Dubnitskiy-Robin Sophie, Laurent Emeline, Herbert Julien, Fougère Bertrand, Guillon-Grammatico Leslie
Division of Geriatric Medicine, Tours University Hospital, France.
Tours University, Nantes University, INSERM SPHERE, France.
J Aging Health. 2023 Jun;35(5-6):430-438. doi: 10.1177/08982643221135318. Epub 2022 Nov 7.
To demonstrate the association between the Hospital Frailty Risk Score (HFRS) and 30-day mortality, 30-day hospital readmission and length of stay (LOS) in France. Logistic regressions were performed using data recorded in the French national health data system ( for elderly patients (≥75 years old) hospitalized in France in 2017. Over the 1,111,090 patients included, 30-day mortality was associated with the HFRS: adjusted OR (aOR) for an intermediate HFRS (5-15 points) was 1.91 [95% confidence interval (95% IC); 1.87-1.95] and aOR 2.57 [95% IC; 2.50-2.64] for high HFRS (>15 points), as compared to low HFRS (<5 points). LOS >10 days increased with the HFRS (aOR = 1.36 [95% IC; 1.34-1.38] for an intermediate HFRS and aOR 1.51 [95% IC; 1.48-1.54] for a high HFRS). A high HFRS was associated with 30-day hospital readmission (aOR = 1.06 [95% IC; 1.04-1.08]). This real-life analysis of in- and out-patient healthcare pathways confirmed the HFRS's ability to predict adverse outcomes, after adjustment on social deprivation.
为了证明法国医院衰弱风险评分（HFRS）与30天死亡率、30天再入院率和住院时间（LOS）之间的关联。使用法国国家卫生数据系统记录的数据（针对2017年在法国住院的老年患者（≥75岁））进行逻辑回归分析。在纳入的1,111,090名患者中，30天死亡率与HFRS相关：中度HFRS（5 - 15分）的调整后比值比（aOR）为1.91 [95%置信区间（95%IC）；1.87 - 1.95]，与低HFRS（<5分）相比，高度HFRS（>15分）的aOR为2.57 [95%IC；2.50 - 2.64]。住院时间>10天随着HFRS的增加而增加（中度HFRS的aOR = 1.36 [95%IC；1.34 - 1.38]，高度HFRS的aOR为1.51 [95%IC；1.48 - 1.54]）。高度HFRS与30天再入院相关（aOR = 1.06 [95%IC；1.04 - 1.08]）。这项对门诊和住院医疗途径的真实分析证实了在对社会剥夺进行调整后，HFRS预测不良结局的能力。
