Assessment of Frailty in the Elderly

Overview

Journal Florence Nightingale J Nurs

Publisher Aves

Specialty Medical Education

Date 2021 Jul 15

PMID 34263218

Citations 3

Authors

Gonul Duzgun

Sema Ustundag

Ayfer Karadakovan

Affiliations

Soon will be listed here.

Abstract

Aim: This study aimed to evaluate frailty in older individuals and to identify factors related to frailty.

Method: The descriptive, and cross-sectional study was conducted with 111 elderly patients who received inpatient treatment in a university hospital between January and September 2016. Ethics committee approval, institutional consent, and informed patient consent were obtained for the study. Along with the Edmonton Frail Scale, a data form was used to collect data about the patient's sociodemographics, disease status, and fall incidents. The data were collected through face-to-face interviews.

Results: The prevalence of severe frailty was 19.8%. Significant relationships were found between frailty and advanced age, low education, low income, continuous use of medicines, and a history of falls within the last year.

Conclusion: Elderly individuals included in the study were categorized as "vulnerable" (Edmonton Frail Scale score of 6.84±3.83) and were at the borderline for "mild frailty" (Edmonton Frail Scale score of 7-8). The factors associated with frailty were advanced age, low education, and income level, continuous use of medicines, and the history of falls within the last year.

Citing Articles

Determination of the relationship between frailty level and quality of life in elderly individuals with type 2 diabetes.

Rashidi M, Yildirim G, Karaman F, Cakmak S, Durusoy E, Akgoz H Sci Rep. 2024; 14(1):32028.

PMID: 39738443 PMC: 11685459. DOI: 10.1038/s41598-024-83766-w.

The effectiveness of nurse-led interventions to manage frailty in community-dwelling older people: a systematic review.

Kasa A, Drury P, Traynor V, Lee S, Chang H Syst Rev. 2023; 12(1):182.

PMID: 37777786 PMC: 10543273. DOI: 10.1186/s13643-023-02335-w.

Screening for frailty and sarcopenia in community-dwelling older adults: a cross-sectional study from the Eastern Black Sea region of Turkey.

Sahin U, Tozluoglu E, Durdu H, Korkmaz N, Bahar N, Yavuz E Aging Clin Exp Res. 2022; 34(9):2047-2056.

PMID: 35704240 DOI: 10.1007/s40520-022-02164-2.

References

Sternberg S, Schwartz A, Karunananthan S, Bergman H, Clarfield A . The identification of frailty: a systematic literature review. J Am Geriatr Soc. 2011; 59(11):2129-38. DOI: 10.1111/j.1532-5415.2011.03597.x. View

Robinson T, Eiseman B, Wallace J, Church S, McFann K, Pfister S . Redefining geriatric preoperative assessment using frailty, disability and co-morbidity. Ann Surg. 2009; 250(3):449-55. DOI: 10.1097/SLA.0b013e3181b45598. View

Cakmur H . Frailty among elderly adults in a rural area of Turkey. Med Sci Monit. 2015; 21:1232-42. PMC: 4427024. DOI: 10.12659/MSM.893400. View

Fried L, Ferrucci L, Darer J, Williamson J, Anderson G . Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci. 2004; 59(3):255-63. DOI: 10.1093/gerona/59.3.m255. View

Cheng M, Chang S . Frailty as a Risk Factor for Falls Among Community Dwelling People: Evidence From a Meta-Analysis. J Nurs Scholarsh. 2017; 49(5):529-536. DOI: 10.1111/jnu.12322. View

Fabricio-Wehbe S, Schiaveto F, Vendrusculo T, Haas V, Aparecida Spadoti Dantas R, Rodrigues R . Cross-cultural adaptation and validity of the 'Edmonton Frail Scale - EFS' in a Brazilian elderly sample. Rev Lat Am Enfermagem. 2010; 17(6):1043-9. DOI: 10.1590/s0104-11692009000600018. View

Harttgen K, Kowal P, Strulik H, Chatterji S, Vollmer S . Patterns of frailty in older adults: comparing results from higher and lower income countries using the Survey of Health, Ageing and Retirement in Europe (SHARE) and the Study on Global AGEing and Adult Health (SAGE). PLoS One. 2013; 8(10):e75847. PMC: 3812225. DOI: 10.1371/journal.pone.0075847. View

Lahousse L, Maes B, Ziere G, Loth D, Verlinden V, Zillikens M . Adverse outcomes of frailty in the elderly: the Rotterdam Study. Eur J Epidemiol. 2014; 29(6):419-27. DOI: 10.1007/s10654-014-9924-1. View

Erlen J . The frail elderly: a matter of caring. Orthop Nurs. 2007; 26(6):379-82. DOI: 10.1097/01.NOR.0000300951.73247.60. View

10.

Sousa A, Dias R, Maciel A, Guerra R . Frailty syndrome and associated factors in community-dwelling elderly in Northeast Brazil. Arch Gerontol Geriatr. 2011; 54(2):e95-e101. DOI: 10.1016/j.archger.2011.08.010. View

11.

Chen C, Wu S, Chen L, Lue B . The prevalence of subjective frailty and factors associated with frailty in Taiwan. Arch Gerontol Geriatr. 2010; 50 Suppl 1:S43-7. DOI: 10.1016/S0167-4943(10)70012-1. View

12.

Heath H, Phair L . Frailty and its significance in older people's nursing. Nurs Stand. 2011; 26(3):50-5. DOI: 10.7748/ns2011.09.26.3.50.c8710. View

13.

Perna S, Francis M, Bologna C, Moncaglieri F, Riva A, Morazzoni P . Performance of Edmonton Frail Scale on frailty assessment: its association with multi-dimensional geriatric conditions assessed with specific screening tools. BMC Geriatr. 2017; 17(1):2. PMC: 5209899. DOI: 10.1186/s12877-016-0382-3. View

14.

Yamada M, Arai H, Sonoda T, Aoyama T . Community-based exercise program is cost-effective by preventing care and disability in Japanese frail older adults. J Am Med Dir Assoc. 2012; 13(6):507-11. DOI: 10.1016/j.jamda.2012.04.001. View

15.

Mitnitski A, Rockwood K . The rate of aging: the rate of deficit accumulation does not change over the adult life span. Biogerontology. 2015; 17(1):199-204. DOI: 10.1007/s10522-015-9583-y. View

16.

Jankowska-Polanska B, Uchmanowicz B, Kujawska-Danecka H, Nowicka-Sauer K, Chudiak A, Dudek K . Assessment of frailty syndrome using Edmonton frailty scale in Polish elderly sample. Aging Male. 2018; 22(3):177-186. DOI: 10.1080/13685538.2018.1450376. View

17.

Clegg A, Young J, Iliffe S, Rikkert M, Rockwood K . Frailty in elderly people. Lancet. 2013; 381(9868):752-62. PMC: 4098658. DOI: 10.1016/S0140-6736(12)62167-9. View

18.

Singh N, Quine S, Clemson L, Williams E, Williamson D, Stavrinos T . Effects of high-intensity progressive resistance training and targeted multidisciplinary treatment of frailty on mortality and nursing home admissions after hip fracture: a randomized controlled trial. J Am Med Dir Assoc. 2011; 13(1):24-30. DOI: 10.1016/j.jamda.2011.08.005. View

19.

Hilmer S, Perera V, Mitchell S, Murnion B, Dent J, Bajorek B . The assessment of frailty in older people in acute care. Australas J Ageing. 2009; 28(4):182-8. DOI: 10.1111/j.1741-6612.2009.00367.x. View

20.

Rockwood K, Song X, MacKnight C, Bergman H, Hogan D, McDowell I . A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005; 173(5):489-95. PMC: 1188185. DOI: 10.1503/cmaj.050051. View