The Association of Frailty with Hospitalizations and Mortality among Community Dwelling Older Adults with Diabetes
| Autor: | Yaqub Nadeem Mohammed, Dhanya Baskaran, Juliana Ferri-Guerra, Jorge G. Ruiz, Douglas Salguero, Hermes Florez, Raquel Aparicio-Ugarriza |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Frail Elderly Psychological intervention 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Older patients Diabetes mellitus Internal medicine Diabetes Mellitus Medicine Humans In patient 030212 general & internal medicine Glycemic Aged Retrospective Studies Veterans Frailty business.industry Hazard ratio Stressor Retrospective cohort study General Medicine medicine.disease Hospitalization Independent Living business |
| Zdroj: | The Journal of frailtyaging. 9(2) |
| ISSN: | 2260-1341 |
| Popis: | Background: Diabetes (DM) is associated with an accelerated aging that promotes frailty, a state of vulnerability to stressors, characterized by multisystem decline that results in diminished intrinsic reserve and is associated with morbidity, mortality and utilization. Research suggests a bidirectional relationship between frailty and diabetes. Frailty is associated with mortality in patients with diabetes, but its prevalence and impact on hospitalizations are not well known. Objectives: Determine the association of frailty with all-cause hospitalizations and mortality in older Veterans with diabetes. Design: Retrospective cohort. Setting: Outpatient. Participants: Veterans 65 years and older with diabetes who were identified as frail through calculation of a 44-item frailty index. Measurements: The FI was constructed as a proportion of healthcare variables (demographics, comorbidities, medications, laboratory tests, and ADLs) at the time of the screening. At the end of follow up, data was aggregated on all-cause hospitalizations and mortality and compared non-frail (robust, FI≤ .10 and prefrail FI=>.10 |
| Databáze: | OpenAIRE |
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