| Resum: |
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). Our observational, single-center, prospective study consecutively included patients over 65-years-old admitted between March 1, 2021, and April 30, 2021. 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. 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. |
visitant ::
identificació
(Institut d'Investigació Biomèdica Sant Pau)
