Fried frailty phenotype assessment components as applied to geriatric inpatients

Joanna Bieniek, Krzysztof Wilczynski, Jan Szewieczek Department of Geriatrics, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland Background: Management of geriatric patients would be simplified if a universally accepted definition of frailty for clinical use wa...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Bieniek J, Wilczyński K, Szewieczek J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	frail older adults frailty phenotype geriatric ward multimorbidity comprehensive geriatric assessment geriatric sub-acute care Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/d09b2d371e9d4371a383a2edb3595e2f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:d09b2d371e9d4371a383a2edb3595e2f
record_format	dspace
spelling	oai:doaj.org-article:d09b2d371e9d4371a383a2edb3595e2f2021-12-02T00:55:12ZFried frailty phenotype assessment components as applied to geriatric inpatients1178-1998https://doaj.org/article/d09b2d371e9d4371a383a2edb3595e2f2016-04-01T00:00:00Zhttps://www.dovepress.com/fried-frailty-phenotype-assessment-components-as-applied-to-geriatric--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Joanna Bieniek, Krzysztof Wilczynski, Jan Szewieczek Department of Geriatrics, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland Background: Management of geriatric patients would be simplified if a universally accepted definition of frailty for clinical use was defined. Among definitions of frailty, Fried frailty phenotype criteria constitute a common reference frame for many geriatric studies. However, this reference frame has been tested primarily in elderly patients presenting with relatively good health status. Objective: The aim of this article was to assess the usefulness and limitations of Fried frailty phenotype criteria in geriatric inpatients, characterized by comorbidity and functional impairments, and to estimate the frailty phenotype prevalence in this group. Patients and methods: Five hundred consecutive patients of the university hospital subacute geriatric ward, aged 79.0±8.4 years (67% women and 33% men), participated in this cross-sectional study. Comprehensive geriatric assessment and Fried frailty phenotype component evaluation were performed in all patients. Results: Multimorbidity (6.0±2.8 diseases) characterized our study group, with a wide range of clinical conditions and functional states (Barthel Index of Activities of Daily Living 72.2±28.2 and Mini-Mental State Examination 23.6±7.1 scores). All five Fried frailty components were assessed in 65% of patients (95% confidence interval [CI] =60.8–69.2) (diagnostic group). One or more components were not feasible to be assessed in 35% of the remaining patients (nondiagnostic group) because of lack of past patient’s body mass control and/or cognitive or physical impairment. Patients from the nondiagnostic group, as compared to patients from the diagnostic group, presented with more advanced age, higher prevalence of dementia, lower prevalence of hypertension, lower systolic and diastolic blood pressure, body mass index, Mini-Mental State Examination and Barthel Index of Activities of Daily Living. Despite diagnostic limitations, we found ≥3 positive criteria (thus, frailty diagnosis) in 54.2% of the study group (95% CI =49.8–58.6), with prevalence from 31.7% in sexagenarians to 67.6% in nonagenarians. Conclusion: Fried frailty phenotype criteria seem useful for geriatric inpatient assessment, despite diagnostic limitations. High prevalence of frailty among geriatric inpatients suggests that evaluation for frailty should be considered a part of the comprehensive geriatric assessment. Keywords: frail older adults, frailty phenotype, geriatric ward, multimorbidity, comprehensive geriatric assessment, geriatric subacute careBieniek JWilczyński KSzewieczek JDove Medical Pressarticlefrail older adultsfrailty phenotypegeriatric wardmultimorbiditycomprehensive geriatric assessmentgeriatric sub-acute careGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 453-459 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	frail older adults frailty phenotype geriatric ward multimorbidity comprehensive geriatric assessment geriatric sub-acute care Geriatrics RC952-954.6
spellingShingle	frail older adults frailty phenotype geriatric ward multimorbidity comprehensive geriatric assessment geriatric sub-acute care Geriatrics RC952-954.6 Bieniek J Wilczyński K Szewieczek J Fried frailty phenotype assessment components as applied to geriatric inpatients
description	Joanna Bieniek, Krzysztof Wilczynski, Jan Szewieczek Department of Geriatrics, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland Background: Management of geriatric patients would be simplified if a universally accepted definition of frailty for clinical use was defined. Among definitions of frailty, Fried frailty phenotype criteria constitute a common reference frame for many geriatric studies. However, this reference frame has been tested primarily in elderly patients presenting with relatively good health status. Objective: The aim of this article was to assess the usefulness and limitations of Fried frailty phenotype criteria in geriatric inpatients, characterized by comorbidity and functional impairments, and to estimate the frailty phenotype prevalence in this group. Patients and methods: Five hundred consecutive patients of the university hospital subacute geriatric ward, aged 79.0±8.4 years (67% women and 33% men), participated in this cross-sectional study. Comprehensive geriatric assessment and Fried frailty phenotype component evaluation were performed in all patients. Results: Multimorbidity (6.0±2.8 diseases) characterized our study group, with a wide range of clinical conditions and functional states (Barthel Index of Activities of Daily Living 72.2±28.2 and Mini-Mental State Examination 23.6±7.1 scores). All five Fried frailty components were assessed in 65% of patients (95% confidence interval [CI] =60.8–69.2) (diagnostic group). One or more components were not feasible to be assessed in 35% of the remaining patients (nondiagnostic group) because of lack of past patient’s body mass control and/or cognitive or physical impairment. Patients from the nondiagnostic group, as compared to patients from the diagnostic group, presented with more advanced age, higher prevalence of dementia, lower prevalence of hypertension, lower systolic and diastolic blood pressure, body mass index, Mini-Mental State Examination and Barthel Index of Activities of Daily Living. Despite diagnostic limitations, we found ≥3 positive criteria (thus, frailty diagnosis) in 54.2% of the study group (95% CI =49.8–58.6), with prevalence from 31.7% in sexagenarians to 67.6% in nonagenarians. Conclusion: Fried frailty phenotype criteria seem useful for geriatric inpatient assessment, despite diagnostic limitations. High prevalence of frailty among geriatric inpatients suggests that evaluation for frailty should be considered a part of the comprehensive geriatric assessment. Keywords: frail older adults, frailty phenotype, geriatric ward, multimorbidity, comprehensive geriatric assessment, geriatric subacute care
format	article
author	Bieniek J Wilczyński K Szewieczek J
author_facet	Bieniek J Wilczyński K Szewieczek J
author_sort	Bieniek J
title	Fried frailty phenotype assessment components as applied to geriatric inpatients
title_short	Fried frailty phenotype assessment components as applied to geriatric inpatients
title_full	Fried frailty phenotype assessment components as applied to geriatric inpatients
title_fullStr	Fried frailty phenotype assessment components as applied to geriatric inpatients
title_full_unstemmed	Fried frailty phenotype assessment components as applied to geriatric inpatients
title_sort	fried frailty phenotype assessment components as applied to geriatric inpatients
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/d09b2d371e9d4371a383a2edb3595e2f
work_keys_str_mv	AT bieniekj friedfrailtyphenotypeassessmentcomponentsasappliedtogeriatricinpatients AT wilczynskik friedfrailtyphenotypeassessmentcomponentsasappliedtogeriatricinpatients AT szewieczekj friedfrailtyphenotypeassessmentcomponentsasappliedtogeriatricinpatients
_version_	1718403408213311488

Fried frailty phenotype assessment components as applied to geriatric inpatients

Ejemplares similares