The association between the degree of frailty and the risk of hospital related adverse events in older acutely admitted patients.
Introduction Frailty is an age-related syndrome characterised by increased vulnerability. Hospital-related adverse events (AEs) are complications not directly caused by patient's conditions. While age has been widely studied, less is known about the effect of the degree of frailty on in-hospital AEs...
| Publicado en: | Age & Ageing Vol. 55; no. 6; pp. 1 - 9 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jun2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195099723&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195099723 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jun2026 vid: 55 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195099723 10.1093/ageing/afag175 ppf: 1 ppct: 8 formats: tig: atl: The association between the degree of frailty and the risk of hospital related adverse events in older acutely admitted patients. aug: au: Alotaibi, Faris Manktelow, Bradly Alshibani, Abdullah Linton, Adam Banerjee, Jay affil: Imam Abdulrahman Bin Faisal University, College of Applied Medical Sciences, Emergency Medical Care Department. Dammam, Saudi ArabiaUniversity of Leicester, College of Life Sciences, School of Healthcare, Leicester, England, United Kingdom of Great Britain and Northern Ireland University of Leicester, College of Life Sciences, School of Healthcare, Leicester, England, United Kingdom of Great Britain and Northern Ireland King Saud bin Abdulaziz University for Health Sciences, College of Applied Medical Sciences, Emergency Medical Services Department, Riyadh, Saudi ArabiaUniversity of Leicester, College of Life Sciences, Health Sciences, Leicester, United Kingdom of Great Britain and Northern IrelandKing Abdullah International Medical Research Center, Riyadh, Saudi Arabia University Hospitals of Leicester NHS Trust, Department of Emergency and Specialist Medicine (ESM), Leicester, England, United Kingdom of Great Britain and Northern Ireland University Hospitals of Leicester NHS Trust, Department of Emergency and Specialist Medicine (ESM), Leicester, England, United Kingdom of Great Britain and Northern IrelandUniversity of Leicester, College of Life Sciences, Global Health, Lifestyle and Metabolic Health, Leicester, United Kingdom of Great Britain and Northern Ireland su: United Kingdom Patients Drug side effects Hospital admission & discharge Retrospective studies Self-mutilation Hospital care of older people Disease risk factors Old age Risk assessment Poisson distribution Academic medical centers Research funding Frail elderly Scientific observation Discharge planning Descriptive statistics Medical records Acquisition of data Adverse health care events Length of stay in hospitals Confidence intervals Accidental falls Pressure ulcers sug: subj: Patients Drug side effects Hospital admission & discharge Retrospective studies Self-mutilation Hospital care of older people Disease risk factors Old age United Kingdom Risk assessment Poisson distribution Academic medical centers Research funding Frail elderly Scientific observation Discharge planning Descriptive statistics Medical records Acquisition of data Adverse health care events Length of stay in hospitals Confidence intervals Accidental falls Pressure ulcers keyword: adverse event adverse events aged copyrightHolder:British Geriatrics Society copyrightYear:2026 Datix frail elderly frailty https://dx.doi.org/10.1093/ageing/afag175 inLanguage:en older people patient safety publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42315169/ adverse event adverse events aged copyrightHolder:British Geriatrics Society copyrightYear:2026 Datix frail elderly frailty https://dx.doi.org/10.1093/ageing/afag175 inLanguage:en older people patient safety publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42315169/ ab: Introduction Frailty is an age-related syndrome characterised by increased vulnerability. Hospital-related adverse events (AEs) are complications not directly caused by patient's conditions. While age has been widely studied, less is known about the effect of the degree of frailty on in-hospital AEs among older adults. Methods This single-centre observational study used routinely collected data from a university teaching hospital in the UK October 2017 and 2023. Patients aged ≥65 admitted via the Emergency d. Department (ED) with a recorded frailty score at ED using the Clinical Frailty Scale (CFS) were included. AE types were in-hospital falls, pressure ulcers, moisture damage, infections, medication-related events, self-harm, discharge/transfer incidents and hospital injuries. Poisson regression models were used to estimate associations between frailty and AEs, adjusting for age, sex, ethnicity, ED wait time and Inpatient (IP) length of stay. Results Out of 369 798 admissions, 158 470 were included, and the degree of frailty was significantly associated with increased risk of AE. Compared to non-frail patients, adjusted RRs for those with CFS 7–9: in-hospital falls (RR = 1.46), pressure ulcers (RR = 2.75), moisture damage (RR = 3.56), infections (RR = 2.03), discharge/transfer incidents (RR = 2.42) and hospital injuries (RR = 1.66). While AE risk increased with frailty, some AE showed a slight decline in the severely frail group. Conclusion The degree of frailty was associated with the risk of hospital-related AEs in older adults. Higher degree of frailty was associated with multiple AE types, supporting early frailty identification, targeted preventive strategies and tailored care for risk reduction. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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