Prevalence of frailty among older patients in emergency department at National Geriatric Hospital
Main Article Content
Abstract
Frailty syndrome is common in older people. Thus this study aims to evaluate the prevalence of frailty syndrome in older patient treated in Emergency Department, National Geriatric Hospital. This is a cross-sectional study with older inpatients over 60 years old in Emergency Department, National Geriatric Hospital from October, 2015 to October 2016. Data were collected by using variables included general information and frailty criteria diagnosis (loss weight, decrease hand grip strength, exhausted, low physical activity and low walking speed). A total 389 participants with mean of age was 79,1 ± 8,9. The prevalence of frailty in older patients was 68.4%. Percentage of low walking speed was the highest domain in 5 domains of frailty. Patients were ≥ 80 years old have highest proportion of frailty with 82.2% (p < 0.05). The prevalence of frailty at older patients was high, specially in the group of patients over 80 years old. Therefore, it is necessary to routine screening of frailty syndrome in older patient treated in Emergency Department.
Article Details
Keywords
frailty, older patients, Emergency Department, Vietnam
References
2. Fried LP, Tangen CM, Walston J. Cardiovascular Health Study Collaborative Research Group… Frailty in older adults: evidence for a phenotype. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences. 2001; 56(3): M146-156.
3. Hamerman D. Toward an understanding of frailty. Annals of Internal Medicine. 1999; 130(11): 945–950.
4. Wilber ST, Blanda, Gerson LW. Does functional decline prompt emergency department visits and admission in older patients? Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine. 2006; 13(6): 680–682.
5. Stiffler KA, Finley A, Midha S, Wilber ST. Frailty assessment in the emergency department. The Journal of Emergency Medicine. 2013; 45(2): 291–298.
6. Collard RM, Boter H, Schoevers RA., Oude Voshaar RC… Prevalence of frailty in community-dwelling older persons: a systematic review. Journal of the American Geriatrics Society, 2012; 60(8): 1487–1492.
7. WHO. Physical status: the use and interpretation of anthropometry. . WHO. http://www.who.int/childgrowth/publications/physical_status. Accessed December 3, 2016.
8. Topolski TD, LoGerfo J, Patrick DL. The Rapid Assessment of Physical Activity (RAPA) among older adults. Preventing Chronic Disease. 2006; 3(4): A118.
9. Chang CI, Chan DC, Kuo KN. Prevalence and Correlates of Geriatric Frailty in a Northern Taiwan Community. Journal of the Formosan Medical Association. 2011; 110(4): 247–257.
10. Oliveira DR, Bettinelli LA, Pasqualotti A. Prevalence of frailty syndrome in old people in a hospital institution. Revista Latino-Americana De Enfermagem. 2013; 21(4): 891–898.
11. Nguyễn Xuân Thanh. Hội chứng dễ bị tổn thương (Frailty) và các yếu tố liên quan trên bệnh nhân cao tuổi điều trị tại Bệnh viện Lão Khoa Trung Ương. Luận văn tốt nghiệp thạc sĩ y khoa, Trường Đại Học Y Hà Nội. 2015.
12. Walston J, Hadley EC, Ferrucci L. Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. Journal of the American Geriatrics Society 2006; 54(6): 991–1001.
13. Reis Júnior WM, Carneiro JA, Coqueiro R. Pre-frailty and frailty of elderly residents in a municipality with a low Human Development Index. Revista Latino-Americana De Enfermagem. 2014; 22(4): 654–661.
14. Mello AC, Engstrom EM, Alves LC. Health-related and socio-demographic factors associated with frailty in the elderly: a systematic literature review. Cadernos De Saude Publica. 2014; 30(6): 1143–1168.