Intrinsic capacity as proposed by the World Health Organization and 30-month mortality among older adults in long-term care facilities
Objective: To analyze the impact of intrinsic capacity on 30-month mortality among older adults living in long-term care facilities (LTCFs). Methods: Prospective cohort study with survival analysis conducted from July 2020 to December 2022 among older adults living in Brazilian LTCFs. At baseline (T...
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| Format: | Article |
| Language: | English |
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Brazilian Society of Geriatrics and Gerontology
2024-04-01
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| Series: | Geriatrics, Gerontology and Aging |
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| Online Access: | https://ggaging.com/details/1825/en-US/intrinsic-capacity-as-proposed-by-the-world-health-organization-and-30-month-mortality-among-older-adults-in-long-term-care-facilities |
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| author | Adriana Polachini do Valle Tatiane Cristina de Carvalho Antonio Rodrigues Bueno da Fonseca Thamires Auxiliadora Oyan Mariana Gegenheimer Bremenkamp José Vitor Polachini do Valle Villas Boas Paulo José Fortes Villas Boas |
| author_facet | Adriana Polachini do Valle Tatiane Cristina de Carvalho Antonio Rodrigues Bueno da Fonseca Thamires Auxiliadora Oyan Mariana Gegenheimer Bremenkamp José Vitor Polachini do Valle Villas Boas Paulo José Fortes Villas Boas |
| author_sort | Adriana Polachini do Valle |
| collection | DOAJ |
| description | Objective: To analyze the impact of intrinsic capacity on 30-month mortality among older adults living in long-term care facilities (LTCFs). Methods: Prospective cohort study with survival analysis conducted from July 2020 to December 2022 among older adults living in Brazilian LTCFs. At baseline (T0), 209 older residents were evaluated for demographic profile, clinical data (diagnosed diseases and current medications), intrinsic capacity according to ICOPE (cognitive capacity, psychological capacity, hearing capacity, visual capacity, vitality, and locomotor capacity domains), functional capacity (Katz Index of Independence in Activities of Daily Living), and frailty (FRAIL scale). At 30 months, mortality in the sample was assessed. Results: At T0, the mean age of residents was 82 (SD, 11.21) years; 65.07% were female, 94.26% were white, and 88.04% had multimorbidity. Overall, 54.07% (n = 113) of residents exhibited changes in four or more domains of intrinsic capacity, with locomotor capacity being the most commonly impaired domain (82.78%); 43.54% were completely dependent for basic activities of daily living, and 42.58% were frail. At 30-month follow-up, 33.49% (n = 70) of residents had died. Survival analysis revealed a statistically significant association between death and impairment in four or more domains of intrinsic capacity (p = 0.044). Conclusions: Impairment in four or more domains of intrinsic capacity is associated with death in LTCF residents. |
| first_indexed | 2024-04-24T06:56:20Z |
| format | Article |
| id | doaj.art-49f2af47cbcc48aeaf1c6aea117fb8c4 |
| institution | Directory Open Access Journal |
| issn | 2447-2123 |
| language | English |
| last_indexed | 2024-04-24T06:56:20Z |
| publishDate | 2024-04-01 |
| publisher | Brazilian Society of Geriatrics and Gerontology |
| record_format | Article |
| series | Geriatrics, Gerontology and Aging |
| spelling | doaj.art-49f2af47cbcc48aeaf1c6aea117fb8c42024-04-22T11:18:30ZengBrazilian Society of Geriatrics and GerontologyGeriatrics, Gerontology and Aging2447-21232024-04-01181610.53886/gga.e0000110_ENIntrinsic capacity as proposed by the World Health Organization and 30-month mortality among older adults in long-term care facilitiesAdriana Polachini do Valle0https://orcid.org/0000-0002-0090-8524Tatiane Cristina de Carvalho1https://orcid.org/0000-0002-6593-810XAntonio Rodrigues Bueno da Fonseca2https://orcid.org/0000-0002-6654-9720Thamires Auxiliadora Oyan3https://orcid.org/0009-0005-6610-4528Mariana Gegenheimer Bremenkamp4https://orcid.org/0000-0003-3258-7793José Vitor Polachini do Valle Villas Boas5https://orcid.org/0009-0001-4233-790XPaulo José Fortes Villas Boas6https://orcid.org/0000-0001-9876-3222Universidade Estadual Paulista, Faculdade de Medicina de Botucatu – Botucatu (SP), Brazil.Universidade Estadual Paulista, Faculdade de Medicina de Botucatu – Botucatu (SP), Brazil.Universidade Estadual Paulista, Faculdade de Medicina de Botucatu – Botucatu (SP), Brazil.Hospital Estadual da Vila Alpina – São Paulo (SP), Brazil.Hospital Militar de Área de São Paulo – São Paulo (SP), Brazil.Pontifícia Universidade Católica de São Paulo – São Paulo (SP), Brazil.Universidade Estadual Paulista, Faculdade de Medicina de Botucatu – Botucatu (SP), Brazil.Objective: To analyze the impact of intrinsic capacity on 30-month mortality among older adults living in long-term care facilities (LTCFs). Methods: Prospective cohort study with survival analysis conducted from July 2020 to December 2022 among older adults living in Brazilian LTCFs. At baseline (T0), 209 older residents were evaluated for demographic profile, clinical data (diagnosed diseases and current medications), intrinsic capacity according to ICOPE (cognitive capacity, psychological capacity, hearing capacity, visual capacity, vitality, and locomotor capacity domains), functional capacity (Katz Index of Independence in Activities of Daily Living), and frailty (FRAIL scale). At 30 months, mortality in the sample was assessed. Results: At T0, the mean age of residents was 82 (SD, 11.21) years; 65.07% were female, 94.26% were white, and 88.04% had multimorbidity. Overall, 54.07% (n = 113) of residents exhibited changes in four or more domains of intrinsic capacity, with locomotor capacity being the most commonly impaired domain (82.78%); 43.54% were completely dependent for basic activities of daily living, and 42.58% were frail. At 30-month follow-up, 33.49% (n = 70) of residents had died. Survival analysis revealed a statistically significant association between death and impairment in four or more domains of intrinsic capacity (p = 0.044). Conclusions: Impairment in four or more domains of intrinsic capacity is associated with death in LTCF residents.https://ggaging.com/details/1825/en-US/intrinsic-capacity-as-proposed-by-the-world-health-organization-and-30-month-mortality-among-older-adults-in-long-term-care-facilitiesagedagingfrailtyhomes for the aged |
| spellingShingle | Adriana Polachini do Valle Tatiane Cristina de Carvalho Antonio Rodrigues Bueno da Fonseca Thamires Auxiliadora Oyan Mariana Gegenheimer Bremenkamp José Vitor Polachini do Valle Villas Boas Paulo José Fortes Villas Boas Intrinsic capacity as proposed by the World Health Organization and 30-month mortality among older adults in long-term care facilities Geriatrics, Gerontology and Aging aged aging frailty homes for the aged |
| title | Intrinsic capacity as proposed by the World Health Organization and 30-month mortality among older adults in long-term care facilities |
| title_full | Intrinsic capacity as proposed by the World Health Organization and 30-month mortality among older adults in long-term care facilities |
| title_fullStr | Intrinsic capacity as proposed by the World Health Organization and 30-month mortality among older adults in long-term care facilities |
| title_full_unstemmed | Intrinsic capacity as proposed by the World Health Organization and 30-month mortality among older adults in long-term care facilities |
| title_short | Intrinsic capacity as proposed by the World Health Organization and 30-month mortality among older adults in long-term care facilities |
| title_sort | intrinsic capacity as proposed by the world health organization and 30 month mortality among older adults in long term care facilities |
| topic | aged aging frailty homes for the aged |
| url | https://ggaging.com/details/1825/en-US/intrinsic-capacity-as-proposed-by-the-world-health-organization-and-30-month-mortality-among-older-adults-in-long-term-care-facilities |
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