Discordance in Frailty Measures in Old Community Dwelling People with Multimorbidity - A Cross-Sectional Study
Lindh Mazya, Amelie LU ; Axmon, Anna LU
; Sandberg, Magnus
LU
; Boström, Anne-Marie
and W Ekdahl, Anne
LU
(2023)
In Clinical Interventions in Aging
18.
p.1607-1618
- Abstract
PURPOSE: Assessment of frailty is a key method to identify older people in need of holistic care. However, agreement between different frailty instrument varies. Thus, groups classified as frail by different instruments are not completely overlapping. This study evaluated differences in sociodemographic factors, cognition, functional status, and quality of life between older persons with multimorbidity who were discordantly classified by five different frailty instruments, with focus on the Clinical Frailty Scale (CFS) and Fried's Frailty Phenotype (FP).
PARTICIPANTS AND METHODS: This was a cross-sectional study in a community-dwelling setting. Inclusion criteria were as follows: ≥75 years old, ≥3 visits to the emergency... (More)
PURPOSE: Assessment of frailty is a key method to identify older people in need of holistic care. However, agreement between different frailty instrument varies. Thus, groups classified as frail by different instruments are not completely overlapping. This study evaluated differences in sociodemographic factors, cognition, functional status, and quality of life between older persons with multimorbidity who were discordantly classified by five different frailty instruments, with focus on the Clinical Frailty Scale (CFS) and Fried's Frailty Phenotype (FP).
PARTICIPANTS AND METHODS: This was a cross-sectional study in a community-dwelling setting. Inclusion criteria were as follows: ≥75 years old, ≥3 visits to the emergency department the past 18 months, and ≥3 diagnoses according to ICD-10. 450 participants were included. Frailty was assessed by CFS, FP, Short Physical Performance Battery (SPPB), Grip Strength and Walking Speed.
RESULTS: 385 participants had data on all frailty instruments. Prevalence of frailty ranged from 34% (CFS) to 75% (SPPB). Nine percent of participants were non-frail by all instruments, 20% were frail by all instruments and 71% had discordant frailty classifications. Those who were frail according to CFS but not by the other instruments had lower cognition and functional status. Those who were frail according to FP but not CFS were, to a larger extent, women, lived alone, had higher cognitive ability and functional status.
CONCLUSION: The CFS might not identify physically frail women in older community-dwelling people with multimorbidity. They could thus be at risk of not be given the attention their frail condition need.
(Less)
- author
- Lindh Mazya, Amelie
LU
; Axmon, Anna
LU
; Sandberg, Magnus
LU
; Boström, Anne-Marie
and W Ekdahl, Anne
LU
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Humans, Female, Aged, Aged, 80 and over, Frailty/diagnosis, Independent Living, Frail Elderly, Cross-Sectional Studies, Multimorbidity, Quality of Life, Geriatric Assessment/methods
- in
- Clinical Interventions in Aging
- volume
- 18
- pages
- 1607 - 1618
- publisher
- Dove Medical Press Ltd.
- external identifiers
-
- scopus:85172864233
- pmid:37790740
- ISSN
- 1178-1998
- DOI
- 10.2147/CIA.S411470
- language
- English
- LU publication?
- yes
- additional info
- © 2023 Lindh Mazya et al.
- id
- 1ec3e68b-776c-44d1-877e-107523969869
- date added to LUP
- 2023-10-09 08:21:48
- date last changed
- 2024-04-19 02:04:46
@article{1ec3e68b-776c-44d1-877e-107523969869,
abstract = {{<p>PURPOSE: Assessment of frailty is a key method to identify older people in need of holistic care. However, agreement between different frailty instrument varies. Thus, groups classified as frail by different instruments are not completely overlapping. This study evaluated differences in sociodemographic factors, cognition, functional status, and quality of life between older persons with multimorbidity who were discordantly classified by five different frailty instruments, with focus on the Clinical Frailty Scale (CFS) and Fried's Frailty Phenotype (FP).</p><p>PARTICIPANTS AND METHODS: This was a cross-sectional study in a community-dwelling setting. Inclusion criteria were as follows: ≥75 years old, ≥3 visits to the emergency department the past 18 months, and ≥3 diagnoses according to ICD-10. 450 participants were included. Frailty was assessed by CFS, FP, Short Physical Performance Battery (SPPB), Grip Strength and Walking Speed.</p><p>RESULTS: 385 participants had data on all frailty instruments. Prevalence of frailty ranged from 34% (CFS) to 75% (SPPB). Nine percent of participants were non-frail by all instruments, 20% were frail by all instruments and 71% had discordant frailty classifications. Those who were frail according to CFS but not by the other instruments had lower cognition and functional status. Those who were frail according to FP but not CFS were, to a larger extent, women, lived alone, had higher cognitive ability and functional status.</p><p>CONCLUSION: The CFS might not identify physically frail women in older community-dwelling people with multimorbidity. They could thus be at risk of not be given the attention their frail condition need.</p>}},
author = {{Lindh Mazya, Amelie and Axmon, Anna and Sandberg, Magnus and Boström, Anne-Marie and W Ekdahl, Anne}},
issn = {{1178-1998}},
keywords = {{Humans; Female; Aged; Aged, 80 and over; Frailty/diagnosis; Independent Living; Frail Elderly; Cross-Sectional Studies; Multimorbidity; Quality of Life; Geriatric Assessment/methods}},
language = {{eng}},
pages = {{1607--1618}},
publisher = {{Dove Medical Press Ltd.}},
series = {{Clinical Interventions in Aging}},
title = {{Discordance in Frailty Measures in Old Community Dwelling People with Multimorbidity - A Cross-Sectional Study}},
url = {{http://dx.doi.org/10.2147/CIA.S411470}},
doi = {{10.2147/CIA.S411470}},
volume = {{18}},
year = {{2023}},
}