Frailty at death : an examination of multiple causes of death in four low mortality countries in 2017
Trias Llimós, Sergi (Centre d'Estudis Demogràfics)
Barbieri, Magali (University of California)
Egidi, Viviana (Università di Roma)
Frova, Luisa (Istituto nazionale di statistica)
Grippo, Francesco (Istituto nazionale di statistica)
Meslé, France (Institut National d'Études Démographiques)
Pappagallo, Marilena (Istituto nazionale di statistica)
Désesquelles, Aline (Institut National d'Études Démographiques)

Data:	2023
Resum:	BACKGROUND The increasing prevalence of frailty in ageing populations represents a major social and public health challenge which warrants a better understanding of the contribution of frailty to the morbid process. OBJECTIVE To examine frailty-related mortality as reported on death certificates in France, Italy, Spain, and the United States in 2017. METHODS We identify frailty at death for the population aged 50 years and over in France, Italy, Spain, and the United States. We estimate the proportions of deaths by sex, age group, and country using specific frailty-related ICD-codes on the death certificate, (1) as the underlying cause of death (UC), (2) elsewhere in Part I (sequence of diseases or conditions or events leading directly to death), and (3) anywhere in Part II (conditions that do not belong in Part I but whose presence contributed to death). RESULTS The age-standardized proportion of deaths with frailty at ages 50 and over is highest in Italy (25. 0%) followed by France (24. 1%) and Spain (17. 3%), and lowest in the United States (14. 0%). Cross-country differences are smaller when frailty-related codes are either the underlying cause of the death or reported in Part II. Frailty-related mortality increases with age and is higher among females than males. Dementia is the most frequently reported frailty-related code. CONCLUSIONS Notable cross-country differences were found in the prevalence and type of frailty-related symptoms at death, even after adjusting for differential age distributions. CONTRIBUTION Strong similarities between countries were found that warrant monitoring frailty at death in low-mortality countries to complement information on frailty prevalence in the living population.
Ajuts:	Agencia Estatal de Investigación RYC2021-033123-I Agencia Estatal de Investigación PID2020-113934RB-I00
Nota:	Altres ajuts: University of California Berkeley Center for the Economics and Demography of Aging (NIH grant #P30AG012839).
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	Demographic research, Vol. 49 (2023) , p. 13-30, ISSN 1435-9871

DOI: 10.4054/DemRes.2023.49.2
PMID: 38288270

21 p, 317.7 KB

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