Evidence map›Paper›PMID 41940689›Full record

Observational studyPulmonary medicine2026

Impact of Frailty on Prognosis and Functional Outcome in Patients With Acute Respiratory Deterioration of Interstitial Lung Disease.

Yuta Takahashi, Mitsutoshi Akiho, Takuya Miyahara, Yasunari Sakai, Shuken Kobayashi, Daisuke Minamishima, Shuichi Nakada, Kanji Yamada, AIR REHAB-ILD Study Collaborators

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Pulmonary medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Observational
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

9 authors.

Yuta TakahashiDepartment of Rehabilitation, St. Luke's International Hospital, Tokyo, Japan, luke.ac.jp.ORCID https://orcid.org/0000-0003-3791-0633
Mitsutoshi AkihoDepartment of Rehabilitation Sciences, University of Tokyo Health Sciences, Tokyo, Japan.
Takuya MiyaharaDepartment of Rehabilitation, Mitsui Memorial Hospital, Tokyo, Japan, mitsuihosp.or.jp.
Yasunari SakaiDepartment of Rehabilitation, Shinshu University Hospital, Nagano, Japan, shinshu-u.ac.jp.
Shuken KobayashiDepartment of Rehabilitation, Kitasato University Hospital, Kanagawa, Japan, kitasato-u.ac.jp.
Daisuke MinamishimaDepartment of Rehabilitation, Tokyo Metropolitan Police Hospital, Tokyo, Japan, keisatsubyoin.or.jp.
Shuichi NakadaDepartment of Rehabilitation, St. Marianna University School of Medicine Hospital, Kanagawa, Japan.
Kanji YamadaDepartment of Rehabilitation, Kobe City Medical Center General Hospital, Hyogo, Japan, chuo.kcho.jp.
AIR REHAB-ILD Study Collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrailty has emerged as an important prognostic factor in patients with interstitial lung disease (ILD), but its impact on hospitalized ILD patients with acute respiratory deterioration (ARD) remains unclear. The objective of this study is to investigate the association between preadmission frailty and clinical outcomes including 180-day mortality and functional decline in ILD patients hospitalized due to ARD.

methodsThis multicenter prospective study included ILD patients admitted due to ARD at five acute care hospitals in Japan. Frailty was assessed at admission using the Clinical Frailty Scale (CFS) based on patients' prehospitalization condition. The primary outcome was 180-day mortality from the day of admission. Secondary outcomes included early ambulation and functional decline at discharge. Cox regression and logistic regression analyses were used to assess the impact of frailty on outcomes.

resultsAmong 205 patients, 37 (18.0%) were classified as frail (CFS 5-9). The frail group had significantly higher 180-day mortality than the nonfrail group (p = 0.002). Frailty remained an independent predictor of 180-day mortality after multivariable adjustment (hazard ratio 2.450, 95% confidence interval [CI]1.327-4.524, p = 0.004). Nonfrailty was an independent predictor of early ambulation (odds ratio [OR] 4.820, 95% CI 1.700-13.600, p = 0.003); however, it was not a significant predictor of functional decline (OR 1.810, 95% CI 0.748-4.380, p = 0.188).

conclusionsFrailty independently predicted mortality and adverse functional outcomes in ILD patients hospitalized due to ARD. Frailty assessment on admission may help identify patients who require early and tailored multidisciplinary interventions.

Indexed as

FrailtyLung Diseases, InterstitialAcute DiseaseAgedAged, 80 and overFemaleHospitalizationHumansJapanMalePrognosisProspective Studiesfrailtyhospitalizationinterstitial lung diseasemortalitypulmonary rehabilitation

Identifiers

PMID41940689
PMCPMC13051896

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.