Evidence map›Paper›PMID 39789433›Full record

ArticleBMC geriatrics2025

The relationship between frailty syndrome and quality of life in patients with hypertension: a multidimensional analysis.

Bartosz Uchmanowicz, Anna Chudiak, Robbert Gobbens, Grzegorz Kubielas, Piotr Godek, Stanisław Surma, Dorota Bednarska-Chabowska, Izabella Uchmanowicz, Michał Czapla

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Bartosz UchmanowiczDepartment of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, 51-618, Poland.
Anna ChudiakDepartment of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, 51-618, Poland.
Robbert GobbensZonnehuisgroep Amstelland, Amstelveen, The Netherlands.
Grzegorz KubielasDepartment of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, 51-618, Poland.
Piotr GodekDepartment of Cardiology and Structural Heart Disease, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
Stanisław SurmaDepartment of Internal Medicine and Clinical Pharmacology, Medical University of Silesia, Katowice, 40-752, Poland.
Dorota Bednarska-ChabowskaClinical Department of Diabetology and Internal Disease, Wroclaw Medical University, Wroclaw, 50-556, Poland.
Izabella UchmanowiczDepartment of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, 51-618, Poland.
Michał CzaplaDepartment of Emergency Medical Service, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, 51-618, Poland. michal.czapla@umw.edu.pl.

Funding

Uniwersytet Medyczny im. Piastów Slaskich we Wroclawiu SUBZ.E250.24.042
6 · The paper itself

Abstract

backgroundHypertension is a common condition among the elderly and is frequently accompanied by frailty syndrome (FS). The coexistence of hypertension and FS poses significant challenges in patient management and negatively impacts the quality of life (QoL). This study aimed to analyze the relationship between FS and QoL in elderly patients with suspected hypertension.

methodsA cross-sectional study was conducted involving 201 patients aged 65 years or older, referred to a Hypertension Clinic for diagnostic evaluation. Frailty was assessed using the Tilburg Frailty Indicator (TFI), and QoL was evaluated with the World Health Organization Quality of Life Instrument (WHOQOL-BREF). Sociodemographic and clinical data were collected, and statistical analyses were performed to identify correlations between FS and QoL.

resultsThe study found that 79.60% of the patients were identified as frail (TFI ≥ 5). FS was significantly negatively correlated with all domains of QoL, including physical health (r = -0.634, p < 0.001), psychological health (r = -0.675, p < 0.001), social relationships (r = -0.528, p < 0.001), and environmental factors (r = -0.626, p < 0.001). Multivariate analysis revealed that physical (β = -0.091, p < 0.001) and psychological components of FS (β = -0.128, p = 0.016), as well as age (β = -0.022, p = 0.004), were significant predictors of lower QoL scores. Loneliness (β = -0.235, p = 0.049) was also a significant predictor of lower QoL.

conclusionsThe study demonstrated a strong association between FS and reduced QoL in elderly hypertensive patients, emphasizing the need for comprehensive assessments and personalized management strategies. Routine evaluation of frailty and the implementation of targeted interventions aimed at improving physical, psychological, and social well-being could substantially enhance QoL in this vulnerable population. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Frail ElderlyFrailtyHypertensionQuality of LifeAgedAged, 80 and overCross-Sectional StudiesFemaleGeriatric AssessmentHumansMaleSyndromeElderlyFrailtyFrailty syndromeHypertensionQuality of life

Identifiers

PMID39789433
PMCPMC11716256

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.