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Frailty Levels in Residential Aged Care Facilities Measured Using the Frailty Index and FRAIL-NH Scale.
Theou, Olga; Tan, Edwin C K; Bell, J Simon; Emery, Tina; Robson, Leonie; Morley, John E; Rockwood, Kenneth; Visvanathan, Renuka.
Afiliación
  • Theou O; National Health and Medical Research Council Centre of Research Excellence, Trans-disciplinary Frailty Research to Achieve Healthy Aging, South Australia, Australia.
  • Tan EC; Geriatric Medicine, Dalhousie University and Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.
  • Bell JS; Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Victoria, Australia.
  • Emery T; National Health and Medical Research Council Centre of Research Excellence, Trans-disciplinary Frailty Research to Achieve Healthy Aging, South Australia, Australia.
  • Robson L; Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Victoria, Australia.
  • Morley JE; Sansom Institute, School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, South Australia, Australia.
  • Rockwood K; Resthaven Incorporated, Adelaide, South Australia, Australia.
  • Visvanathan R; Resthaven Incorporated, Adelaide, South Australia, Australia.
J Am Geriatr Soc ; 64(11): e207-e212, 2016 11.
Article en En | MEDLINE | ID: mdl-27783396
OBJECTIVES: To compare the FRAIL-NH scale with the Frailty Index in assessing frailty in residential aged care facilities. DESIGN: Cross-sectional. SETTING: Six Australian residential aged care facilities. PARTICIPANTS: Individuals aged 65 and older (N = 383, mean aged 87.5 ± 6.2, 77.5% female). MEASUREMENTS: Frailty was assessed using the 66-item Frailty Index and the FRAIL-NH scale. Other measures examined were dementia diagnosis, level of care, resident satisfaction with care, nurse-reported resident quality of life, neuropsychiatric symptoms, and professional caregiver burden. RESULTS: The FRAIL-NH scale was significantly associated with the Frailty Index (correlation coefficient = 0.81, P < .001). Based on the Frailty Index, 60.8% of participants were categorized as frail and 24.4% as most frail. Based on the FRAIL-NH, 37.5% of participants were classified as frail and 35.9% as most frail. Women were assessed as being frailer than men using both tools (P = .006 for FI; P = .03 for FRAIL-NH). Frailty Index levels were higher in participants aged 95 and older (0.39 ± 0.13) than in those aged younger than 85 (0.33 ± 0.13; P = .008) and in participants born outside Australia (0.38 ± 0.13) than in those born in Australia (0.34 ± 0.13; P = .01). Both frailty tools were associated with most characteristics that would indicate higher care needs, with the Frailty Index having stronger associations with all of these measures. CONCLUSION: The FRAIL-NH scale is a simple and practical method to screen for frailty in residential aged care facilities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Indicadores de Salud / Anciano Frágil / Instituciones de Vida Asistida / Hogares para Ancianos Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: J Am Geriatr Soc Año: 2016 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Indicadores de Salud / Anciano Frágil / Instituciones de Vida Asistida / Hogares para Ancianos Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: J Am Geriatr Soc Año: 2016 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos