File(s) stored somewhere else
Please note: Linked content is NOT stored on Torrens University Australia and we can't guarantee its availability, quality, security or accept any liability.
Prevalence and associations of frailty in residents of Australian aged care facilities: findings from a retrospective cohort study
journal contribution
posted on 2020-11-30, 05:12 authored by Rachel AmbagtsheerRachel Ambagtsheer, Justin BeilbyJustin Beilby, C. Seiboth, Elsa DentElsa DentObjectives: Studies conducted among older people have shown that frailty is a common condition associated with an array of adverse outcomes. The aims of this study were to identify the prevalence and associations of frailty in older people residing in several aged care facilities located in Queensland, Australia. Methods: The database used for this study was drawn from the Aged Care Funding Instrument (ACFI) database of an Australian aged care provider, and contained data from ten aged care facilities in Queensland, Australia. A modification of an eFI originally developed by Clegg and colleagues and based on Rockwood’s Frailty Index (FI) of cumulative deficits was used to identify frailty. Results: In total, 592 participants aged 75 years and over were included in the study (66.6% female). Median (IQR) age was 88.0 (9.0) years. Frailty prevalence among the sample was 43.6%, with 46.3% pre-frail and 10.1% not frail. In a multivariate logistic regression analysis incorporating three different models, frailty was significantly associated with three ACFI domains (Nutrition, Depression and Complex Health Care), along with facility size, consistently across two models. In the third model, frailty was also significantly associated with arthritis, diabetes, hypertension, osteoporosis and vision problems, along with male gender. Conclusion: There is a need to develop frailty identification and management programs as part of standard care pathways for older adults residing in aged care facilities. Aged care facilities should consider regular frailty screening in residential aged care residents, along with interventions addressing specific issues such as dysphagia and depression.
Funding
Understanding Frailty in Older People: An Epidemiological Insight
National Health and Medical Research Council
Find out more...Frailty Trans-Disciplinary Research To Achieve Healthy Ageing
National Health and Medical Research Council
Find out more...