Trends in prevalence and outcomes of frailty in a Swiss university hospital: a retrospective observational study.

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Auteurs
Date

28 juin 2021

Type de document
Périmètre
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Identifiants
Source

Serveur académique Lausannois

Relations

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.1093/ageing/afaa278

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/33453112

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/eissn/1468-2834

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_B5BE5474F90C4

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Serveur Académique Lausannois

Organisation

Université de Lausanne et CHUV

Licences

info:eu-repo/semantics/openAccess , CC BY 4.0 , https://creativecommons.org/licenses/by/4.0/

Mots-clés 0

Aged; Female; Frail Elderly; Frailty/diagnosis; Frailty/epidemiology; Geriatric Assessment; Hospitals, University; Humans; Length of Stay; Male; Prevalence; Retrospective Studies; Switzerland/epidemiology; Switzerland; frailty; health costs; older people; patients; retrospective study

Sujets proches En

Tsʻeu Tzʻu Ci Tse Older persons Older adults Seniors (Older people) Elderly people Old people Senior citizens Aging people Aged

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T. Bonjour et al., « Trends in prevalence and outcomes of frailty in a Swiss university hospital: a retrospective observational study. », Serveur académique Lausannois, ID : 10.1093/ageing/afaa278

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Frailty complicates management and worsens outcomes. We assessed the prevalence, determinants and consequences of frailty among elderly patients in a hospital setting. Retrospective observational study in a Swiss university hospital. 22,323 patients aged ≥65 years hospitalized between January 2009 and December 2017 at the internal medicine ward were included. Frailty was defined by the Hospital Frailty Risk Score (HFRS) and patients were categorized as low (HFRS15) risk. Overall prevalence of intermediate and high risk of frailty was 43% and 20%, respectively; prevalence was higher in women and increased with age. Prevalence of high risk of frailty increased from 11.4% in 2009 to 31% in 2012, and decreased to 19.2% in 2017. After multivariable adjustment, frailty was associated with increased length of stay: average and (95% confidence interval) 11.9 (11.7-12.1), 15.6 (15.4-15.8) and 19.7 (19.3-20.1) days for low, intermediate and high risk, respectively, and increased likelihood of ICU stay: odds ratio (OR) and (95% CI) 1.57 (1.41-1.75) and 2.10 (1.82-2.42) for intermediate and high risk, respectively, p for trend 70,000 CHF: OR and (95% CI) 3.46 (2.79-4.29) and 10.7 (8.47-13.6) for intermediate and high risk, respectively, p for trend

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