Articles: frailty-index.
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Despite the well-established power of frailty to predict mortality, and the known associations of socioeconomic status (SES) with mortality, it is largely unknown whether the linkage between frailty and mortality varies across different SES groups. This study aims to investigate whether SES moderates the association between frailty and mortality. ⋯ Frailty was a stronger predictor of mortality among individuals with higher SES than those with lower SES. The increased mortality risks associated with socioeconomic vulnerability and frailty weakened with age. Public health programs aimed at improving SES and promoting healthy longevity should start early in old age, or even earlier, and target poor and frail older adults for maximum impact.
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J. Gerontol. A Biol. Sci. Med. Sci. · Apr 2016
Multicenter StudyFrailty Index and Incident Mortality, Hospitalization, and Institutionalization in Alzheimer's Disease: Data From the ICTUS Study.
The identification of an objective evaluation of frailty capable of predicting adverse outcomes in Alzheimer's disease is increasingly discussed. The purpose of this study was to investigate whether the Frailty Index (FI) predicts hospitalization, institutionalization, and mortality in Alzheimer's disease patients. ⋯ The FI is a robust predictor of adverse outcomes even after the stage of the underlying dementia is considered. Future work should evaluate the clinical implementation of the FI in the assessment of demented individuals in order to improve the personalization of care.
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To characterize frailty in cognitively normal older adults at baseline and to investigate the relationship between frailty and mortality. ⋯ Baseline frailty was common, especially in older men, and increased with age. Frailty was associated with significantly greater risk of death, particularly in women. These sex differences should be considered when designing a geriatric care plan.
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J. Gerontol. A Biol. Sci. Med. Sci. · Dec 2015
Mortality in Relation to Frailty in Patients Admitted to a Specialized Geriatric Intensive Care Unit.
In older adults admitted to intensive care units (ICUs), frailty influences prognosis. We examined the relationship between the frailty index (FI) based on deficit accumulation and early and late survival. ⋯ ICU survival was strongly associated with the level of frailty at admission. An FI based on health deficit accumulation may help improve critical care outcome prediction in older adults.
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Comparative Study
A Frailty Index Based on Common Laboratory Tests in Comparison With a Clinical Frailty Index for Older Adults in Long-Term Care Facilities.
Easily employed measures of frailty are needed in the evaluation of elderly people. Recently, a frailty index (FI) based on deficits in commonly used laboratory tests (the FI-LAB) has been proposed. To address the usefulness of the FI-LAB in long-term care (LTC) settings, we studied institutionalized participants in the Canadian Study of Health and Aging first clinical examination database. Our objectives were to compare the FI-LAB with a clinical FI LTC (FI-Clinical-LTC) focused on common health deficits seen in LTC and to assay its relationship with mortality. ⋯ An FI based on routinely collected laboratory data can identify LTC residents at increased risk of death. This approach may be a useful screening tool in this setting.