Frailty and health care use among community-dwelling older adults with diabetes: a population-based study

Chia-Lin Li,1,2 Fiona F Stanaway,3 Jen-Der Lin,2 Hsing-Yi Chang4 1Department of Health Care Management, College of Management, Chang Gung University, Kwei-Shan, Tao-Yuan 333, Taiwan; 2Division of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung...

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Autores principales:	Li CL, Stanaway FF, Lin JD, Chang HY
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	diabetes mellitus elderly frailty healthcare use Taiwan Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/4fd80e7079334e64847d00fc74fc936e
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spelling	oai:doaj.org-article:4fd80e7079334e64847d00fc74fc936e2021-12-02T00:52:52ZFrailty and health care use among community-dwelling older adults with diabetes: a population-based study1178-1998https://doaj.org/article/4fd80e7079334e64847d00fc74fc936e2018-11-01T00:00:00Zhttps://www.dovepress.com/frailty-and-health-care-use-among-community-dwelling-older-adults-with-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Chia-Lin Li,1,2 Fiona F Stanaway,3 Jen-Der Lin,2 Hsing-Yi Chang4 1Department of Health Care Management, College of Management, Chang Gung University, Kwei-Shan, Tao-Yuan 333, Taiwan; 2Division of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Tao-Yuan 333, Taiwan; 3Sydney School of Public Health, University of Sydney, Sydney 2006, NSW, Australia; 4Division of Preventive Medicine and Health Service Research, Institute of Population Health Sciences, National Health Research Institutes, Maoli 350, Taiwan Purpose: The aims of this study were to investigate the prevalence of frailty and its relationship with health care use among community-dwelling older adults with diabetes.Methods: We analyzed data from a nationally representative sample of people aged 65 years and above (n=3,203) participating in the 2013 National Health Interview Survey in Taiwan. A total of 719 participants had a history of self-reported physician-diagnosed diabetes. The presence of frailty was determined based on the Fatigue, Resistance, Ambulation, Illness, and Loss of weight (FRAIL) scale proposed by the International Association of Nutrition and Aging. FRAIL scores range from 0 to 5 and are categorized as frail (3–5), pre-frail (1–2), and robust (0). Participants were asked whether they had been hospitalized or had visited an emergency department in the past year.Results: Among community-dwelling older adults with diabetes, 9.4% of participants were frail and 35.3 % were pre-frail. After adjustment for other factors, being frail was significantly associated with hospitalization during the past year (OR =5.31, 95% CI =1.87–15.10), whereas being pre-frail was not associated with hospitalization. Both being pre-frail and frail were significantly associated with emergency department visits during the past year (OR =2.64, 95% CI =1.35–5.17 and OR =4.05, 95% CI =1.31–12.49, respectively) after adjustment for other factors.Conclusion: Our results highlight the high prevalence of frailty in community-dwelling older adults with diabetes. Furthermore, being frail is associated with a greater burden of hospitalizations and emergency department visits. Keywords: diabetes mellitus, elderly, frailty, health care use, Taiwan Li CLStanaway FFLin JDChang HYDove Medical Pressarticlediabetes mellituselderlyfrailtyhealthcare useTaiwanGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 2295-2300 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes mellitus elderly frailty healthcare use Taiwan Geriatrics RC952-954.6
spellingShingle	diabetes mellitus elderly frailty healthcare use Taiwan Geriatrics RC952-954.6 Li CL Stanaway FF Lin JD Chang HY Frailty and health care use among community-dwelling older adults with diabetes: a population-based study
description	Chia-Lin Li,1,2 Fiona F Stanaway,3 Jen-Der Lin,2 Hsing-Yi Chang4 1Department of Health Care Management, College of Management, Chang Gung University, Kwei-Shan, Tao-Yuan 333, Taiwan; 2Division of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Tao-Yuan 333, Taiwan; 3Sydney School of Public Health, University of Sydney, Sydney 2006, NSW, Australia; 4Division of Preventive Medicine and Health Service Research, Institute of Population Health Sciences, National Health Research Institutes, Maoli 350, Taiwan Purpose: The aims of this study were to investigate the prevalence of frailty and its relationship with health care use among community-dwelling older adults with diabetes.Methods: We analyzed data from a nationally representative sample of people aged 65 years and above (n=3,203) participating in the 2013 National Health Interview Survey in Taiwan. A total of 719 participants had a history of self-reported physician-diagnosed diabetes. The presence of frailty was determined based on the Fatigue, Resistance, Ambulation, Illness, and Loss of weight (FRAIL) scale proposed by the International Association of Nutrition and Aging. FRAIL scores range from 0 to 5 and are categorized as frail (3–5), pre-frail (1–2), and robust (0). Participants were asked whether they had been hospitalized or had visited an emergency department in the past year.Results: Among community-dwelling older adults with diabetes, 9.4% of participants were frail and 35.3 % were pre-frail. After adjustment for other factors, being frail was significantly associated with hospitalization during the past year (OR =5.31, 95% CI =1.87–15.10), whereas being pre-frail was not associated with hospitalization. Both being pre-frail and frail were significantly associated with emergency department visits during the past year (OR =2.64, 95% CI =1.35–5.17 and OR =4.05, 95% CI =1.31–12.49, respectively) after adjustment for other factors.Conclusion: Our results highlight the high prevalence of frailty in community-dwelling older adults with diabetes. Furthermore, being frail is associated with a greater burden of hospitalizations and emergency department visits. Keywords: diabetes mellitus, elderly, frailty, health care use, Taiwan
format	article
author	Li CL Stanaway FF Lin JD Chang HY
author_facet	Li CL Stanaway FF Lin JD Chang HY
author_sort	Li CL
title	Frailty and health care use among community-dwelling older adults with diabetes: a population-based study
title_short	Frailty and health care use among community-dwelling older adults with diabetes: a population-based study
title_full	Frailty and health care use among community-dwelling older adults with diabetes: a population-based study
title_fullStr	Frailty and health care use among community-dwelling older adults with diabetes: a population-based study
title_full_unstemmed	Frailty and health care use among community-dwelling older adults with diabetes: a population-based study
title_sort	frailty and health care use among community-dwelling older adults with diabetes: a population-based study
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/4fd80e7079334e64847d00fc74fc936e
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Frailty and health care use among community-dwelling older adults with diabetes: a population-based study

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