Comparison of two electronic medical record-based frailty assessment tools and their association with adverse outcomes in older hospitalized patients with urgent admissions.

ABSTRACT:

Background

Frailty assessment is crucial for predicting outcomes in acute care settings; however, its application remains challenging. Therefore, this study aims to evaluate and compare two electronic medical record-based tools-the Canadian Institute for Health Information Hospital Frailty Risk Measure (CIHI-HFRM) and the United Kingdom Hospital Frailty Risk Score (UK-HFRS)-in older patients requiring urgent admission.

Methods

In this retrospective cohort study, we analyzed 35,564 patients aged 65 or older from the MIMIC-IV 2.0 database. Frailty was assessed using CIHI-HFRM and UK-HFRS. Primary outcomes included in-hospital mortality, one-year post-discharge mortality, post-discharge care needs, timely hospital discharge, and one-year readmission rates. Logistic regression,

SUBMITTER: Hao B 

PROVIDER: S-EPMC12771739 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature