A prospective, multicentre study to assess frailty in elderly patients with leg ulcers (<scp>GERAS</scp> study)

Zorge, N. E.; Scheerders, Eveline R Y; Dudink, Koen; Oudshoorn, Christian; Polinder-Bos, Harmke A; Waalboer-Spuij, Rick; Schlejen, P.M.; Montfrans, Catherine van

doi:10.1111/jdv.18586

Cited by 3 publications

(2 citation statements)

References 40 publications

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“…Our study participants reported a mean global Wound-QoL score of 15 (SD=12.9), with the psyche domain having the largest mean score of 6.5 (SD=5.2). The global score is comparable to a homecare VLU population in the Netherlands who reported a mean global Wound-QoL of 15 (SD=10.4), n=20 26 . Importantly 31% of our participants reported a large impact on their QoL compared to their QoL prior to the VLU.…”

Section: Discussionsupporting

confidence: 48%

The impact of venous leg ulcers on quality of life

Smith,

Carville,

Maguire

et al. 2023

WPR

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Aim To determine the quality of life (QoL) of clients with venous leg ulcers (VLU) treated in the community and investigate if age-related frailty or disability posed an additional impact on QoL.Methods Clients with VLUs receiving wound care on 7 November 2019 from a community nursing service in Perth, Western Australia were invited to participate. Data was collected from an electronic management system on client demographics, comorbidities, key assessments and wound outcomes. A nurse-administered survey was used to collect data on clients' current health status and VLU health experience, frailty via the FiND (Frail Non-Disabled tool), and QoL via the Wound-QoL tool.Results There were 262 clients with VLUs who were invited to participate; 253 were considered eligible and 244 eligible clients completed the survey (96.4%). Common client comorbidities included obesity (48.9%), heart disease (34.5%), diabetes (24.2%), history of deep vein thrombosis (DVT) (19.7%) and varicose veins (44.7%), and 30% had their ulcer for ≥12 months. All but five clients (98%) reported the VLU had impacted their QoL. A total of 54% were classified as 'disabled' and 23.7% as 'frail'. Independent predictors of poor QoL included a previous hospital admission, obesity and FiND classification of frail or disabled. Increasing age was protective of poor QoL.Conclusion Almost all VLU clients reported an impact on their QoL. They also demonstrated high levels of frailty and had significant comorbidities. Interventions to improve QoL for these clients must be considered.

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Section: Discussionsupporting

confidence: 48%

The impact of venous leg ulcers on quality of life

Smith,

Carville,

Maguire

et al. 2023

WPR

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“…To the knowledge of the authors, there are no published data of patients available in the literature evaluating the combination of both tests in urogeriatric patients. Our Medline research only revealed a few studies in non-urologic patients in which both tests were applied [16][17][18]. Among them is a recent Irish pilot study in which both tests were performed in metastatic cancer patients, but the additional value for the Mini-Cog© was not evaluated [18].…”

Section: Introductionmentioning

confidence: 99%

Additional Value of Mini-Cog© in Urogeriatric Patients Concurrently Screened by G8 Scores

Bouzan,

Willschrei,

Horstmann

2023

Medicines

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Background: Cognitive impairment is poorly addressed in G8 screening. The aim of the present study was to evaluate the additional value of Mini-Cog© in urogeriatric patients concurrently screened by G8 scores. Methods: Seventy-four consecutive urogeriatric patients aged 75 and above were evaluated. All patients underwent G8 and Mini-Cog© screening. Patients with a G8 score above 14 were considered geriatric “healthy or fit”. A Mini-Cog© from four to five points was considered inconspicuous in screening for cognitive impairment. The additional information of a Mini-Cog© screening during G8 screening was evaluated by looking at G8 “fit and healthy” patients who had conspicuous Mini-Cog© tests and vice versa. Additionally, the results of the neuropsychological subitem “E” of the G8 score were compared with the results of the Mini-Cog© screening. Results: The mean age of the patients was 83 y (min. 75–max. 102). Sixty-one of the patients were males, and 13 were females. Twenty-nine of the patients had a normal G8 score and were considered “healthy or fit”, and 45 were not. Forty-three of the patients had an inconspicuous Mini-Cog©, and 31 had a conspicuous Mini-Cog© of less than four points. The majority of G8 “healthy or fit” patients (n = 24/29) had an inconspicuous Mini-Cog© test. However, of them, five patients had a Mini-Cog© of less than four points, which is suspicious for cognitive disorders. Furthermore, of the 43 patients with a normal G8 subscore in item “E” of two points, 6 patients had a conspicuous Mini-Cog© of less than four points. Conclusions: As shown by the present study, the Mini-Cog© might extend the G8 screening with regard to the detection of cognitive functional impairments that are not detected by the G8 screening alone. It can be easily added to G8 screening.

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A prospective, multicentre study to assess frailty in elderly patients with leg ulcers (GERAS study)

Zorge

Scheerders

Dudink

et al. 2022

Acad Dermatol Venereol

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Background: Although leg ulcers are a burdensome disease most common in those aged 65 years and older, frailty in this population has not yet been well established. Objectives:The aim of this study was to prospectively explore and compare the presence of frailty in elderly patients with chronic leg or foot ulcers by applying different validated frailty screening methods in three healthcare settings and to assess the feasibility of frailty screening. Methods:We compared frailty of leg ulcer patients referred to an academic hospital with a non-academic hospital, leg ulcer patients receiving (primary) homecare, and a dermato-oncology patient population (control group). Frailty and quality of life were assessed using four validated questionnaires: the Groninger Frailty Indicator, Geriatric-8, Mini-Cog and Wound Quality of Life. To analyse data multiple (non)parametric tests were performed.Results: Fifty of 60 included leg ulcer patients (83%) scored "frail" on at least one frailty questionnaire (GFI, G8 or Mini-Cog). The number of patients scoring "frail" on two or three out of three applied frailty questionnaires were significantly higher in the academic and homecare ulcer population compared with the non-academic ulcer population and control group (p = 0.002). In the academic ulcer population mean Wound Quality of Life scores were 30.2 (SD 17.6), compared with 17.7 (SD 13.1) in the non-academic and 15.0 (SD 10.4) in the homecare ulcer population (p = 0.002). Conclusion:The majority of patients suffering from leg ulcers in this study was frail.The highest frailty prevalence was observed in the academic and homecare ulcer populations. The largest impaired quality of life was reported in the academic ulcer population. In dermatology practice, implementing frailty screening and initiating appropriate (paramedical) supportive care should be considered to improve patient outcomes.

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A prospective, multicentre study to assess frailty in elderly patients with leg ulcers (GERAS study)

Cited by 3 publications

References 40 publications

The impact of venous leg ulcers on quality of life

The impact of venous leg ulcers on quality of life

Additional Value of Mini-Cog© in Urogeriatric Patients Concurrently Screened by G8 Scores

A prospective, multicentre study to assess frailty in elderly patients with leg ulcers (GERAS study)

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