Comparing four frailty assessment tools against seven-year mortality in the Malaysian elders longitudinal research study.

Autor: Aravindhan K; Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia., Mat S; Centre for Healthy Ageing and Wellness, University Kebangsaan Malaysia, Selangor, Malaysia., Bahyah S; Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia., Saedon N; Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia., Hasmuk K; Division of Geriatric Medicine, Department of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia., Mahadzir H; Geriatric Unit, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia., Khoo S; Centre for Sport and Exercise Sciences, Universiti Malaya, 50600 Kuala Lumpur, Malaysia., Chin AV; Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia., Tan MP; Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia. Electronic address: mptan@ummc.edu.my.
Jazyk: angličtina
Zdroj: Archives of gerontology and geriatrics [Arch Gerontol Geriatr] 2024 Mar; Vol. 118, pp. 105304. Date of Electronic Publication: 2023 Dec 01.
DOI: 10.1016/j.archger.2023.105304
Abstrakt: Aim: Several frailty assessment tools are currently used in clinics and research, however, there appears to be a lack of head-to-head comparisons between these tools among older adults in developing countries. This study compared the Cardiovascular Health Study, Study of Osteoporotic Fractures, the Tilburg Frailty Indicator and the Canadian Study of Health and Aging frailty assessment tools and evaluated performance of these individual frailty assessment tools with mortality.
Methods: This prospective cohort study utilized stratified simple random sampling to recruit 1614 participants from the Malaysian Elders Longitudinal Research aged above 55 years within the Klang Valley region from 2013 to 2015. Individual items for the frailty tools, alongside baseline physical and cognitive measures were extracted from the initial survey. Mortality data up to 31 December 2020 were obtained through data linkage from the death registry data obtained from the Malaysian National Registration Department.
Results: Data were available for over 1609 participants, age (68.92 ± 7.52) years and 57 % women, during recruitment. Mortality data revealed 13.4 % had died as of 31 December 2020. Five to 25 % of our study population fulfilled the criteria for frailty using all four frailty tools. This study found an increased risk of mortality with frailty following adjustments for potential factors of falls, total number of illnesses and cognitive impairment, alongside moderate to strong correlation and agreement between frailty tools.
Conclusion: Frailty was associated with increased mortality. All four frailty assessment tools can be used to assess frailty within the Malaysian older adult population. The four available tools, however, may not be interchangeable.
Competing Interests: Declaration of Competing Interest Authors have no conflicts of interest to declare.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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