Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults.
Por:
Blázquez-Andión M, Montiel-Dacosta JA, Rizzi-Bordigoni M, Acosta-Mejuto B, Moliné-Pareja A, Ris-Romeu J, Puig-Campmany M
Publicada:
24 sep 2023
Ahead of Print:
24 sep 2023
Resumen:
BACKGROUND: Frailty assessment allows the identification of patients at risk of death. The aim here was to study the ability of Frail-VIG Index (FI-VIG) in order to discriminate frailty groups of older adults and garner its correlation with mortality in an Emergency-Department Short-Stay Unit (ED-SSU). METHODS: Our observational, single-center, prospective study consecutively included patients over 65-years-old admitted between March 1, 2021, and April 30, 2021. RESULTS: 302 patients were included (56 % women), mean age 83 ± 8 years, and 39.1 % of them had a functional disability whilst 16.5 % of them had dementia. A total of 174 patients (58 %) met the frailty criteria (FI-VIG = 0.2): 111 (63.8 %) had mild frailty (FI-VIG 0.2-0.36), 52 (29.9 %) had moderate frailty (FI-VIG 0.36-0.55), and 11 (6.3 %) had advanced frailty (FI-VIG > 0.55). Mortality at 30 days, 6 months, and 1 year was analyzed: no frailty was 6.3 %, 10.8 %, and 12.5 %, respectively; mild frailty was 10.8 %, 22.5 %, and 22.5 %, respectively; moderate frailty was 25 %, 34.6 %, and 42.3 %, respectively; advanced frailty was 36.4 %, 54.5 %, and 3.6 %, respectively. This shows the significant differences between the groups (1-year mortality p < 0.001). Mild frailty vs. non-frail HR was 2.47 (95 %CI 1.12-5.46), moderate frailty vs. non-frail HR was 6.93 (95 %CI 3.16-15.23), and advanced frailty vs. non-frail HR was 11.29 (95 %CI 3.54-36.03). The mean test time was 7 min. CONCLUSIONS: There was a strong correlation between frailty degree and mortality at 1, 6, and 12 months. FI-VIG is fast and easy-to-use in this setting. It is routine implementation in ED-SSUs could enable early risk stratification.
Filiaciones:
Blázquez-Andión M:
Emergency Department, Hospital de la Santa Creu i Sant Pau. Sant Quinti 87, Barcelona 08025, Spain
Autonomous University of Barcelona. Plaza Cívica, Bellaterra, Cerdanyola del Valles 08193, Spain
IB Sant Pau, Research Institute. Sant Quinti 91, Barcelona 08025, Spain
Montiel-Dacosta JA:
Emergency Department, Hospital de la Santa Creu i Sant Pau. Sant Quinti 87, Barcelona 08025, Spain
Autonomous University of Barcelona. Plaza Cívica, Bellaterra, Cerdanyola del Valles 08193, Spain
IB Sant Pau, Research Institute. Sant Quinti 91, Barcelona 08025, Spain
Rizzi-Bordigoni M:
Emergency Department, Hospital de la Santa Creu i Sant Pau. Sant Quinti 87, Barcelona 08025, Spain
Autonomous University of Barcelona. Plaza Cívica, Bellaterra, Cerdanyola del Valles 08193, Spain
IB Sant Pau, Research Institute. Sant Quinti 91, Barcelona 08025, Spain
Acosta-Mejuto B:
Emergency Department, Hospital de la Santa Creu i Sant Pau. Sant Quinti 87, Barcelona 08025, Spain
IB Sant Pau, Research Institute. Sant Quinti 91, Barcelona 08025, Spain
Moliné-Pareja A:
Emergency Department, Hospital de la Santa Creu i Sant Pau. Sant Quinti 87, Barcelona 08025, Spain
Autonomous University of Barcelona. Plaza Cívica, Bellaterra, Cerdanyola del Valles 08193, Spain
IB Sant Pau, Research Institute. Sant Quinti 91, Barcelona 08025, Spain
Ris-Romeu J:
Emergency Department, Hospital de la Santa Creu i Sant Pau. Sant Quinti 87, Barcelona 08025, Spain
IB Sant Pau, Research Institute. Sant Quinti 91, Barcelona 08025, Spain
Urgent Care Process Hospital de la Santa Creu i Sant Pau. Sant Quintí 87, Barcelona 08025, Spain
Puig-Campmany M:
Emergency Department, Hospital de la Santa Creu i Sant Pau. Sant Quinti 87, Barcelona 08025, Spain
Autonomous University of Barcelona. Plaza Cívica, Bellaterra, Cerdanyola del Valles 08193, Spain
IB Sant Pau, Research Institute. Sant Quinti 91, Barcelona 08025, Spain
hybrid, All Open Access; Hybrid Gold
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