A Meta-Analysis of Hospital Frailty Risk Scores Predicting Adverse Clinical Outcomes in Elderly Patients
Objective To investigate the overall situation of using hospital frailty risk scores(HFRS)to predict adverse clinical outcomes in elderly patients in various countries,so as to provide a basis for the evaluation of the condition of elderly hospitalized patients in China.Methods China National Knowledge Network,cqVIP,Pubmed,Web of Science and other databases were searched to collect the literature on HFRS prediction of adverse clinical outcomes in elderly patients from database inception to August 2023,and the relevant references were traced back to obtain the complete data.Medcalc20.0 and Stata17 were used for data merging.Results A total of 16 literatures were included.HFRS predicted mortality within 30 days in elderly patients with the highest area under ROC curve was 0.706;the mortality rate,readmission rate and hospitalization extension rate of the middle and high risk HFRS groups were higher than those of the low risk group,and the adverse clinical outcome rate of elderly patients in the high risk HFRS group was at a higher level.Conclusions HFRS has a relatively good predictive power,and better predictive effect can be achieved after proper adjustment of diagnostic codes according to different national conditions.The use of HFRS is helpful to optimize the management of elderly patients and promote the reasonable allocation of medical resources,and is conducive to early screening and early intervention of elderly patients,delaying the devel-opment of frailty,and reducing the incidence of adverse clinical outcomes in elderly hospitalized patients.
万方数据
维普
