Changes in frailty conditions and phenotype components in elderly after hospitalization

ABSTRACT Objective: describing the changes in frailty conditions over the period of a year after hospital discharge, verifying predictive variables for changes in frailty conditions and frailty phenotype components according to worsening, improving and stable groups. Method: a longitudinal survey...

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Main Authors: Gianna Fiori Marchiori, Darlene Mara dos Santos Tavares
Format: Article
Language:English
Published: Universidade de São Paulo
Series:Revista Latino-Americana de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692017000100355&lng=en&tlng=en
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author Gianna Fiori Marchiori
Darlene Mara dos Santos Tavares
author_facet Gianna Fiori Marchiori
Darlene Mara dos Santos Tavares
author_sort Gianna Fiori Marchiori
collection DOAJ
description ABSTRACT Objective: describing the changes in frailty conditions over the period of a year after hospital discharge, verifying predictive variables for changes in frailty conditions and frailty phenotype components according to worsening, improving and stable groups. Method: a longitudinal survey carried out with 129 elderly. A structured form for socioeconomic and health data, scales (Geriatric Depression Scale - short form, Katz scale, Lawton and Brody scale) and frailty phenotype according to Fried were used. Descriptive analysis and multinomial logistic regression model (p<0.05) were performed. Results: we found that 56.7% of older adults changed their condition from non-frail to pre-frail, with no changes from non-frail to frail. Deaths were found between frail and pre-frail elderly. In the worsening group, the increase in the number of morbidities was a predictor for exhaustion and/or fatigue, while in the improving group, increased dependence on instrumental activities of daily living was a predictor for weight loss, and reduced scores indicative of depression due to low level of physical activity. Conclusion: a greater percentage of changes from non-frail condition to pre-frail older adults were observed, and health variables were only predictive for frailty phenotype components.
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spelling doaj.art-9097e2bead55478fb817e98da0f2aabf2022-12-22T03:06:36ZengUniversidade de São PauloRevista Latino-Americana de Enfermagem1518-834525010.1590/1518-8345.1417.2905S0104-11692017000100355Changes in frailty conditions and phenotype components in elderly after hospitalizationGianna Fiori MarchioriDarlene Mara dos Santos TavaresABSTRACT Objective: describing the changes in frailty conditions over the period of a year after hospital discharge, verifying predictive variables for changes in frailty conditions and frailty phenotype components according to worsening, improving and stable groups. Method: a longitudinal survey carried out with 129 elderly. A structured form for socioeconomic and health data, scales (Geriatric Depression Scale - short form, Katz scale, Lawton and Brody scale) and frailty phenotype according to Fried were used. Descriptive analysis and multinomial logistic regression model (p<0.05) were performed. Results: we found that 56.7% of older adults changed their condition from non-frail to pre-frail, with no changes from non-frail to frail. Deaths were found between frail and pre-frail elderly. In the worsening group, the increase in the number of morbidities was a predictor for exhaustion and/or fatigue, while in the improving group, increased dependence on instrumental activities of daily living was a predictor for weight loss, and reduced scores indicative of depression due to low level of physical activity. Conclusion: a greater percentage of changes from non-frail condition to pre-frail older adults were observed, and health variables were only predictive for frailty phenotype components.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692017000100355&lng=en&tlng=enIdoso FragilizadoEstudos LongitudinaisEnfermagem Geriátrica
spellingShingle Gianna Fiori Marchiori
Darlene Mara dos Santos Tavares
Changes in frailty conditions and phenotype components in elderly after hospitalization
Revista Latino-Americana de Enfermagem
Idoso Fragilizado
Estudos Longitudinais
Enfermagem Geriátrica
title Changes in frailty conditions and phenotype components in elderly after hospitalization
title_full Changes in frailty conditions and phenotype components in elderly after hospitalization
title_fullStr Changes in frailty conditions and phenotype components in elderly after hospitalization
title_full_unstemmed Changes in frailty conditions and phenotype components in elderly after hospitalization
title_short Changes in frailty conditions and phenotype components in elderly after hospitalization
title_sort changes in frailty conditions and phenotype components in elderly after hospitalization
topic Idoso Fragilizado
Estudos Longitudinais
Enfermagem Geriátrica
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692017000100355&lng=en&tlng=en
work_keys_str_mv AT giannafiorimarchiori changesinfrailtyconditionsandphenotypecomponentsinelderlyafterhospitalization
AT darlenemaradossantostavares changesinfrailtyconditionsandphenotypecomponentsinelderlyafterhospitalization