Frailty – prevalence of acutely hospitalized seniors from 1995 to 2022
Authors:
Weber Pavel; Weberová Dana; Polcarová Vlasta; Bielaková Katarína
Authors‘ workplace:
Klinika interní, geriatrie a praktického lékařství Lékařské fakulty Masarykovy univerzity a Fakultní nemocnice, Brno
Published in:
Geriatrie a Gerontologie 2023, 12, č. 2: 65-71
Category:
Original Article
Overview
Objective: Frailty (F) is a medical syndrome associated with the rise of sarcopenia with an impact on quality of life, health care, and health care as a whole.
Methodology: We present a retrospective cohort study of patients from 1995 to 2022 who were acutely admitted to our clinic. There were a total of 29,646 people aged 65 to 105. Of this number, there were 18,867 women with an average age of 81.7 ± 7.7 years, while there were only 10,787 men with an average age of 79.0 ± 7.6 years. Women were almost 3 years older than men (p < 0, 01).
Results: In the subset of younger seniors (65– 74 years), the occurrence of F in men ranged between 12 and 20 % and in women between 13 and 19 %. With increasing age, there is an obvious increase in the occurrence of F – in the subset aged 75–84 years in men to 16–33 % and in women to 18–24 %. In the oldest age subgroup ≥ 85 years, there is a significant rise in F – to 25–40 % in men and 26–38 % in women. Pre-frailty in men varied between 36–50 % and in women between 27–55 %. Mortality was significantly higher in individuals acutely hospitalized with F in men in all age groups 31–32 % and in women 22–26 %; while in the group of acutely admitted patients without F, it increased in men with age from 3.0 to 6 % and in women from 2.1 to 4 %.
Conclusion: Our data point to the importance of monitoring frailty and the risk of increased mortality associated with it in acutely hospitalized seniors and underline prevention and treatment options.
Keywords:
mortality – frailty syndrome – geriatricization of medicine – acute hospitalization of the elderly – aging of the population
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