Evidence map›Paper›PMID 40871640›Full record

ArticleNutrients2025

The Impact of Frailty, Activity of Daily Living, and Malnutrition on Mortality in Older Adults with Cognitive Impairment and Dementia.

Zitong Wang, Ying-Qiu Dong, Shikha Kumari, Diarmuid Murphy, Reshma Aziz Merchant

Abstract read
In one paragraph

Article in Nutrients, 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. Review
  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

5 authors.

Zitong WangDepartment of Biomedical Informatics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore.
Ying-Qiu DongThe Value Driven Outcome Office, National University Health System, Singapore 119228, Singapore.ORCID 0009-0009-9437-660X
Shikha KumariThe Value Driven Outcome Office, National University Health System, Singapore 119228, Singapore.
Diarmuid MurphyThe Value Driven Outcome Office, National University Health System, Singapore 119228, Singapore.
Reshma Aziz MerchantDivision of Geriatric Medicine, Department of Medicine, National University Hospital, Singapore 119228, Singapore.ORCID 0000-0002-9032-0184

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalnutrition contributes to frailty dementia, intensifying adverse health outcomes including mortality risk.

objectivesWe aim to investigate the impact of malnutrition risk in those with frailty and functional decline on short-term mortality among older adults with dementia and/or cognitive impairment.

methodsWe conducted a retrospective cohort study involving 2677 hospitalized patients aged ≥65 years with a diagnosis of dementia or cognitive impairment discharged between March 2022 and December 2023. Information was obtained from electronic medical records. Frailty was assessed using the Clinical Frailty Scale (CFS) and Hospital Frailty Risk Score (HFRS), functional status using premorbid activity of daily living (ADL) scores, and malnutritional risk using the 3-Minute Nutrition Screening (3-Min NS) tool. Associations with 30- and 90-day mortality were examined using Kaplan-Meier analysis and multivariate logistic regression models.

resultsA total of 29.2% were at risk of malnutrition, highest in the old-old (37.1%). Thirty-day mortality was significantly associated with CFS (aOR = 1.498, 95% CI: 1.349-1.664,

conclusionsRisk of malnutrition independently predicted short-term mortality in older adults with dementia or cognitive impairment, particularly among those with frailty, functional decline, and of advanced age.

Indexed as

Activities of Daily LivingCognitive DysfunctionDementiaFrail ElderlyFrailtyMalnutritionAgedAged, 80 and overFemaleGeriatric AssessmentHospitalizationHumansMaleNutrition AssessmentRetrospective StudiesRisk Factorsactivities of daily livingagingdementiafrailtymalnutritionmortality

Identifiers

PMID40871640
PMCPMC12389014

What Socratic holds

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LicenceCC BY
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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.