ArticleJournal of the American Geriatrics Society2025
The Association of Frailty With Post-Hospital Discharge Location and Health Outcomes.
Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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.
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Who cites it
2 citing papers in PubMed.
- Comparison of the Predictive Value of CRP/Albumin, CRP/Prealbumin, and the Clinical Frailty Scale for Mortality in Geriatric Intensive Care Patients.Saudi medical journal · 2026Article
- The Association of Frailty With Post-Hospital Discharge Location and Health Outcomes.Journal of the American Geriatrics Society · 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
4 authors.
Funding
Abstract
backgroundPost-acute care (PAC) is designed to help older adults recover functional independence following hospitalization. Frailty is a predictor of adverse health outcomes in hospitalized older adults, but the impact on PAC remains unclear. The objective of this study was to investigate whether (1) frailty is associated with hospital discharge location and (2) the impact of frailty and discharge location on health outcomes.
methodsWe conducted a retrospective cohort study from a single US-based healthcare system from January 2021 to September 2023 of adults aged ≥ 65 years with an electronic frailty index (eFI) frailty score and hospital admission for at least 24 h. We evaluated the odds of hospital discharge location (home, home health services [HHS], and skilled nursing facility [SNF]) and health outcomes including hospital readmission and mortality, using logistic regression and Cox-regression models adjusted for demographics and healthcare system factors.
resultsA cohort of 23,407 older adult patients was included, with a mean age of 76.7 years (SD 7.7), 53% female sex, and 19% non-White race/ethnicity. Participant frailty was categorized as 22% non-frail, 46% pre-frail, 23% frail, and 8% severely frail. Patients with a higher degree of frailty were more likely to discharge with PAC (SNF or HHS) compared to home, adjusted odds ratio OR [95% CI], frail: OR 1.20 [1.09-1.33]. Frailty was a risk factor for 90-day hospital readmissions (OR 1.91 [1.67-2.20], p < 0.001) and mortality (HR 2.56 [2.10-3.13], p < 0.001) compared to non-frail individuals. In addition, patients discharged to SNF had higher mortality (HR 5.46 [4.43-6.73], p < 0.001), but did not have increased readmissions compared to individuals discharged home without HHS.
conclusionsFrailty in older adults was a risk factor for discharge to PAC, higher mortality, and readmissions. Automated frailty assessment can be used to identify high-risk patients, facilitating targeted interventions across the PAC continuum.
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