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How to assess frailty and the need for care? Report from the Study of Health and Drugs in the Elderly (SHADES) in community dwellings in Sweden

Bravell, Marie Ernsth; Westerlind, Bjorn; Midlöv, Patrik LU ; Ostgren, Carl-Johan; Borgquist, Lars; Lannering, Christina and Molstad, Sigvard (2011) In Archives of Gerontology and Geriatrics 53(1). p.40-45
Abstract
Knowledge about the need for care of elderly individuals in community dwellings and the factors affecting their needs and support is limited. The aim of this study was to characterize the frailty of a population of elderly individuals living in community dwellings in Sweden in relation to co-morbidity, use of drugs, and risk of severe conditions such as malnutrition, pressure ulcers, and falls. In 2008, 315 elderly individuals living in community dwellings were interviewed and examined as part of the SHADES-study. The elderly demonstrated co-morbidity (a mean of three diseases) and polypharmacy (an average of seven drugs). More than half the sample was at risk for malnutrition, one third was at risk for developing pressure ulcers, and... (More)
Knowledge about the need for care of elderly individuals in community dwellings and the factors affecting their needs and support is limited. The aim of this study was to characterize the frailty of a population of elderly individuals living in community dwellings in Sweden in relation to co-morbidity, use of drugs, and risk of severe conditions such as malnutrition, pressure ulcers, and falls. In 2008, 315 elderly individuals living in community dwellings were interviewed and examined as part of the SHADES-study. The elderly demonstrated co-morbidity (a mean of three diseases) and polypharmacy (an average of seven drugs). More than half the sample was at risk for malnutrition, one third was at risk for developing pressure ulcers, and nearly all (93%) had an increased risk of falling and a great majority had cognitive problems. Age, pulse pressure, body mass index, and specific items from the modified Norton scale (MNS), the Downton fall risk index (DFRI), and the mini nutritional assessment (MNA-SF) were related to different outcomes, defining the need for care and frailty. Based on the results of this study, we suggest a single set of items useful for understanding the need for care and to improve individual based care in community dwellings. (C) 2010 Elsevier Ireland Ltd. All rights reserved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Frailty, Community dwellings, Risk-assessments, Cognitive function
in
Archives of Gerontology and Geriatrics
volume
53
issue
1
pages
40 - 45
publisher
Elsevier
external identifiers
  • wos:000291476100024
  • scopus:79957978726
ISSN
1872-6976
DOI
10.1016/j.archger.2010.06.011
language
English
LU publication?
yes
id
e93ddf13-ffab-4492-ac52-376a51ad5d54 (old id 1985080)
date added to LUP
2011-07-01 09:09:52
date last changed
2017-08-06 04:01:42
@article{e93ddf13-ffab-4492-ac52-376a51ad5d54,
  abstract     = {Knowledge about the need for care of elderly individuals in community dwellings and the factors affecting their needs and support is limited. The aim of this study was to characterize the frailty of a population of elderly individuals living in community dwellings in Sweden in relation to co-morbidity, use of drugs, and risk of severe conditions such as malnutrition, pressure ulcers, and falls. In 2008, 315 elderly individuals living in community dwellings were interviewed and examined as part of the SHADES-study. The elderly demonstrated co-morbidity (a mean of three diseases) and polypharmacy (an average of seven drugs). More than half the sample was at risk for malnutrition, one third was at risk for developing pressure ulcers, and nearly all (93%) had an increased risk of falling and a great majority had cognitive problems. Age, pulse pressure, body mass index, and specific items from the modified Norton scale (MNS), the Downton fall risk index (DFRI), and the mini nutritional assessment (MNA-SF) were related to different outcomes, defining the need for care and frailty. Based on the results of this study, we suggest a single set of items useful for understanding the need for care and to improve individual based care in community dwellings. (C) 2010 Elsevier Ireland Ltd. All rights reserved.},
  author       = {Bravell, Marie Ernsth and Westerlind, Bjorn and Midlöv, Patrik and Ostgren, Carl-Johan and Borgquist, Lars and Lannering, Christina and Molstad, Sigvard},
  issn         = {1872-6976},
  keyword      = {Frailty,Community dwellings,Risk-assessments,Cognitive function},
  language     = {eng},
  number       = {1},
  pages        = {40--45},
  publisher    = {Elsevier},
  series       = {Archives of Gerontology and Geriatrics},
  title        = {How to assess frailty and the need for care? Report from the Study of Health and Drugs in the Elderly (SHADES) in community dwellings in Sweden},
  url          = {http://dx.doi.org/10.1016/j.archger.2010.06.011},
  volume       = {53},
  year         = {2011},
}