “Syncope and Fall Unit” and evaluated according to the recommendations of the European Society of Cardiology. Syncope episodes were classified in cardiac, reflex, orthostatic and of unknown origin. Multiple logistic regression analysis was employed to determine the association between the frailty score and syncope, independent of age, sex, comorbidity, and polypharmacy.

resultsAmong 560 patients (mean age 77.7 ± 6.9 years, 54.5% female), 107 reported experiencing syncopal episodes. Patients with history of syncope had a higher prevalence of orthostatic hypotension (41.1% vs. 18.8%, p = 0.001) and a higher fr-AGILE score (6.5 ± 2.0 vs. 5.4 ± 1.9, p = 0.001). Multivariate logistic regression analysis, adjusted for age, sex, comorbidity, and number of medications, showed that frailty, estimated by the fr-AGILE score, was associated with an increased risk of syncope (OR for each unit increase in fr-AGILE: 1.468, 95% CI: 1.276–1.690, p = 0.001). Frailty was associated with syncope, particularly cases of undetermined origin, but not with cardiac syncope.

conclusionsThe fr-AGILE score identifies patients at high risk of syncope. Frailty is strongly associated with non-cardiac syncope and with cases where a pathophysiological cause of the syncopal event could not be determined.

Indexed as

Frail ElderlyFrailtyGeriatric AssessmentSyncopeAgedAged, 80 and overFemaleHumansMaleRetrospective StudiesComprehensive Geriatric AssessmentMultidimensional frailtySyncope

Identifiers

PMID40849440
PMCPMC12374448

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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.