{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:49:21Z","timestamp":1787017761056,"version":"build-2736575974"},"reference-count":53,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T00:00:00Z","timestamp":1744502400000},"content-version":"vor","delay-in-days":102,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003819","name":"Natural Science Foundation of Hubei Province","doi-asserted-by":"publisher","award":["2021CFB488"],"award-info":[{"award-number":["2021CFB488"]}],"id":[{"id":"10.13039\/501100003819","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Hip fractures have emerged as a significant health risk, posing a substantial threat to the well\u2010being and longevity of the elderly population. The occurrence of postoperative complications and frailty profoundly impacts the quality of life in these individuals. This meta\u2010analysis is aimed at elucidating the present scenario and clarifying the current status and influencing factors of frailty in elderly hip fracture patients. The findings will serve as a solid evidence for formulating effective and scientific strategies to prevent frailty in this vulnerable patient group.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    The databases, including PubMed, Cochrane Library, and Embase, were utilized from February 2003 to February 2023, using the keywords frailty, elderly, and hip fractures to identify systematic reviews or meta\u2010analyses. The primary randomized clinical trials included in systematic reviews or meta\u2010analyses were identified. Two independent authors assessed the quality of all eligible studies. Statistical analyses were evaluated using Review Manager (RevMan) Version 5.3.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Of the 15 studies out of 352 identified studies, 12 cross\u2010sectional research studies, 2 case\u2013control studies, and 1 cohort study were confirmed. There were 3475 hip fracture patients, 1209 of them showed frailty, with a 41% incidence of frailty, and 18 influence factors were determined. A marked between\u2010study heterogeneity (\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    = 95\n                    <jats:italic>%<\/jats:italic>\n                    ,\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.00001) was examined. Factors influencing frailty in elderly hip fracture patients were identified including age (odds ratio (OR) = 2.73, 95% confidence interval (CI): 2.12~3.53), comorbidity (OR = 4.20, 95% CI: 2.31~7.62), duration of bed rest (OR = 2.22, 95% CI: 1.54~3.18), nutritional status (OR = 1.62, 95% CI: 1.21~2.17), and self\u2010perceived health status (OR = 3.53, 95% CI: 2.09~5.94). There was no publication bias, and the pooled results were stable basing on sensitivity analysis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Frailty in elderly hip fracture patients is associated with a variety of factors consisting of age, comorbidity conditions, extended periods of bed rest, nutritional status, high comorbid conditions, poor self\u2010perceived health status, advanced age, and poor nutritional status.\n                  <\/jats:p>","DOI":"10.1155\/bmri\/7756605","type":"journal-article","created":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T04:11:51Z","timestamp":1744517511000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The Current Status of Frailty and Influencing Factors in Elderly Patients With Hip Fractures: A Meta\u2010Analysis"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7759-9902","authenticated-orcid":false,"given":"Kangquan","family":"Shou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0965-3111","authenticated-orcid":false,"given":"Zhuoqing","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4614-6876","authenticated-orcid":false,"given":"Zuyang","family":"Xi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5100-6288","authenticated-orcid":false,"given":"Longtao","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0565-6082","authenticated-orcid":false,"given":"Chaxiang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1585-356X","authenticated-orcid":false,"given":"Tongzhu","family":"Bao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9199-4803","authenticated-orcid":false,"given":"Jianghua","family":"Lv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4808-2260","authenticated-orcid":false,"given":"Youdan","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,13]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/5320218"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58101314"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01623184"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-024-05107-w"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16035"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.16460\/j.issn1008-9969.2020.17.024"},{"key":"e_1_2_12_7_2","first-page":"136","article-title":"Analysis of the current occurrence of postoperative debilitation in elderly hip fracture patients and its influencing factors","volume":"6","author":"Ni X.","year":"2022","journal-title":"Journal of Clinical Nursing in Practice"},{"key":"e_1_2_12_8_2","first-page":"882","article-title":"Assessment of frailty in elderly hip fracture patients and its relationship with postoperative complications","volume":"7","author":"Deng H. 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