The Prevalence of Frailty Syndrome and Its Associated Factors among Elderly Hospitalized in Firoozabadi Hospital

ABSTRACT

Background: Frailty Syndrome is one of the most common and important syndromes related to the elderly that plays an essential role in the quality of life and health status of the elderly. This study aimed to investigate the prevalence of Frailty syndrome and its associated factors in individuals over 55 years of age referred to the clinic of Firoozabadi Hospital in Rey in 2019-2020. Method: It is a descriptive cross-sectional study carried out on individuals over 55 years of age referred to the clinic of Firoozabadi Hospital in Rey, Tehran, in 2019-2020. 200 elderly individuals were selected by the purposive sampling method and entered the study. To collect the required information, a demographic questionnaire, Pittsburgh Sleep Quality Questionnaire, and Frailty-Fried phenotype criteria were implemented. After collecting the data, it was entered into SPSS software version 20. In descriptive statistics, mean and standard deviation, and inferential statistics due to non-normality of data, Spearman correlation coefficient and logistic regression were utilized to assess variables. Results: The mean age of participants was 69.72 +/- 7.897 years, and 72.5% of the participants were female. The average body mass index of the participants was 27.58 +/- 12.30 square meters. The 21.10 percentage of Frailty and 44.20% pre-frailty were respectively. There is a statistically significant positive correlation between Fried's criteria with a history of antipsychotic medication(r = 0.241, p = 0.004), congestive heart failure (r = 0.220, p = 0.009), history of falls (r = 0.283, p = 0.001) and poor sleep quality (r = 0.240, p = 0.004). A history of congestive heart disease, falls, and poor sleep quality have been found as predictive factors of fertility syndrome in the elderly. These variables indicate the increased incidence chance of fertility syndrome in the elderly. The mean sleep quality score in the elderly was higher than the pre-elderly and showed poorer sleep quality in this group (p <0.001). Conclusion: According to the study's findings, the prevalence of Frailty symptoms in the elderly population was close to 40%, which can be considered a high prevalence. Therefore, early identification and diagnosis of Frailty syndrome can prevent the adverse consequences. It is necessary to provide appropriate and comprehensive interventions to reduce the adverse effects of Frailty syndrome among the elderly population.