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Discordance in Frai...
Discordance in Frailty Measures in Old Community Dwelling People with Multimorbidity - A Cross-Sectional Study
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- Lindh Mazya, Amelie (författare)
- Karolinska Institutet,Karolinska Institute
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- Axmon, Anna (författare)
- Karolinska Institutet,Lund University,Lunds universitet,Avdelningen för arbets- och miljömedicin,Institutionen för laboratoriemedicin,Medicinska fakulteten,EPI@LUND,Forskargrupper vid Lunds universitet,Division of Occupational and Environmental Medicine, Lund University,Department of Laboratory Medicine,Faculty of Medicine,Lund University Research Groups
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- Sandberg, Magnus (författare)
- Lund University,Lunds universitet,Proaktiv, integrerad vård,Forskargrupper vid Lunds universitet,Proactive Integrated Care,Lund University Research Groups
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- Boström, Anne-Marie (författare)
- Karolinska Institute,Karolinska University Hospital
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- W Ekdahl, Anne (författare)
- Karolinska Institute,Lund University,Lunds universitet,Kliniska Vetenskaper, Helsingborg,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Clinical Sciences, Helsingborg,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
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(creator_code:org_t)
- 2023
- 2023
- Engelska.
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Ingår i: Clinical Interventions in Aging. - 1178-1998. ; 18, s. 1607-1618
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.2...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- PURPOSE: Assessment of frailty is a key method to identify older people in need of holistic care. However, agreement between different frailty instrument varies. Thus, groups classified as frail by different instruments are not completely overlapping. This study evaluated differences in sociodemographic factors, cognition, functional status, and quality of life between older persons with multimorbidity who were discordantly classified by five different frailty instruments, with focus on the Clinical Frailty Scale (CFS) and Fried's Frailty Phenotype (FP).PARTICIPANTS AND METHODS: This was a cross-sectional study in a community-dwelling setting. Inclusion criteria were as follows: ≥75 years old, ≥3 visits to the emergency department the past 18 months, and ≥3 diagnoses according to ICD-10. 450 participants were included. Frailty was assessed by CFS, FP, Short Physical Performance Battery (SPPB), Grip Strength and Walking Speed.RESULTS: 385 participants had data on all frailty instruments. Prevalence of frailty ranged from 34% (CFS) to 75% (SPPB). Nine percent of participants were non-frail by all instruments, 20% were frail by all instruments and 71% had discordant frailty classifications. Those who were frail according to CFS but not by the other instruments had lower cognition and functional status. Those who were frail according to FP but not CFS were, to a larger extent, women, lived alone, had higher cognitive ability and functional status.CONCLUSION: The CFS might not identify physically frail women in older community-dwelling people with multimorbidity. They could thus be at risk of not be given the attention their frail condition need.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
Nyckelord
- Humans
- Female
- Aged
- Aged, 80 and over
- Frailty/diagnosis
- Independent Living
- Frail Elderly
- Cross-Sectional Studies
- Multimorbidity
- Quality of Life
- Geriatric Assessment/methods
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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