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Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study.
J Am Med Dir Assoc. 2018 05; 19(5):411-414.JA

Abstract

OBJECTIVES

To investigate the ability of the fatigue, resistance, ambulation, incontinence or illness, loss of weight, nutritional approach, and help with dressing (FRAIL-NH) tool to predict mortality.

DESIGN

The Incidence of Pneumonia and Related Consequences in Nursing Home Residents (INCUR) study database was used. This was an observational cohort study in French nursing homes conducted over 12 months in 2012.

PARTICIPANTS

A total of 788 residents aged 60 years or older, from 13 randomly selected French nursing homes.

MEASUREMENTS

FRAIL-NH was generated from the available variables at baseline. FRAIL-NH scores ranged from 0 to 14 and people were categorized as nonfrail (0‒1), frail (2‒5), and most frail (6‒14). Mortality data were obtained from medical charts and confirmed by the nursing home administrative documentation.

RESULTS

Mean age of the participants was 86.2 ± 7.5 years, and 74.5% were women. The prevalence of persons with FRAIL-NH score greater than 1 was 88.8%, with 54.2% and 34.6% of residents identified as most frail and frail, respectively. The mean FRAIL-NH score was 6.0 ± 3.4. Women (N = 583) were frailer (6.1 ± 3.4) than men (N = 200, 5.5 ± 3.4; P = .027). Overall, 136 residents died over the 1-year follow-up period. The FRAIL-NH score was a predictor of mortality (adjusted hazard ratios: for frail group 1.15, 95% confidence interval 0.55‒2.41; for most frail group 2.14, 95% confidence interval 1.07‒ 4.27).

CONCLUSIONS

FRAIL-NH is a predictor of mortality in nursing home residents and the score could assist with guiding appropriate care planning.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

De Silva TR
Aged and Extended Care Services, The Queen Elizabeth Hospital, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
Theou O
Medicine, Dalhousie University, Halifax, Canada; National Health and Medical Research Council Center of Research Excellence in Frailty and Healthy Aging, Australia.
Vellas B
Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France; Université de Toulouse III Paul Sabatier, Toulouse, France.
Cesari M
National Health and Medical Research Council Center of Research Excellence in Frailty and Healthy Aging, Australia; Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy; Università degli Studi di Milano, Milan, Italy.
Visvanathan R
Aged and Extended Care Services, The Queen Elizabeth Hospital, Central Adelaide Local Health Network, Adelaide, South Australia, Australia; National Health and Medical Research Council Center of Research Excellence in Frailty and Healthy Aging, Australia; Adelaide Geriatric Training and Research with Aged Care (GTRAC) Centre, School of medicine, The University of Adelaide, Adelaide, South Australia, Australia. Electronic address: renuka.visvanathan@adelaide.edu.au.

MeSH

Aged, 80 and overCohort StudiesFemaleFrail ElderlyFrailtyFranceGeriatric AssessmentHumansMaleNursing Homes

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

29402647

Citation

De Silva, Thanuja R., et al. "Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study." Journal of the American Medical Directors Association, vol. 19, no. 5, 2018, pp. 411-414.
De Silva TR, Theou O, Vellas B, et al. Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study. J Am Med Dir Assoc. 2018;19(5):411-414.
De Silva, T. R., Theou, O., Vellas, B., Cesari, M., & Visvanathan, R. (2018). Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study. Journal of the American Medical Directors Association, 19(5), 411-414. https://doi.org/10.1016/j.jamda.2017.12.101
De Silva TR, et al. Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study. J Am Med Dir Assoc. 2018;19(5):411-414. PubMed PMID: 29402647.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study. AU - De Silva,Thanuja R, AU - Theou,Olga, AU - Vellas,Bruno, AU - Cesari,Matteo, AU - Visvanathan,Renuka, PY - 2017/12/27/received PY - 2017/12/28/accepted PY - 2018/2/7/pubmed PY - 2019/11/19/medline PY - 2018/2/7/entrez KW - Nursing homes KW - frailty KW - mortality KW - older KW - screening SP - 411 EP - 414 JF - Journal of the American Medical Directors Association JO - J Am Med Dir Assoc VL - 19 IS - 5 N2 - OBJECTIVES: To investigate the ability of the fatigue, resistance, ambulation, incontinence or illness, loss of weight, nutritional approach, and help with dressing (FRAIL-NH) tool to predict mortality. DESIGN: The Incidence of Pneumonia and Related Consequences in Nursing Home Residents (INCUR) study database was used. This was an observational cohort study in French nursing homes conducted over 12 months in 2012. PARTICIPANTS: A total of 788 residents aged 60 years or older, from 13 randomly selected French nursing homes. MEASUREMENTS: FRAIL-NH was generated from the available variables at baseline. FRAIL-NH scores ranged from 0 to 14 and people were categorized as nonfrail (0‒1), frail (2‒5), and most frail (6‒14). Mortality data were obtained from medical charts and confirmed by the nursing home administrative documentation. RESULTS: Mean age of the participants was 86.2 ± 7.5 years, and 74.5% were women. The prevalence of persons with FRAIL-NH score greater than 1 was 88.8%, with 54.2% and 34.6% of residents identified as most frail and frail, respectively. The mean FRAIL-NH score was 6.0 ± 3.4. Women (N = 583) were frailer (6.1 ± 3.4) than men (N = 200, 5.5 ± 3.4; P = .027). Overall, 136 residents died over the 1-year follow-up period. The FRAIL-NH score was a predictor of mortality (adjusted hazard ratios: for frail group 1.15, 95% confidence interval 0.55‒2.41; for most frail group 2.14, 95% confidence interval 1.07‒ 4.27). CONCLUSIONS: FRAIL-NH is a predictor of mortality in nursing home residents and the score could assist with guiding appropriate care planning. SN - 1538-9375 UR - https://www.unboundmedicine.com/medline/citation/29402647/Frailty_Screening__FRAIL_NH__and_Mortality_in_French_Nursing_Homes:_Results_From_the_Incidence_of_Pneumonia_and_Related_Consequences_in_Nursing_Home_Residents_Study_ DB - PRIME DP - Unbound Medicine ER -