ArticleFrontiers in medicine2026
Construction and validation of a risk prediction model for oral frailty in elderly patients with chronic heart failure.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Chain mediation effects of depressive symptoms and nutritional risk between social support and oral frailty in patients with coronary heart disease.Frontiers in public health · 2026Article
- Screening of risk factors and construction of a prediction model for enteral nutrition intolerance in elderly patients with comorbidities and sarcopenia.Frontiers in nutrition · 2026Article
- Diagnostic Prediction Models for Oral Frailty in Older Adults: A Systematic Review and Critical Appraisal.Patient preference and adherence · 2026Review
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Authors and funding
6 authors.
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Abstract
Objective: To investigate the prevalence of oral frailty among hospitalized elderly patients with chronic heart failure (CHF), identify its associated risk factors, and construct and validate a risk assessment model to provide scientific evidence for early identification and intervention. Methods: A convenience sample of 343 hospitalized elderly patients with chronic heart failure was recruited from a tertiary general hospital in Mianyang, China, between May and November 2025. Data were collected using a general information questionnaire, the Oral Frailty Index-8 (OFI-8), Frailty Phenotype (FP), Mini Nutritional Assessment-Short Form (MNA-SF), heart function-related clinical indicators, the Geriatric Oral Health Self-Efficacy Scale, the Geriatric Oral Health Assessment Index (GOHAI), and the Geriatric Depression Scale-Short Form (GDS-SF). Logistic regression analysis was performed to identify factors associated with oral frailty. A visualized nomogram prediction model was developed using R software. Model discrimination and calibration were evaluated using the receiver operating characteristic (ROC) curve, area under the curve (AUC), Hosmer-Lemeshow goodness-of-fit test, and Bootstrap resampling. Decision curve analysis (DCA) was conducted to assess the clinical applicability of the model. Results: A total of 350 questionnaires were distributed, and 343 valid questionnaires were returned, yielding an effective response rate of 98.0%. Among the 343 patients, 176 cases of oral frailty were identified, with a prevalence of 51.3%. Logistic regression analysis showed that advanced age, smoking, physical frailty, malnutrition, polypharmacy, and oral health-related self-efficacy were significant predictors of oral frailty (all Conclusion: The risk assessment model for oral frailty in elderly patients with chronic heart failure developed in this study demonstrates good discrimination and calibration. It may serve as a reliable tool for clinicians to identify and screen individuals at high risk of oral frailty at an early stage, thereby facilitating targeted prevention and intervention strategies.
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