{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T15:13:29Z","timestamp":1765811609475,"version":"3.48.0"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>The FRAIL\u2010NH scale assesses frailty in people residing in residential aged care homes (RACHs). Residential InReach (RIR) is a service that provides acute assessment and intervention for RACH residents. We examined whether FRAIL\u2010NH predicts mortality, hospital presentation and RIR involvement for people living in RACHs who require RIR input.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Participants<\/jats:title>\n                    <jats:p>Single\u2010centre, retrospective, observational cohort study reviewed by RIR between April 2020 and November 2021 in Melbourne, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>FRAIL\u2010NH scores were collected for residents seen by RIR. The data were collated retrospectively via medical records. The association between FRAIL\u2010NH scores and outcomes of mortality, all\u2010cause hospitalization and RIR re\u2010referral was assessed for 28\u2009days, 6 months and 12 months from RIR review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 414 patients, 86% were considered frail. FRAIL\u2010NH\u22658 was associated with mortality at 28 days, 6 months and 12 months (adjusted hazard ratio (HR), 28\u2009days: 2.00 (95% confidence interval (CI), 1.26\u20133.17),\n                      <jats:italic>P<\/jats:italic>\n                      =\u20090.003; 6 months: HR, 2.19 (95% CI, 1.56\u20133.08,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u20090.001); 12 months: HR, 1.91 (95% CI, 1.44\u20132.55),\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u20090.001). For each increase of one point in FRAIL\u2010NH score, the risk of mortality increased by 13% (28\u2009days: HR, 1.13 (95% CI, CI),\n                      <jats:italic>P<\/jats:italic>\n                      =\u20090.002), 15% (6 months: HR, 1.15 (95% CI, CI)\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u20090.001) and 14% (12 months: HR, 1.14 (95% CI, XX)\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u20090.01). FRAIL\u2010NH did not predict all\u2010cause hospitalisation\/RIR review at 28\u2009days and 6 months (\n                      <jats:italic>P<\/jats:italic>\n                      =\u20090.918 and\n                      <jats:italic>P<\/jats:italic>\n                      =\u20090.121 respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study confirms the utility of the FRAIL\u2010NH score as being independently associated with mortality. Results demonstrate the potential benefits of screening for frailty in clinical services providing acute care to vulnerable populations. Identifying frail residents could assist in tailoring care\/interventions, prioritising advance care planning\/goals of care discussions and allocation of resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/imj.70246","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T08:42:17Z","timestamp":1763541737000},"page":"2042-2052","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of\n                    <scp>FRAIL<\/scp>\n                    \u2010\n                    <scp>NH<\/scp>\n                    in an acute residential aged care geriatric medicine\n                    <scp>InReach<\/scp>\n                    service"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5461-5330","authenticated-orcid":false,"given":"Bridget C.","family":"Strasser","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine Austin Health  Heidelberg Victoria Australia"},{"name":"Perioperative medicine for Older People undergoing Surgery Guy's and St Thomas\u2019 NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew L. H.","family":"Huynh","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine Austin Health  Heidelberg Victoria Australia"},{"name":"Department of Medicine Austin Health, The University of Melbourne  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoe","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"von Heimendahl","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz Arakawa","family":"Martins","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine Austin Health  Heidelberg Victoria Australia"},{"name":"Department of Geriatric Medicine, Rehabilitation, Ageing, Pain, Palliative Care Services Peninsula Health  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas J","family":"Radcliffe","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul A.","family":"Yates","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine Austin Health  Heidelberg Victoria Australia"},{"name":"Department of Medicine Austin Health, The University of Melbourne  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2013.03.022"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50703"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.06.025"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2018.11.018"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2016.03.007"},{"volume-title":"StatPearls","year":"2024","author":"Mendiratta 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