Frailty and mortality among older patients in a tertiary hospital in Nigeria
Ghana Med. J. (Online)
; 53(3): 210-216, 2019.
Artigo
em Inglês
| AIM
| ID: biblio-1262307
Biblioteca responsável:
CG1.1
ABSTRACT
Background:
This study determined the frailty status and its association with mortality among older patients.Design:
A prospective cohort design.Setting:
Study was conducted at the medical wards of University College Hospital, Ibadan, Nigeria. Participants and study tools Four hundred and fifty older patients (>60 years) were followed up from the day of admission to death or discharge. Information obtained includes socio-demographic characteristics and clinical frailty was assessed using the Canadian Study of Health and Aging (CSHA) scale. Bivariate and multivariate analyses were carried out using SPSS version 21 at a p <0.05.Results:
Overall, frailty was identified in 285 (63.3%) respondents. Mortality was significantly higher among frail respondents (25.3%) than non-frail respondents (15.4%) p=0.028. Logistic regression analysis showed factors associated with frailty were male sex (OR=1.946 [1.0053.774], p=0.048), non-engagement in occupational activities (OR=2.642 [1.3945.008], p=0.003), multiple morbidities (OR=4.411 [1.94410.006], p<0.0001), functional disability (OR=2.114 [1.0294.343), p=0.042], malnutrition (OR=9.258 [1.02983.301], p=0.047) and being underweight (OR=7.462 [1.49937.037], p=0.014).Conclusion:
The prevalence of frailty among medical in-hospital older patients is very high and calls for its prompt identification and management to improve their survival
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Índice:
AIM (África)
Assunto principal:
Idoso
/
Idoso Fragilizado
/
Centros de Atenção Terciária
/
Fragilidade
/
Nigéria
Tipo de estudo:
Estudo prognóstico
/
Fatores de risco
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Ghana Med. J. (Online)
Ano de publicação:
2019
Tipo de documento:
Artigo
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