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KMID : 0869120230250040229
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기초간호자연과학회지
2023 Volume.25 No. 4 p.229 ~ p.242
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Frailty assessed by the electronic frailty index and its impact on health outcomes in older adults with chronic diseases: a systematic review
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Shin Jung-Wook
Yu Min-Young
Son Youn-Jung
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Abstract
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Purpose : The electronic frailty index (eFI), which is derived from electronic health records, has been recommended as screening tool for frailty due to its accessibility and ease of use. The objective of this systematic review was to identify the prevalence of frailty assessed by the eFI and its influence on health outcomes in older adults with chronic diseases.
Methods : We searched PubMed, Embase, Web of Science, CINAHL, SCOPUS, Cochrane, Google search, and nursing journals in Korean from January 2016 to December 2022.
Results : Twelve studies were analyzed. The eFI score, based on routine clinical data, was associated with adverse health outcomes. The most frequent outcome studied was mortality, and the eFI was associated with increased mortality in nine studies. Other outcomes studied included hospitalization, length of stay, readmission, and institutionalization in relation to hospital care usage, and cardiovascular events, stroke, GI bleeding, falls, and instrumental activities of daily life as health conditions.
Conclusion : Early identification of frailty in older adults with chronic diseases can decrease the burden of disease and adverse health outcomes. The eFI has a good discriminative capacity to identify frail older adults with chronic diseases.
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KEYWORD
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Frailty, Electronic health records, Chronic disease, Aged, Outcome assessment
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