Comprehensive Geriatric Assessment of the Nonagenarian Population

Agredano, Raúl Sancho; Fraile, Victoria Morín; Guix-Comellas, Eva Maria; Masclans, Jordi Galimany; Poyato, Mireia López

doi:10.1016/j.sbspro.2017.02.197

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…It is also worth noting that the concept of frailty is often used as a broad idea, without reference to a specific frailty scale or as a synonym of age-related disability, assessed with commonly used functional scales, including activities of daily living [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Frailty and Survivability of Polish Caucasian Nonagenarians and Centenarians

Skubiszewska,

Broczek,

Maruniak-Chudek

et al. 2024

Geriatrics

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Frailty is a major geriatric problem leading to an increased risk of disability and death. Prevention, identification, and treatment of frailty are important challenges in gerontology and public health. The study aimed to estimate the prevalence of the frailty phenotype (FP) among the oldest-old Polish Caucasians and investigate the relationship between the FP and mortality. Baseline data were collected from 289 long-lived individuals, including 87 centenarians and 202 subjects aged 94–99. Mortality was obtained from population registers over the following 5 years. Sixty percent of subjects were classified as frail, 33% as prefrail, and 7% as robust. Frailty was more common in women than men and among centenarians than nonagenarians. During the 5-year observation period, 92.6% of the frail women and all frail men died, while mortality rates were lower among prefrail, 78.8% and 66.7%, and robust individuals, 60% and 54.5%, respectively. In the survival analysis, frailty was the strongest negative risk factor: HR = 0.328 (95% CI: 0.200–0.539). The inability to perform handgrip strength measurement was an additional predictor of short survival. In conclusion, the FP is prevalent in nonagenarians and centenarians and correlates with lower survivability. Future studies should address differences between unavoidable age-associated frailty and reversible disability in long-lived individuals.

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Section: Discussionmentioning

confidence: 99%

Frailty and Survivability of Polish Caucasian Nonagenarians and Centenarians

Skubiszewska,

Broczek,

Maruniak-Chudek

et al. 2024

Geriatrics

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“…[1] With continued population aging, a significant number of older adults will be nonagenarians (>90 years old). Patients in this population age group tend to have visual and hearing impairments, multiple comorbidities, cognitive decline, and higher rates of frailty and polypharmacy,[23] all of which contribute to the occurrence of traumatic events such as falls.…”

Section: Introductionmentioning

confidence: 99%

A novel risk score to predict post-trauma mortality in nonagenarians

Kopatsis

Chetram

Kopatsis

et al. 2019

J Emerg Trauma Shock

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Background:Nonagenarians represent a rapidly growing age group who often have functional limitations and multiple comorbidities, predisposing them to trauma.Aims:The purpose of this study was to identify patient characteristics, hospital complications, and comorbidities that predict in-hospital mortality in the nonagenarian population following trauma. We also sought to create a scoring system using these variables.Settings and Design:This study was a retrospective chart review.Methods:We reviewed the medical records of 548 nonagenarian trauma patients admitted to two Level I trauma centers from 2006 to 2015. Statistical analysis was performed using logistic regression and a machine learning model, which calculated significant variables and computed a scoring system.Results:The in-hospital mortality rate was 7.1% (n = 39). Significant predictors of mortality were cardiac comorbidity, neuro-concussion, New Injury Severity Score (ISS) 16+, striking an object, ISS 25–75, and pulmonary and cardiac complications. Significant variables were assigned a numeric value. A score of 5+ carried a 41.1% mortality risk, 79% sensitivity, and 91% specificity. A score of 10+ had an associated 81.8% mortality risk with 31% specificity and 99% sensitivity.Conclusions:Our findings identified reliable predictors of mortality in nonagenarian population posttrauma. The scoring system performs with good specificity and sensitivity and incrementally correlates with mortality risk.

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Comprehensive Geriatric Assessment of the Nonagenarian Population

Cited by 2 publications

References 26 publications

Frailty and Survivability of Polish Caucasian Nonagenarians and Centenarians

Frailty and Survivability of Polish Caucasian Nonagenarians and Centenarians

A novel risk score to predict post-trauma mortality in nonagenarians

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