Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults.
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-SS...
| Autores: | , , , , , , |
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | España |
| Recursos: | Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau) |
| Repositorio: | r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau |
| OAI Identifier: | oai:iibsantpau.fundanetsuite.com:p17017 |
| Acesso em linha: | https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17017 |
| Access Level: | acceso abierto |
| Palavra-chave: | Aged Clinical observation units Emergency medicine Frailty Mortality |
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Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults.Blázquez-Andión MMontiel-Dacosta JARizzi-Bordigoni MAcosta-Mejuto BMoliné-Pareja ARis-Romeu JPuig-Campmany MAgedClinical observation unitsEmergency medicineFrailtyMortalityBACKGROUND: 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.ELSEVIER IRELAND LTD2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17017ARCHIVES OF GERONTOLOGY AND GERIATRICSISSN: 01674943ISSNe: 18726976reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p170172026-06-14T12:41:47Z |
| dc.title.none.fl_str_mv |
Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults. |
| title |
Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults. |
| spellingShingle |
Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults. Blázquez-Andión M Aged Clinical observation units Emergency medicine Frailty Mortality |
| title_short |
Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults. |
| title_full |
Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults. |
| title_fullStr |
Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults. |
| title_full_unstemmed |
Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults. |
| title_sort |
Frailty and mortality: Utility of Frail-VIG index in ED short-stay units for older adults. |
| dc.creator.none.fl_str_mv |
Blázquez-Andión M Montiel-Dacosta JA Rizzi-Bordigoni M Acosta-Mejuto B Moliné-Pareja A Ris-Romeu J Puig-Campmany M |
| author |
Blázquez-Andión M |
| author_facet |
Blázquez-Andión M Montiel-Dacosta JA Rizzi-Bordigoni M Acosta-Mejuto B Moliné-Pareja A Ris-Romeu J Puig-Campmany M |
| author_role |
author |
| author2 |
Montiel-Dacosta JA Rizzi-Bordigoni M Acosta-Mejuto B Moliné-Pareja A Ris-Romeu J Puig-Campmany M |
| author2_role |
author author author author author author |
| dc.subject.none.fl_str_mv |
Aged Clinical observation units Emergency medicine Frailty Mortality |
| topic |
Aged Clinical observation units Emergency medicine Frailty Mortality |
| description |
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. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17017 |
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https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17017 |
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Inglés |
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Inglés |
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info:eu-repo/semantics/openAccess |
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openAccess |
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ELSEVIER IRELAND LTD |
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ELSEVIER IRELAND LTD |
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ARCHIVES OF GERONTOLOGY AND GERIATRICS ISSN: 01674943 ISSNe: 18726976 reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau) |
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Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau) |
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r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau |
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r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau |
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