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Frailty in INstitutionalized older adults from ALbacete. The FINAL Study: rationale, design, methodology, prevalence and attributes.
Maturitas. 2014 Jan; 77(1):78-84.M

Abstract

BACKGROUND

Little is known about frailty in institutionalized older adults, and there are few longitudinal studies on this topic.

OBJECTIVES

To determine the prevalence and attributes of frailty in institutionalized Spanish older adults.

DESIGN

Cross-sectional analysis of basal data of a concurrent cohort study.

SETTING

Two nursing homes, Vasco Núñez de Balboa and Paseo de la Cuba, in Albacete, Spain.

PARTICIPANTS

331 institutionalized adults older than 65 years.

MEASUREMENTS

Frailty was defined by the presence of 3 or more Fried criteria and prefrailty by the presence of 1 or 2: unintentional weight loss, low energy, exhaustion, slowness, and low physical activity. Covariables were sociodemographic, anthropometric, functional, cognitive, affective and of comorbidity. Hospitalization, emergency visits and falls in the 6 previous months was recorded. Differences between non-frail and prefrail as one group and frail participants were analyzed using χ(2) tests, t-Student and logistic regression.

RESULTS

Mean age 84.1 (SD 6.7), with 209 (65.1%) women. 68.8% were frail, 28.4% pre-frail, 2.8% non-frail, and in 2.2% three criteria were not available to determine frailty status. Women were more frequently frail than men (77.1% vs. 22.9%; p<0.001), and frail participants were older (85.1 vs. 82.3; p<0.001) than non-frail ones. Female sex (OR 2.7 95%CI 1.2-6.2), Barthel index (OR 2.2 95%CI 1.2-4.4), depression risk (OR 2.2 95%CI 1.0-4.9) and Short Physical Performance Battery scores (0.7 95%CI 0.6-0.8) were independently associated with frailty status. Frailty had a non-significant association with hospitalization (OR 1.9 95%CI 0.8-4.5) and emergency visits (OR 1.5 95%CI 0.7-3.2) in the previous 6 months.

CONCLUSION

In a cohort of institutionalized older adults the prevalence of frailty was 68.8% and was associated with adverse health geriatric outcomes.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

González-Vaca J
Geriatrics Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
de la Rica-Escuín M
Geriatrics Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
Silva-Iglesias M
Geriatrics Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
Arjonilla-García MD
Geriatrics Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
Varela-Pérez R
Geriatrics Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
Oliver-Carbonell JL
Geriatrics Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
Abizanda P
Geriatrics Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain. Electronic address: pabizanda@sescam.jccm.es.

MeSH

Activities of Daily LivingAge FactorsAgedAged, 80 and overCohort StudiesCross-Sectional StudiesDepressionEmergency Service, HospitalFatigueFemaleFrail ElderlyGeriatric AssessmentHospitalizationHumansInstitutionalizationMaleOdds RatioPrevalenceSex FactorsSpainWeight Loss

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24189222

Citation

González-Vaca, Julia, et al. "Frailty in INstitutionalized Older Adults From ALbacete. the FINAL Study: Rationale, Design, Methodology, Prevalence and Attributes." Maturitas, vol. 77, no. 1, 2014, pp. 78-84.
González-Vaca J, de la Rica-Escuín M, Silva-Iglesias M, et al. Frailty in INstitutionalized older adults from ALbacete. The FINAL Study: rationale, design, methodology, prevalence and attributes. Maturitas. 2014;77(1):78-84.
González-Vaca, J., de la Rica-Escuín, M., Silva-Iglesias, M., Arjonilla-García, M. D., Varela-Pérez, R., Oliver-Carbonell, J. L., & Abizanda, P. (2014). Frailty in INstitutionalized older adults from ALbacete. The FINAL Study: rationale, design, methodology, prevalence and attributes. Maturitas, 77(1), 78-84. https://doi.org/10.1016/j.maturitas.2013.10.005
González-Vaca J, et al. Frailty in INstitutionalized Older Adults From ALbacete. the FINAL Study: Rationale, Design, Methodology, Prevalence and Attributes. Maturitas. 2014;77(1):78-84. PubMed PMID: 24189222.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Frailty in INstitutionalized older adults from ALbacete. The FINAL Study: rationale, design, methodology, prevalence and attributes. AU - González-Vaca,Julia, AU - de la Rica-Escuín,Marisa, AU - Silva-Iglesias,Marta, AU - Arjonilla-García,María Dolores, AU - Varela-Pérez,Rosana, AU - Oliver-Carbonell,José Luis, AU - Abizanda,Pedro, Y1 - 2013/10/16/ PY - 2013/07/15/received PY - 2013/09/25/revised PY - 2013/10/06/accepted PY - 2013/11/6/entrez PY - 2013/11/6/pubmed PY - 2014/8/8/medline KW - Design KW - Frail elderly KW - Institutionalization KW - Nursing home KW - Prevalence SP - 78 EP - 84 JF - Maturitas JO - Maturitas VL - 77 IS - 1 N2 - BACKGROUND: Little is known about frailty in institutionalized older adults, and there are few longitudinal studies on this topic. OBJECTIVES: To determine the prevalence and attributes of frailty in institutionalized Spanish older adults. DESIGN: Cross-sectional analysis of basal data of a concurrent cohort study. SETTING: Two nursing homes, Vasco Núñez de Balboa and Paseo de la Cuba, in Albacete, Spain. PARTICIPANTS: 331 institutionalized adults older than 65 years. MEASUREMENTS: Frailty was defined by the presence of 3 or more Fried criteria and prefrailty by the presence of 1 or 2: unintentional weight loss, low energy, exhaustion, slowness, and low physical activity. Covariables were sociodemographic, anthropometric, functional, cognitive, affective and of comorbidity. Hospitalization, emergency visits and falls in the 6 previous months was recorded. Differences between non-frail and prefrail as one group and frail participants were analyzed using χ(2) tests, t-Student and logistic regression. RESULTS: Mean age 84.1 (SD 6.7), with 209 (65.1%) women. 68.8% were frail, 28.4% pre-frail, 2.8% non-frail, and in 2.2% three criteria were not available to determine frailty status. Women were more frequently frail than men (77.1% vs. 22.9%; p<0.001), and frail participants were older (85.1 vs. 82.3; p<0.001) than non-frail ones. Female sex (OR 2.7 95%CI 1.2-6.2), Barthel index (OR 2.2 95%CI 1.2-4.4), depression risk (OR 2.2 95%CI 1.0-4.9) and Short Physical Performance Battery scores (0.7 95%CI 0.6-0.8) were independently associated with frailty status. Frailty had a non-significant association with hospitalization (OR 1.9 95%CI 0.8-4.5) and emergency visits (OR 1.5 95%CI 0.7-3.2) in the previous 6 months. CONCLUSION: In a cohort of institutionalized older adults the prevalence of frailty was 68.8% and was associated with adverse health geriatric outcomes. SN - 1873-4111 UR - https://www.unboundmedicine.com/medline/citation/24189222/Frailty_in_INstitutionalized_older_adults_from_ALbacete__The_FINAL_Study:_rationale_design_methodology_prevalence_and_attributes_ DB - PRIME DP - Unbound Medicine ER -