Frailty and mortality in long-term care facilities for older people in Brazil: a survival analysis

Geriatrics, Gerontology and Aging

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ISSN: 2447-2123
Editor Chefe: Roberto Alves Lourenço
Início Publicação: 10/10/2007
Periodicidade: Trimestral
Área de Estudo: Educação física, Área de Estudo: Enfermagem, Área de Estudo: Farmácia, Área de Estudo: Fisioterapia e terapia ocupacional, Área de Estudo: Fonoaudiologia, Área de Estudo: Medicina, Área de Estudo: Nutrição, Área de Estudo: Odontologia, Área de Estudo: Saúde coletiva, Área de Estudo: Serviço social, Área de Estudo: Multidisciplinar

Frailty and mortality in long-term care facilities for older people in Brazil: a survival analysis

Ano: 2021 | Volume: 15 | Número: Não se aplica
Autores: Antonio Rodrigues Bueno da Fonseca; Pâmela Stábile da Silva; Tatiane Cristina de Carvalho; Millene Abo Arrage; Sara Regina da Silva Duarte; Ana Laura Silva Selegatto; Adriana Polachini do Valle; Paulo José Fortes Villas Boas
Autor Correspondente: Paulo Villas Boas | [email protected]

Palavras-chave: frailty; long-term care; mortality; aged.

Resumos Cadastrados

Resumo Inglês:

OBJECTIVES: To investigate the effect of frailty on 1-year mortality in long term-care facility (LTCF) residents.
METHODS: This was a prospective cohort study with survival analysis of 209 participants living in 15 Brazilian LTCFs. Data on chronic diseases, age, sex, medication use, dependence in activities of daily living (ADLs; Katz index), and frailty (FRAIL scale) were collected at baseline, and death after 1 year was the outcome measure. Kaplan-Meier estimate and log-rank test were used to analyze the survival of residents.
RESULTS: In the initial assessment, 65.07 of the residents were women, and the median age was 82 (interquartile range, 71–88) years, with 55% being over 80 years old. Overall, 88% had 2 or more diseases, 59.81% were using 5 or more medications, 42.11% were considered frail, 34.92% pre-frail, and 22.97% robust, and 69.94% were dependent in 3 or more ADLs. During the 12-month follow-up, 19.61% of the residents (n = 41) died. In the survival analysis for death, there was a statistically significant association with frailty (p = 0.03) and dependence in ADLs (p = 0.04).
CONCLUSIONS: In this population of LTCF residents, frailty and functional dependence were associated with death.