Frailty and use of health and community services by community-dwelling older men: the Concord Health and Ageing in Men Project.

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Serval ID
serval:BIB_163195C7CA4B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Frailty and use of health and community services by community-dwelling older men: the Concord Health and Ageing in Men Project.
Journal
Age and Ageing
Author(s)
Rochat Stephane, Cumming Robert G., Blyth Fiona, Creasey Helen, Handelsman David, Le Couteur David G., Naganathan Vasi, Sambrook Philip N., Seibel Markus J., Waite Louise
ISSN
1468-2834[electronic], 0002-0729[linking]
Publication state
Published
Issued date
2010
Volume
39
Number
2
Pages
228-233
Language
english
Abstract
BACKGROUND: frailty is a concept used to describe older people at high risk of adverse outcomes, including falls, functional decline, hospital or nursing home admission and death. The associations between frailty and use of specific health and community services have not been investigated. METHODS: the cross-sectional relationship between frailty and use of several health and community services in the last 12 months was investigated in 1,674 community-dwelling men aged 70 or older in the Concord Health and Ageing in Men study, a population-based study conducted in Sydney, Australia. Frailty was assessed using a modified version of the Cardiovascular Health Study criteria. RESULTS: overall, 158 (9.4%) subjects were frail, 679 (40.6%) were intermediate (pre-frail) and 837 (50.0%) were robust. Frailty was associated with use of health and community services in the last 12 months, including consulting a doctor, visiting or being visited by a nurse or a physiotherapist, using help with meals or household duties and spending at least one night in a hospital or nursing home. Frail men without disability in activities of daily living were twice more likely to have seen a doctor in the previous 2 weeks than robust men (adjusted odds ratio 2.04, 95% confidence interval 1.21-3.44), independent of age, comorbidity and socio-economic status. CONCLUSION: frailty is strongly associated with use of health and community services in community-dwelling older men. The high level of use of medical services suggests that doctors and nurses could play a key role in implementation of preventive interventions.
Keywords
Fear, Accidental Falls, Aged, Questionnaires, Outcome Assessment, Elderly, Multiple Chronic Conditions, Frailty, Disability, Health, Prevalence, Adults, Care, Comorbidity, Cohort, Consequences
Pubmed
Web of science
Open Access
Yes
Create date
24/02/2010 14:41
Last modification date
25/09/2019 6:08
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