Changes in frailty conditions and phenotype components in elderly after hospitalization

Abstract

Objective:describing the changes in frailty conditions over the period of a year after hospital discharge, verifying predictive variables for changes in frailty conditions and frailty phenotype components according to worsening, improving and stable groups. Method:a longitudinal survey carried out with 129 elderly. A structured form for socioeconomic and health data, scales (Geriatric Depression Scale - short form, Katz scale, Lawton and Brody scale) and frailty phenotype according to Fried were used. Descriptive analysis and multinomial logistic regression model (p<0.05) were performed. Results:we found that 56.7% of older adults changed their condition from non-frail to pre-frail, with no changes from non-frail to frail. Deaths were found between frail and pre-frail elderly. In the worsening group, the increase in the number of morbidities was a predictor for exhaustion and/or fatigue, while in the improving group, increased dependence on instrumental activities of daily living was a predictor for weight loss, and reduced scores indicative of depression due to low level of physical activity. Conclusion:a greater percentage of changes from non-frail condition to pre-frail older adults were observed, and health variables were only predictive for frailty phenotype components.

Prevalence, transitions and factors predicting transition between frailty states among rural community-dwelling older adults in Malaysia

“…Frailty transition was defined based on changes in frailty status between baseline state and at 12-months follow-up. Transition states were classified into three categories: 1) Improved transition towards lesser frailty states (participants who changed status from frail to pre-frail or robust and prefrail to robust), 2) Worsened transition towards greater frailty states (participants who changed status from robust to pre-frail or frail and from pre-frail to frail), 3) Unchanged state (participants with similar status at the follow-up period as the baseline status) [ 30 ].…”

Frailty-associated factors among Brazilian community-dwelling elderly people: longitudinal study

“…2,23 The association of BADL dependency as a frailty predictor seen in the present study is divergent from the findings of other Brazilian studies. 6,7 Nevertheless, an investigation in Italy, with a 4.4-year follow-up, found that worsening of the condition presented by non-frail individuals was associated with dependency in relation to activities of daily living. 18 Furthermore, according to Fried et al, 24 functional incapacity may cause difficulty in accessing healthcare services or actions from healthcare professionals, which would lead to increases in unrecognized and unaddressed healthcare needs.…”

“…5 In Brazil, however, the available evidence is only recent and there is a lack of longitudinal studies analyzing the factors that determine frailty. 6,7 In a study on 207 community-dwelling elderly people who were followed up for 12 months, the factors associated with frailty that predicted worsening of frailty status were histories of cancer, urinary incontinence and reduced capacity to perform advanced activities of daily living. 6 Another one-year investigation conducted among 129 elderly people after hospital discharge did not identify any variables that were predictive of change (improvement or worsening) to frailty condition.…”

“…6 Another one-year investigation conducted among 129 elderly people after hospital discharge did not identify any variables that were predictive of change (improvement or worsening) to frailty condition. 7 Feng et al 5 considered that it was essential to determine the factors associated with frailty when developing interventions to prevent or reduce the frailty-associated burden among community-dwelling elderly people.…”

Dificuldades de comunicação da equipe multidisciplinar com idosos fragilizados: revisão integrativa

“…Com isso, se torna importante realizar o rastreamento e levantamento dos idosos para acompanhar e esclarecer dúvidas à estes sobre sua patologia e o tratamento (Marchiori;Tavares, 2017). A piora da fragilidade pode levar a dificuldades na comunicação dos idosos, Moraes, Marino e Santos (2010) corroboram ressaltando que isso pode levar à perda da independência e sentimento de desconexão com o mundo.…”