Association of socioeconomic and clinical variables with the state of frailty among older inpatients

Abstract

Objectives: to identify the prevalence of frailty among inpatient older adults in a clinical hospital and check the association of the socioeconomic and clinical characteristics with the state of frailty. Method: observational, cross-sectional and analytical study, conducted with 255 hospitalized patients. Materials used: structured instrument for the economical and clinical data and frailty phenotype of Fried. Descriptive and bivariate statistical analysis was carried out and, by means of chi-square tests and ANOVA One-way (p<0.05). Results: the prevalence of frailty corresponded to 26.3%, while pre-frailty represented 53.3%. The highest proportion of frail seniors was identified for 80 years or older (p = 0.004), widowed (p = 0.035) and with the highest average length of stay (p = 0.006). Conclusion: inpatient older adults presented high percentages of frail states associated with socioeconomic variables and hospitalization period. The identification of the health conditions related to pre-frailty and frailty can foster the planning and implementation of the assistance to older adults in this context.

Association between Frailty and 90-Day Outcomes amongst the Chinese Population: A Hospital-Based Multicentre Cohort Study

“…Among frail participants, the median LOS was 10 (IQR: 7-14) days, compared with 8 (5-12) days in prefrail participants and 7 (5)(6)(7)(8)(9)(10)(11) days in robust participants. The results of the multilevel negative binomial regression model showed that frailty and pre-frailty increased the length of hospitalization (frailty: β = 0.176, 95% CI: 0.136-0.216, and p < 0.001; pre-frailty: β = 0.095, 95% CI 0.066-0.124, and p < 0.001).…”

“…Frailty has gained increasing attention as it is by far the most prevalent geriatric condition amongst older patients that heavily impacts chronic health status. The estimated prevalence rates of frailty in community-dwelling older people are 2.6-19.6% [5][6][7] and range from 25.2 to 48.8% in hospitals [8][9][10][11][12]. The variation in percentage reflects the difference in the sampled population and the criteria for assessing frailty [1,13].…”

Caracterização de pessoas idosas hospitalizadas conforme Modelo de Sistemas

“…Enferm. UFSM, Santa Maria, v11, e8: p. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]2021 No que concerne à hospitalização, distintas dificuldades e desafios são enfrentados pela equipe de enfermagem no cuidado à pessoa idosa, visto que a identificação das necessidades de cuidado recai às características peculiares da senescência e diminuição da capacidade funcional para além da condição de agravo. 2 Isso exige conhecimentos e habilidades dos profissionais de enfermagem, de modo que atendam às particularidades das pessoas idosas e as questões inerentes ao processo de envelhecimento.…”

“…Resultado convergente foi encontrado em estudo realizado com pessoas idosas internadas em hospital de Uberaba, Minas Gerias, no qual a média de idade foi de 68,68 anos, sendo a maioria na faixa etária de 60 a 70 anos. 11 Em relação à escolaridade, verificou-se que a metade das pessoas idosas estudou de 4 a 7 anos e não concluiu o ensino fundamental, dado semelhante ao perfil de idosos do RS. 12 Ante essa variável, importa conhecer a escolaridade para planejar os cuidados, visto que a educação pode interferir na percepção de saúde/doença, cuidado e autocuidado.…”

“…Enferm. UFSM, Santa Maria, v11, p [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][20] 2021…”