Andres, Daniel; Imhoof, Caroline; Bürge, Markus; Jakob, Gabi; Limacher, Andreas; Stuck, Anna K (2022). Frailty as a Predictor of Poor Rehabilitation Outcomes among Older Patients Attending a Geriatric Day Hospital Program: An Observational Study. International journal of environmental research and public health, 19(10), p. 6276. MDPI 10.3390/ijerph19106276
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BACKGROUND
The Geriatric Day Hospital (GDH) is an important outpatient geriatric service, but there are few data on the role of frailty as a potential predictor of poor outcomes in this setting.
METHODS
Data were analyzed from 499 patients aged ≥ 60 years attending a 12-week GDH program between 2018 and 2021. Frailty status was defined as non-frail (68, 13.6%), mild/moderate frailty (351, 70.3%), and severe frailty (80, 16.0%) based on the Clinical Frailty Scale (CFS). Outcomes were defined as (1) poor outcome (hospital readmission, death, or medical deterioration) during the program and (2) admission to permanent nursing home care upon completion of the program. Multivariate logistic models were used for predictive analyses.
RESULTS
The mean age was 80.3 (standard deviation 7.0); 58.3% were women. Overall, 77 patients (15.4%) had a poor outcome, and 48 (9.6%) were admitted to permanent nursing home care. Poor outcome was experienced by none of the non-frail patients (0%), by 49 (14.0%) patients with mild/moderate frailty, and 22 (27.5%) patients with severe frailty (adjusted OR, 2.0; 95% CI 1.3, 3.2; p < 0.01). Admission to a permanent nursing home care was experienced by none of the non-frail patients (0%), 20 (5.7%) of those with mild/moderate frailty, and 28 (35.0%) with severe frailty (adjusted OR, 2.9; 95% CI 1.3, 6.3; p < 0.01).
CONCLUSIONS
The CFS is a promising risk predictor of poor outcome and admission to permanent nursing home discharge among older patients attending a GDH program.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Geriatric Clinic 04 Faculty of Medicine > Pre-clinic Human Medicine > Department of Clinical Research (DCR) |
UniBE Contributor: |
Limacher, Andreas, Eggimann, Anna |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1660-4601 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
30 May 2022 11:26 |
Last Modified: |
20 Feb 2024 14:16 |
Publisher DOI: |
10.3390/ijerph19106276 |
PubMed ID: |
35627813 |
Uncontrolled Keywords: |
clinical frailty scale institutionalization nursing home post-acute care |
BORIS DOI: |
10.48350/170324 |
URI: |
https://boris.unibe.ch/id/eprint/170324 |
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