Healthcare Costs of Frailty: Implications for Long-term Care

Salinas‐Rodríguez, Aarón; Manrique‐Espinoza, Betty; Heredia-Pi, Ileana; Rivera-Almaraz, Ana; Ávila-Fuñes, José Alberto

doi:10.1016/j.jamda.2018.09.019

Cited by 23 publications

(18 citation statements)

References 12 publications

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“…56 Multiple studies using cohorts of community-dwelling older adults have showed that the health care costs of frail individuals are sometimes several-fold higher than those of non-frail counterparts. [57][58][59][60][61] Older adults form the main users of medical and social care services, 62 and the majority of health care costs are incurred by them. In the context of ongoing population aging, with an unprecedented growing number and proportion of older adults, this epidemiological and demographic population shift is starting to have a major impact on health care systems.…”

Section: Impacts Of Frailty On Health Care Systemsmentioning

confidence: 99%

<p>Frailty syndrome: implications and challenges for health care policy</p>

Kojima

Liljas

Iliffe

2019

RMHP

278

220

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Older adults are a highly heterogeneous group with variable health and functional life courses. Frailty has received increasing scientific attention as a potential explanation of the health diversity of older adults. The frailty phenotype and the Frailty Index are the most frequently used frailty definitions, but recently new frailty definitions that are more practical have been advocated. Prevalence of frailty among the community-dwelling population aged 65 years and older is ~10% but varies depending on which frailty definitions are used. The mean prevalence of frailty gradually increases with age, but the individual's frailty level can be improved. Older adults, especially frail older adults, form the main users of medical and social care services. However, current health care systems are not well prepared to deal with the chronic and complex medical needs of frail older patients. In this context, frailty is potentially a perfect fit as a risk stratification paradigm. The evidence from frailty studies has not yet been fully translated into clinical practice and health care policy making. Successful implementation would improve quality of care and promote healthy aging as well as diminish the impact of aging on health care systems and strengthen their sustainability. At present, however, there is no effective treatment for frailty and the most effective intervention is not yet known. Based on currently available evidence, multi-domain intervention trials, including exercise component, especially multicomponent exercise, which includes resistance training, seem to be promising. The current challenges in frailty research include the lack of an international standard definition of frailty, further understanding of interventions to reverse frailty, the best timing for intervention, and education/training of health care professionals. The hazards of stigmatization should also be considered. If these concerns are properly addressed, widespread application of public health approaches will be possible, including screening, identification, and treatment of frailty, resulting in better care and healthier aging for older people.

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Section: Impacts Of Frailty On Health Care Systemsmentioning

confidence: 99%

<p>Frailty syndrome: implications and challenges for health care policy</p>

Kojima

Liljas

Iliffe

2019

RMHP

278

220

View full text Add to dashboard Cite

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“…Data comes from the cross-sectional study “Economic impact of physical dependence in older adults and the burden of informal care” conducted in 2018 with a sample of community-dwelling older Mexican adults age 60 and older ( 23 ). According to a previous study in which the costs associated with frailty among older Mexican adults were estimated ( 13 ), a sample size of 735 OA would have sufficient power to detect significant differences in healthcare costs when comparing individuals with and without dependence based on a significance level of 5%, power of 90%, and one-sided tests. OA in this study were residents of two urban and three rural communities in the Mexican state of Estado de México, located at the central part of Mexico.…”

Section: Methodsmentioning

confidence: 99%

“…Recent studies have analyzed the relationship between out-of-pocket (OOP) healthcare expenditures and different health outcomes related to the functional capacity of the OA, namely frailty ( 13 ), multimorbidity ( 14 ), and disability ( 15 ). Some other studies have also examined the relationship between dependence and OOP healthcare expenditures ( 16 – 19 ).…”

Section: Introductionmentioning

confidence: 99%

Out-of-Pocket Healthcare Expenditures in Dependent Older Adults: Results From an Economic Evaluation Study in Mexico

Salinas‐Rodríguez

Manrique‐Espinoza

Mussot

et al. 2020

Front. Public Health

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“…The elderly population’s health condition is heterogeneous due to the variously combined effects of physiological aging-associated decline and morbidities [ 14 ]. Frailty, which is used to classify the health condition of older adults and their ability to respond to an intervention, is a condition of vulnerability related to an accumulation of morbidities and exposing individuals to incident adverse health events, which increase health and social costs [ 14 – 16 ]. The frailty process may be prevented or even reversed, especially at its onset [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of “Thursdays at the Museum” at the Montreal Museum of Fine Arts on the mental and physical health of older community dwellers: the art-health randomized clinical trial protocol

Beauchet

Cooper-Brown

Hayashi

et al. 2020

Trials

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Background: Recently, we demonstrated that the Montreal Museum of Fine Arts' (MMFA) participatory art-based activity, known as "Thursdays at the Museum," improved the well-being, quality of life, and physical health (i.e., frailty) of older community dwellers by using a pre-post intervention, single arm, prospective and longitudinal experimental design. The present randomized clinical trial (RCT), known as the Art-Health RCT (A-Health RCT), aims to compare changes in well-being, quality of life, frailty, and physiological measures in older community dwellers who participate in "Thursdays at the Museum" (intervention group) and in their counterparts who do not participate in this art-based activity (control group). Methods/design: The current unicenter, randomized, clinical, controlled, comparative trial recruits 150 older community dwellers to two parallel arms (75 participants in the intervention group and 75 participants in the control group). The intervention is a 3-month cycle of weekly "Thursdays at the Museum," which are structured 2-h-long art-based workshops performed in a group setting at the MMFA. The control group is composed of participants who do not take part in artbased activities, receive their usual health and/or social services, and commit to report any other activity practiced during the same time. Assessments of the primary outcome (well-being) and the secondary outcomes (quality of life, frailty, and physiological measures including heart rate, daily step count, sleep duration, and its phases) are performed on six occasions: at baseline, at the beginning of the second and third months, at the end of the third month, as well as 6 and 12 months after the last workshop. Statistical analyses are performed with the intention to treat and per protocol. Comparisons of changes in outcome measures between intervention and control groups use repeated measures tests.

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Healthcare Costs of Frailty: Implications for Long-term Care

Cited by 23 publications

References 12 publications

<p>Frailty syndrome: implications and challenges for health care policy</p>

<p>Frailty syndrome: implications and challenges for health care policy</p>

Out-of-Pocket Healthcare Expenditures in Dependent Older Adults: Results From an Economic Evaluation Study in Mexico

Effects of “Thursdays at the Museum” at the Montreal Museum of Fine Arts on the mental and physical health of older community dwellers: the art-health randomized clinical trial protocol

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