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Frailty confers high mortality risk across different populations: Evidence from an overview of systematic reviews and meta-analyses

Ofori-Asenso, R, Chin, KL, Sahle, Berhe, Mazidi, M, Zullo, AR and Liew, D 2020, Frailty confers high mortality risk across different populations: Evidence from an overview of systematic reviews and meta-analyses, Geriatrics, vol. 5, no. 1, pp. 1-14, doi: 10.3390/GERIATRICS5010017.

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Title Frailty confers high mortality risk across different populations: Evidence from an overview of systematic reviews and meta-analyses
Author(s) Ofori-Asenso, R
Chin, KL
Sahle, Berhe
Mazidi, M
Zullo, AR
Liew, D
Journal name Geriatrics
Volume number 5
Issue number 1
Article ID 17
Start page 1
End page 14
Total pages 14
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2020
ISSN 2308-3417
2308-3417
Keyword(s) evidence synthesis
FALLS
frailty
Geriatrics & Gerontology
IMPLANTATION
Life Sciences & Biomedicine
meta-analyses
MORBIDITY
mortality
OUTCOMES
PEOPLE
PREDICTOR
PREVALENCE
Science & Technology
SEX-DIFFERENCES
umbrella review
Summary We performed an overview of systematic reviews and meta-analyses to summarize available data regarding the association between frailty and all-cause mortality. Medline, Embase, CINAHL, Web of Science, PsycINFO, and AMED (Allied and Complementary Medicine) databases were searched until February 2020 for meta-analyses examining the association between frailty and all-cause mortality. The AMSTAR2 checklist was used to evaluate methodological quality. Frailty exposure and the risk of all-cause mortality (hazard ratio [HR] or relative risk [RR]) were displayed in forest plots. We included 25 meta-analyses that pooled data from between 3 and 20 studies. The number of participants included in these meta-analyses ranged between <2000 and >500,000. Overall, 56%, 32%, and 12% of studies were rated as of moderate, low, and critically low quality, respectively. Frailty was associated with increased risk of all-cause mortality in 24/24 studies where the HR/RRs ranged from 1.35 [95% confidence interval (CI) 1.05–1.74] (patients with diabetes) to 7.95 [95% CI 4.88–12.96] (hospitalized patients). The median HR/RR across different meta-analyses was 1.98 (interquartile range 1.65–2.67). Pre-frailty was associated with a significantly increased risk of all-cause mortality in 7/7 studies with the HR/RR ranging from 1.09 to 3.65 (median 1.51, IQR 1.38–1.73). These data suggest that interventions to prevent frailty and pre-frailty are needed
Language eng
DOI 10.3390/GERIATRICS5010017
Field of Research 1103 Clinical Sciences
1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30158879

Document type: Journal Article
Collections: Faculty of Health
Open Access Collection
Institute for Health Transformation
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Citation counts: TR Web of Science Citation Count  Cited 3 times in TR Web of Science
Scopus Citation Count Cited 3 times in Scopus Google Scholar Search Google Scholar
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.