The influence of the combination of visiting frequency of family caregivers and pre-admission frailty status on dependency after discharge among hospitalized older patients: a clinically-based prospective study.
Dependency
Frailty
Hospitalized older adults
Visiting frequency
Journal
European geriatric medicine
ISSN: 1878-7649
Titre abrégé: Eur Geriatr Med
Pays: Switzerland
ID NLM: 101533694
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
13
12
2019
accepted:
06
04
2020
pubmed:
24
4
2020
medline:
19
8
2021
entrez:
24
4
2020
Statut:
ppublish
Résumé
This study aims to determine whether the combination of visiting frequency of the family caregiver and frailty status has an additive effect on the incidence of dependency among hospitalized older patients. We analyzed the prospective cohort data of hospitalized older patients (65 years and older) with internal medical problems. The main outcome showed patients' dependency from admission to a month after discharge. We investigated the visiting frequency of family caregivers and the frailty status and categorized respondents into 4 groups: group 1, visiting frequency 3-7 times a week and non-frailty; group 2, visiting frequency 0-2 times a week and non-frailty; group 3, visiting frequency 3-7 times a week and frailty; or group 4, visiting frequency 0-2 times a week and frailty. We used the Cox proportional hazards regression to estimate the hazard ratios (HR) and confidence intervals (95% CI) of relationships between the combination of visiting frequency and frailty status, and dependency. A total of 182 participants who completed the follow-up were analyzed. During the follow-up period, 45 participants (24.7%) showed some dependency. The hazards regression showed that the low visiting frequency group with presence of frailty had the most increased dependency, compared to other groups (adjusted HR 8.61 [95% CI 3.38-21.98]). The coexistence of low visiting frequency and the presence of frailty influenced dependency more strongly than each factor alone. These findings suggest that the combination of visiting frequency and frailty status is a useful predictor for future dependency.
Identifiants
pubmed: 32323249
doi: 10.1007/s41999-020-00322-1
pii: 10.1007/s41999-020-00322-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
483-490Références
Covinsky KE, Palmer RM, Fortinsky RH, Counsell SR, Stewart AL, Kresevic D et al (2003) Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc 51(4):451–458
doi: 10.1046/j.1532-5415.2003.51152.x
Boyd CM, Ricks M, Fried LP, Guralnik JM, Xue QL, Xia J et al (2009) Functional decline and recovery of activities of daily living in hospitalized, disabled older women: the Women’s Health and Aging Study I. J Am Geriatr Soc 57(10):1757–1766. https://doi.org/10.1111/j.1532-5415.2009.02455.x
doi: 10.1111/j.1532-5415.2009.02455.x
pubmed: 19694869
pmcid: 2805561
Helvik AS, Selbaek G, Engedal K (2013) Functional decline in older adults 1 year after hospitalization. Arch Gerontol Geriatr 57(3):305–310. https://doi.org/10.1016/j.archger.2013.05.008
doi: 10.1016/j.archger.2013.05.008
pubmed: 23806790
Goto R, Watanabe H, Haruta J, Tsutsumi M, Yokoya S, Maeno T (2017) Identification of prognostic factors for activities of daily living in elderly patients after hospitalization for acute infectious disease in Japan: a 6-month follow-up study. Geriatr Gerontol Int. https://doi.org/10.1111/ggi.13227
doi: 10.1111/ggi.13227
pubmed: 29278290
Tsutsui T, Muramatsu N (2005) Care-needs certification in the long-term care insurance system of Japan. J Am Geriatr Soc 53(3):522–527. https://doi.org/10.1111/j.1532-5415.2005.53175.x
doi: 10.1111/j.1532-5415.2005.53175.x
pubmed: 15743300
Rockwood K, Stadnyk K, MacKnight C, McDowell I, Hebert R, Hogan DB (1999) A brief clinical instrument to classify frailty in elderly people. Lancet (London, England) 353(9148):205–206. https://doi.org/10.1016/s0140-6736(98)04402-x
doi: 10.1016/s0140-6736(98)04402-x
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J et al (2001) Frailty in older adults: evidence for a phenotype. J Gerontol Ser A Biol Sci Med Sci 56(3):M146–M156
doi: 10.1093/gerona/56.3.M146
Ensrud KE, Ewing SK, Taylor BC, Fink HA, Cawthon PM, Stone KL et al (2008) Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Arch Intern Med 168(4):382–389. https://doi.org/10.1001/archinternmed.2007.113
doi: 10.1001/archinternmed.2007.113
pubmed: 18299493
Ensrud KE, Ewing SK, Cawthon PM, Fink HA, Taylor BC, Cauley JA et al (2009) A comparison of frailty indexes for the prediction of falls, disability, fractures, and mortality in older men. J Am Geriatr Soc 57(3):492–498. https://doi.org/10.1111/j.1532-5415.2009.02137.x
doi: 10.1111/j.1532-5415.2009.02137.x
pubmed: 19245414
pmcid: 2861353
Graham JE, Snih SA, Berges IM, Ray LA, Markides KS, Ottenbacher KJ (2009) Frailty and 10-year mortality in community-living Mexican American older adults. Gerontology 55(6):644–651. https://doi.org/10.1159/000235653
doi: 10.1159/000235653
pubmed: 19690395
pmcid: 2783319
Vellas B, Balardy L, Gillette-Guyonnet S, Abellan Van Kan G, Ghisolfi-Marque A, Subra J et al (2013) Looking for frailty in community-dwelling older persons: the Gerontopole Frailty Screening Tool (GFST). J Nutr Health Aging 17(7):629–631. https://doi.org/10.1007/s12603-013-0363-6
doi: 10.1007/s12603-013-0363-6
pubmed: 23933875
Makizako H, Shimada H, Doi T, Tsutsumimoto K, Suzuki T (2015) Impact of physical frailty on disability in community-dwelling older adults: a prospective cohort study. BMJ Open 5(9):e008462. https://doi.org/10.1136/bmjopen-2015-008462
doi: 10.1136/bmjopen-2015-008462
pubmed: 26338685
pmcid: 4563225
Yamada M, Arai H (2015) Predictive value of Frailty Scores for healthy life expectancy in community-dwelling older Japanese adults. J Am Med Dir Assoc 16(11):1002.e7–1002.e11. https://doi.org/10.1016/j.jamda.2015.08.001
doi: 10.1016/j.jamda.2015.08.001
Satake S, Shimokata H, Senda K, Kondo I, Toba K (2017) Validity of Total Kihon Checklist Score for predicting the incidence of 3-year dependency and mortality in a community-dwelling older population. J Am Med Dir Assoc 18(6):552. https://doi.org/10.1016/j.jamda.2017.03.013
doi: 10.1016/j.jamda.2017.03.013
pubmed: 28479274
Koyama S, Katata H, Ishiyama D, Komatsu T, Fujimoto J, Suzuki M et al (2018) Preadmission frailty status as a powerful predictor of dependency after discharge among hospitalized older patients: a clinical-based prospective study. Geriatr Gerontol Int. https://doi.org/10.1111/ggi.13537
doi: 10.1111/ggi.13537
pubmed: 30264424
Kondo N, Kawachi I, Hirai H, Kondo K, Subramanian SV, Hanibuchi T et al (2009) Relative deprivation and incident functional disability among older Japanese women and men: prospective cohort study. J Epidemiol Community Health 63(6):461–467. https://doi.org/10.1136/jech.2008.078642
doi: 10.1136/jech.2008.078642
pubmed: 19218252
pmcid: 2677290
Covinsky KE, Pierluissi E, Johnston CB (2011) Hospitalization-associated disability: “She was probably able to ambulate, but I’m not sure”. JAMA 306(16):1782–1793. https://doi.org/10.1001/jama.2011.1556
doi: 10.1001/jama.2011.1556
pubmed: 22028354
Saito E, Ueki S, Yasuda N, Yamazaki S, Yasumura S (2014) Risk factors of functional disability among community-dwelling elderly people by household in Japan: a prospective cohort study. BMC Geriatr 14:93. https://doi.org/10.1186/1471-2318-14-93
doi: 10.1186/1471-2318-14-93
pubmed: 25154498
pmcid: 4158357
Makizako H, Shimada H, Tsutsumimoto K, Lee S, Doi T, Nakakubo S et al (2015) Social frailty in community-dwelling older adults as a risk factor for disability. J Am Med Dir Assoc 16(11):1003. https://doi.org/10.1016/j.jamda.2015.08.023
doi: 10.1016/j.jamda.2015.08.023
pubmed: 26482055
Makino K, Ihira H, Mizumoto A, Shimizu K, Ishida T, Yamaguchi R et al (2018) Structural analysis of impact of physical, cognitive and social status on the incidence of disability in community-dwelling people aged ≥ 75 years. Geriatr Gerontol Int. https://doi.org/10.1111/ggi.13539
doi: 10.1111/ggi.13539
pubmed: 30565831
Yamada M, Arai H (2018) Social frailty predicts incident disability and mortality among community-dwelling Japanese older adults. J Am Med Dir Assoc 19(12):1099–1103. https://doi.org/10.1016/j.jamda.2018.09.013
doi: 10.1016/j.jamda.2018.09.013
pubmed: 30471801
Arai H, Satake S (2015) English translation of the Kihon Checklist. Geriatr Gerontol Int 15(4):518–519. https://doi.org/10.1111/ggi.12397
doi: 10.1111/ggi.12397
pubmed: 25828791
Satake S, Senda K, Hong YJ, Miura H, Endo H, Sakurai T et al (2016) Validity of the Kihon Checklist for assessing frailty status. Geriatr Gerontol Int 16(6):709–715. https://doi.org/10.1111/ggi.12543
doi: 10.1111/ggi.12543
pubmed: 26171645
Mahoney FI, Barthel DW (1965) Functional evaluation: the Barthel Index. Md State Med J 14:61–65
Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5):373–383
doi: 10.1016/0021-9681(87)90171-8
Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12(3):189–198
doi: 10.1016/0022-3956(75)90026-6
Stuck AE, Walthert JM, Nikolaus T, Bula CJ, Hohmann C, Beck JC (1999) Risk factors for functional status decline in community-living elderly people: a systematic literature review. Soc Sci Med (1982) 48(4):445–469
doi: 10.1016/S0277-9536(98)00370-0
Mendes de Leon CF, Gold DT, Glass TA, Kaplan L, George LK (2001) Disability as a function of social networks and support in elderly African Americans and Whites: the Duke EPESE 1986–1992. J Gerontol Ser B Psychol Sci Soc Sci 56(3):S179–S190
doi: 10.1093/geronb/56.3.S179
Seeman T, Chen X (2002) Risk and protective factors for physical functioning in older adults with and without chronic conditions: MacArthur Studies of Successful Aging. J Gerontol Ser B Psychol Sci Soc Sci 57(3):S135–S144
doi: 10.1093/geronb/57.3.S135