FRAILTY IS ASSOCIATED WITH INCREASED MORTALITY IN OLDER ADULTS 12 MONTHS AFTER DISCHARGE FROM POST-ACUTE CARE IN SWISS NURSING HOMES

被引：5
|
作者：
Fompeyrine, C. [1 ,2 ]
Abderhalden, L. A. [2 ]
Mantegazza, N. [2 ]
Hofstetter, N. [2 ]
Bieri-Bruning, G. [3 ]
Bischoff-Ferrari, H. A. [1 ,2 ,4 ]
Gagesch, Michael [1 ,2 ]
机构：
[1] Univ Hosp Zurich, Dept Geriatr & Aging Res, Raemistr 100, CH-8091 Zurich, Switzerland
[2] Univ Zurich, Ctr Aging & Mobil, Zurich, Switzerland
[3] Zurich Geriatr Serv & Nursing Homes, Zurich, Switzerland
[4] City Hosp Waid & Triemli, Univ Clin Acute Geriatr Care, Zurich, Switzerland
来源：
JOURNAL OF FRAILTY & AGING | 2021年 / 10卷 / 03期
关键词：
Frailty; long-term mortality; post-acute care; nursing homes; TRANSITIONAL CARE; CLINICAL-PRACTICE;
D O I：
10.14283/jfa.2020.58
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
Frail older adults with ongoing care needs often require post-acute care (PAC) following acute hospitalization when not eligible for specific rehabilitation. Long-term outcomes of PAC in this patient group have not been reported for Switzerland so far. In the present report, we investigated 12-month mortality in regard to frailty status upon admission to PAC in a nursing home setting. In our sample of 140 patients (mean age 84 [+/- 8.6] years) 4.3% were robust, 37.1% were pre-frail, 54.3% were frail and 4.3% were missing frailty status. Mortality at 12-months follow-up stratified by baseline frailty was 0% (robust), 11.5% (pre-frail) and 31.6% (frail). Kaplan-Meier analysis stratified by frailty status showed a decreased probability of 12-months survival for frail individuals compared to their pre-frail and robust counterparts (P = 0.0096). Being frail was associated with more than 4-fold increased odds of death at follow-up (OR 4.19; 95% CI 1.53-11.47).
引用
收藏
页码：233 / 236
页数：4
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