Prevalence and factors associated with frailty in older hospitalized patients.

Autor: Yüceler Kaçmaz H; Department of Nursing, Health Sciences Faculty, Erciyes University, Kayseri, Turkey. Electronic address: haticeykacmaz@gmail.com., Döner A; Department of Nursing, Health Sciences Faculty, Erciyes University, Kayseri, Turkey., Kahraman H; Department of Nursing, Health Sciences Faculty, Erciyes University, Kayseri, Turkey., Akin S; Division of Geriatrics, Department of Internal Medicine, Erciyes School of Medicine, Erciyes University, Kayseri, Turkey.
Jazyk: angličtina
Zdroj: Revista clinica espanola [Rev Clin Esp (Barc)] 2023 Feb; Vol. 223 (2), pp. 67-76. Date of Electronic Publication: 2022 Nov 10.
DOI: 10.1016/j.rceng.2022.10.001
Abstrakt: Objectives: This study aimed to determine the prevalence and factors associated with frailty in older hospitalized patients.
Methods: The point-prevalence study was completed on 263 patients aged 65 and over hospitalized in internal medicine and surgical clinics at a tertiary hospital in Türkiye. Data were collected between July 19th and July 22nd, 2021. A comprehensive geriatric assessment was performed on the participants. The Edmonton Frailty Scale (EFS) and FRAIL scale were used for frailty assessment.
Results: The mean age of the individuals was 72.40 ± 6.42, 51.7% were female, and 63.9% were hospitalized in internal medicine and surgical units. The prevalence of frailty was 57.4% according to the FRAIL scale and 46.8% according to EFS. Factors affecting frailty were gender (OR 3.36, 95% CI 1.48-7.64), comorbidity (OR 1.29, 95% CI 1.01-1.64), polypharmacy (OR 0.33, 95% CI 0.13-0.80), history of falling in the last year (OR 3.54, 95% CI 1.34-9.35), incontinence (OR 5.93, 95% CI 2.47-14.27), and functional dependency (ADL, OR 0.65, 95% CI 0.46-0.92; IADL, OR 0.59, 95% CI 0.46-0.76). This model correctly predicted the participants' frailty at 70.5%.
Conclusions: The importance of frailty, which affects one out of every two hospitalized older persons, to the health care system should not be overlooked. Considering the increasing trend of the aging person population, national and global plans should be made to prevent and manage frailty.
(Copyright © 2022. Published by Elsevier España, S.L.U.)
Databáze: MEDLINE
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