Being a frail older person at the time of the COVID‐19 pandemic

Chen, Yaohua Sophie; Röhr, Susanne; Werle, Berenice Maria; Romero-Ortuño, Román

doi:10.1002/alz.055464

Cited by 3 publications

(3 citation statements)

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“…The pandemic had seemingly brought about accelerated cognitive decline among the older adult population 3 . A separate study highlights a potential frailty cascade that may have taken place during the pandemic, with frail older adults displaying increased dementia and cognitive decline 4,5 . Cognitive frailty describes co‐occurring mild cognitive impairment (MCI) and frailty upon exclusion of dementia and physical disability 6 .…”

Section: Introductionmentioning

confidence: 99%

Cognitive frailty and its association with depression, anxiety and stress during the COVID‐19 pandemic among older adults in the transforming cognitive frailty into later‐life self‐sufficiency (AGELESS) study

Aravindhan,

Morgan,

Mat

et al. 2023

Psychogeriatrics

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BackgroundCognitive frailty describes the co‐occurrence of cognitive impairment and physical frailty and is classified into reversible and irreversible phenotypes. Data on the impact of COVID‐19 pandemic imposed lockdowns, locally known as the Movement Control Order (MCO), on the psychological status of cognitively frail older adults remain scarce. Therefore, this study aimed to determine the relationship between depression, anxiety, stress and cognitive frailty among older adults during the MCO.MethodParticipants aged above 60 years from three ageing cohorts in Malaysia were interviewed virtually. The Fatigue, Resistance, Ambulation, Illness and Loss of Weight scale, blind Montreal Cognitive Assessment, 15‐item Geriatric Depression Scale, anxiety subscale of Depression, Anxiety and Stress Scale and four‐item Perceived Stress Scale measured frailty, mild cognitive impairment (MCI), depression, anxiety and stress, respectively.ResultsCognitive frailty data were available for 870 participants, age (mean ± SD) = 73.44 ± 6.32 years and 55.6% were women. Fifty‐seven (6.6%) were robust, 24 (2.8%) had MCI, 451 (51.8%) were pre‐frail, 164 (18.9%) were pre‐frail+MCI, 119 (13.7%) were frail and 55 (6.3%) were frail+MCI. There were significant differences in depression and anxiety scores between the controlled MCO and recovery MCO. Using multinomial logistic regression, pre‐frail (mean difference (95% confidence interval, CI) = 1.16 (0.932, 1.337), frail (1.49 (1.235, 1.803) and frail+MCI (1.49 (1.225, 1.822)) groups had significantly higher depression scores, frail (1.19 (1.030, 1.373)) and frail+MCI (1.24 (1.065, 1.439)) had significantly higher anxiety scores and pre‐frail (1.50 (1.285, 1.761)), frail (1.74 (1.469, 2.062)) and frail+MCI (1.81 (1.508, 2.165)) had significantly higher stress scores upon adjustments for the potential confounders. The MCO was a potential confounder in the relationship between depression and prefrail+MCI (1.08 (0.898, 1.340)).ConclusionFrail individuals with or without MCI had significantly higher depression, anxiety and stress than those who were robust. Increased depression and stress were also observed in the pre‐frail group. Interventions to address psychological issues in older adults during the COVID‐19 pandemic could target prefrail and frail individuals and need further evaluation.

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Section: Introductionmentioning

confidence: 99%

Cognitive frailty and its association with depression, anxiety and stress during the COVID‐19 pandemic among older adults in the transforming cognitive frailty into later‐life self‐sufficiency (AGELESS) study

Aravindhan,

Morgan,

Mat

et al. 2023

Psychogeriatrics

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“…Social frailty is of particular interest as it relates to the ongoing coronavirus disease 19 (COVID-19) pandemic. Pandemic control measures have increased the social frailty of healthy older adults due to reduced social activity and exchange and lack of social resources [17], and these changes in the context of the COVID-19 pandemic have exacerbated the health status of older adults [18,19]. The concept of frailty includes physical, psychological, cognitive, and social aspects and frailty as a reversible state [13].…”

Section: Introductionmentioning

confidence: 99%

Social Frailty and Health-Related Quality of Life in Community-Dwelling Older Adults

Lee

2022

IJERPH

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This study aimed to identify the association between social frailty and health-related quality of life (HRQoL) and to identify the factors influencing HRQoL in community-dwelling older adults in South Korea. This was a secondary analysis of a cross-sectional survey study of 735 older adults. HRQoL was measured using the EuroQoL-5 Dimension, and social frailty was measured using five items. The differences in HRQoL according to sociodemographic characteristics, health-related characteristics, and social frailty of subjects were tested using the Mann–Whitney test, Kruskal–Wallis test, and χ2 test. A Tobit regression model was used to identify the influencing factor of HRQoL. About 31.0% of the older adults were in a social pre-frailty state, and 48.4% were in a social frailty state. Of the five components of social frailty, going out less compared to the previous year and being alone were frequently observed. Older adults who had social frailty had lower HRQoL scores than those who were robust after controlling for sociodemographic and health-related characteristics (BT = −0.04, p < 0.001). Researchers need to consider older adults’ social frailty as well as health status and sociodemographic status in future interventions to improve the HRQoL of older adults.

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“…Elderly patients who are frail and whose cognitive functions are affected represent the group most associated with poor health outcomes of the pandemic. Quarantines, social isolation, and physical inactivity significantly affect physical and mental health ( 2 ). In particular, the restrictions implemented to maintain the social distance necessary to prevent the spread of the epidemic are some of the important changes that the epidemic brought to our lives.…”

Section: Introductionmentioning

confidence: 99%

E-mail-based health care in patients with dementia during the pandemic

et al. 2022

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Introduction/aimFrail and cognitively impaired older patients are particularly vulnerable groups during the pandemic. Lockdowns, social isolation, and physical inactivity considerably affect physical and mental wellbeing. During the pandemic process, routine medical checks and acute medical care services may be disrupted. The study aimed to demonstrate the feasibility and effectiveness of telemedicine in the delivery of healthcare services to elderly patients during the pandemic.Materials and methodsE-mails sent to the e-mail address of the department of geriatrics, which has been actively used for 4 years, between April 2020 and June 2021, were retrospectively evaluated. The time and reason for each application, referral to the patients, demographic data of the patients, and chronic diseases were recorded. E-mail frequencies were considered monthly time series, and time series charts for e-mail frequencies from patients were produced.ResultsA total of 374 e-mails that 213 patients sent were assessed. A vast majority, 97.6% of the e-mails, were sent by proxies. The mean age of patients was 78.7 ± 8.1 years, and 59.2% were women. Hypertension and dementia were the most common comorbidities. The applications mostly occurred in April-May and October-November 2020. The most common complaint in dementia was behavioral disturbances (13.6%). Geriatric outpatient appointments were arranged for 29.9% of the applicants, 14.2% were referred to the emergency department, and 23.0% were offered medical treatment. Outpatient examination and treatment were completed in 15% of the patients and 10.4% of them were hospitalized. The time series charts showed that e-mails were sent more frequently by patients with dementia than the others (p = 0.03).ConclusionsTelemedicine, which enables many problems of patients to be solved in geriatric practice without face-to-face appointments, can also prevent infections and unnecessary hospitalizations, especially during these unusual pandemic days.

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Being a frail older person at the time of the COVID‐19 pandemic

Cited by 3 publications

References 0 publications

Cognitive frailty and its association with depression, anxiety and stress during the COVID‐19 pandemic among older adults in the transforming cognitive frailty into later‐life self‐sufficiency (AGELESS) study

Cognitive frailty and its association with depression, anxiety and stress during the COVID‐19 pandemic among older adults in the transforming cognitive frailty into later‐life self‐sufficiency (AGELESS) study

Social Frailty and Health-Related Quality of Life in Community-Dwelling Older Adults

E-mail-based health care in patients with dementia during the pandemic

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