Observational studyBMJ open2025
Self-rated health as a predictor of mortality and healthcare use in older adults at high risk of hospitalisation: a prospective cohort study in Sweden.
Observational study in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03180606 (Enhanced Primary Care for Elderly), which is not on this map. Cited by 3 papers.
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.
Enhanced Primary Care for Elderly: A Multicenter Pragmatic Clinical Trial Where Older People With Great Needs Are Predicted and Given Personalized Primary Care
Who cites it
3 citing papers in PubMed.
- How do discrepancies between self-rated and physical health predict self-reported overnight hospitalizations in later life?British journal of health psychology · 2026Observational
- Article
- The Clustering of Lifestyle Risk Factors in the Serbian Adult Population and Association with Self-Rated Health.Zdravstveno varstvo · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to evaluate the predictive value of self-rated health (SRH) on mortality and healthcare use in older adults (aged ≥75 years) at high risk of hospitalisation in comparison to an objective measure of comorbidities, the Charlson Comorbidity Index (CCI).
designProspective cohort study conducted within the research project 'Proactive Primary Care for Frail Elderly Persons'.
setting19 primary care practices in south-east Sweden, between January 2018 and December 2019.
participantsIn total, 355 adults aged ≥75 years were included in the study. They were among the 11% older adults with the highest predicted risk of hospitalisation, as identified by a statistical prediction model for unplanned hospital admission. OUTCOME MEASURES: Outcomes were all-cause mortality and healthcare use measured as hospital care days and the number of physician visits in primary and secondary care. These were analysed for different groups of SRH and comorbidities measured using the CCI.
resultsSRH was grouped into Excellent/Very good, Good, Fair and Poor. The overall mortality rate was 26.5%. Compared with the
conclusionsIn a cohort of older adults at high risk of hospitalisation, the predictive value of SRH for risk stratification was limited. Objective health measures appeared to offer greater utility than SRH for guiding healthcare planning and tailoring interventions for vulnerable older adults in this cohort. TRIAL REGISTRATION NUMBER: Clinical Trials NCT03180606.
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Registered trials
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