Evidence map›Paper›PMID 41635562›Full record

ArticleFrontiers in public health2026

Development and internal validation of a risk prediction model for oral frailty in hospitalized older adults with chronic diseases.

Huan Liu, Xinyu Hu, Qingwei Liu, Ming Shao, Xiaohua Huang, Junzhuo Gu, Jingjing Luo, Shichang Fang, Xiubin Tao, Jiating Lin and 2 more

Abstract readValidation Study
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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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

12 authors.

Huan Liu *Department of Hemodialysis, The First Affiliated Yijishan Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
Xinyu Hu *Department of Cardiovascular, The Second Affiliated Hospital of Wangnan Medical College, Wuhu, Anhui, China.
Qingwei Liu *Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University (Shandong Provincial Hospital), Jinan, Shandong, China.
Ming ShaoSchool of Graduate, Wannan Medical College, Wuhu, Anhui, China.
Xiaohua HuangSchool of Graduate, Wannan Medical College, Wuhu, Anhui, China.
Junzhuo GuSchool of Graduate, Wannan Medical College, Wuhu, Anhui, China.
Jingjing LuoDepartment of Stomatology, The First Affiliated Yijishan Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
Shichang FangDepartment of Stomatology, The First Affiliated Yijishan Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
Xiubin TaoDepartment of Nursing, The First Affiliated Yijishan Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
Jiating LinDepartment of Stomatology, The First Affiliated Yijishan Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
Ming ZhangSchool of Innovation and Entrepreneurship, Wanna Medical College, Wuhu, Anhui, China.
Junkai DouNursing Department, Lu'an Hospital of Anhui Medical University, Lu'an, Anhui, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to investigate the prevalence and influencing factors of oral frailty, a significant geriatric syndrome, among hospitalized older adults with chronic diseases, and to develop a corresponding risk prediction model to facilitate early screening and intervention. Methods: From September 2024 to May 2025, we recruited 443 older adult patients with chronic diseases from two tertiary grade A hospitals in Wuhu City, Anhui Province, using a convenience sampling method. Data were collected using a general information questionnaire, the Oral Frailty Index-8 (OFI-8), the FRAIL scale, the Appetite Scale, and the Clinical Physiological Resilience Scale. Binary logistic regression analysis was conducted to identify factors associated with oral frailty. Results: The prevalence of oral frailty among hospitalized older adult patients with chronic diseases was 69.3%(307/443). Appetite, employment status, age, Clinical physiological resilience, and frailty were the best predictors of oral frailty in hospitalized older adult patients with chronic diseases. These influencing factors were utilized to construct a nomogram model, which demonstrated excellent consistency and accuracy. The area under the curve (AUC) in the training set was 0.805 (95% confidence interval [CI] = 0.753-0.857). In the validation set, the AUC was 0.900 (95% CI = 0.843-0.957). The Hosmer-Lemeshow test values were Conclusion: The prevalence of oral frailty is notably high among hospitalized older adult patients with chronic diseases, with key influencing factors including age, employment status, appetite, and clinical physiological resilience. The developed risk prediction model demonstrates good calibration and discriminative ability, supporting its potential use in early screening and targeted intervention of oral frailty in this population.

Indexed as

Frail ElderlyFrailtyGeriatric AssessmentHospitalizationAgedAged, 80 and overChinaChronic DiseaseFemaleHumansMaleNomogramsPrevalenceRisk AssessmentRisk FactorsSurveys and Questionnairesfactorsnomogramolder adultsoral frailtyrisk prediction model

Identifiers

PMID41635562
PMCPMC12862930

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.