居家失能老年人的脆弱性评估。

Measures of Frailty in Homebound Older Adults.

机构信息

From the Department of Internal Medicine, Division of Geriatric and Palliative Medicine, University of Texas Health Science Center at Houston, Houston.

出版信息

South Med J. 2022 Apr;115(4):276-279. doi: 10.14423/SMJ.0000000000001380.

DOI:10.14423/SMJ.0000000000001380

PMID:35365845

Abstract

OBJECTIVES

Frailty, a geriatric syndrome associated with high morbidity and mortality, has rarely been assessed in homebound older adults. As such, we evaluated the prevalence of frailty among older adults enrolled in a home-based primary care program.

METHODS

We measured frailty using the Fried Frailty Phenotype criteria of unintentional weight loss, weakness, poor endurance, slowness, and low physical activity.

RESULTS

Of 25 homebound patients (average age 73), 14 (56%) were frail, 11 (44%) were prefrail, and none (0%) were robust. Among those who took ≥5 medications, 63% were frail and 37% were prefrail, and among those who had ≥10 comorbidities, 57% were frail and 43% were prefrail. We also observed that frailty in our homebound older adults was mainly driven by slow gait speed.

CONCLUSIONS

Frailty is prevalent in homebound older adults and may be related to slower gait speed, polypharmacy, and/or multimorbidity.

摘要

目的

衰弱是一种与高发病率和死亡率相关的老年综合征，但在居家的老年人群中很少对其进行评估。因此，我们评估了参与家庭为基础的初级保健计划的老年人群中衰弱的患病率。

方法

我们使用 Fried 衰弱表型标准来衡量衰弱，包括非故意体重减轻、虚弱、耐力差、行动缓慢和低体力活动。

结果

在 25 名居家患者（平均年龄 73 岁）中，14 名（56%）为衰弱，11 名（44%）为衰弱前期，无（0%）为健壮。在服用≥5 种药物的患者中，63%为衰弱，37%为衰弱前期，在患有≥10 种合并症的患者中，57%为衰弱，43%为衰弱前期。我们还观察到，我们居家的老年衰弱主要是由步态缓慢驱动的。