Measures of Frailty in Homebound Older Adults.

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Date: Apr. 1, 2022
From: Southern Medical Journal(Vol. 115, Issue 4)
Publisher: Southern Medical Association
Document Type: Brief article
Length: 181 words

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Abstract :

Byline: Sara Shirai, From the Department of Internal Medicine, Division of Geriatric and Palliative Medicine, University of Texas Health Science Center at Houston, Houston.; Min Ji Kwak; Jessica Lee 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 [greater than or equal] 5 medications, 63% were frail and 37% were prefrail, and among those who had [greater than or equal] 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.

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Gale Document Number: GALE|A697626795