Akademik Veri Yönetim Sistemi
WORLD CONGRESS ON OSTEOPOROSIS, OSTEOARTHRITIS AND MUSCULOSKELETAL DISEASES 2019, Paris, Fransa, 4 - 07 Nisan 2019, ss.537
Objective: Frailty is most often defined as a syndrome of physiological decline in late life, characterized by marked vulnerability to adverse health outcomes. Frail older adults are less able to adapt to stressors such as acute illness or trauma than younger or nonfrail older adults. This increased vulnerability contributes to increased risk for multiple adverse outcomes, including procedural complications, falls, institutionalization, disability, and death. We aimed to assess prevalence of frailty in elder people and it is relationship with other conditions in this study.
Methods: 1107 individuals ≥60 y of age admitted to Istanbul Medical School Geriatrics outpatient clinic for the first time the period between 2013-2016 were enrolled to study. We used The International Association of Nutrition and Aging’s FRAIL scale contains 5 simple questions to define frailty. Frail person was accepted as who gets ≥3 points in scale. Patients were asked about their fallings, urinary incontinence, chronic pain, sleep disorders, activities of daily living (ADL), instrumental activities of daily living (IADL). cognitive status, number of illness and medication, postural instability and assessed about their nutritional status by Mini Nutritional Assessment (MNA).
Results: 1107 patients were analyzed with a geriatric assessment. The sample was composed of women (66.8%) and men (33.2%) with mean age of 78.5±5.7 y. Prevalence of frailty was 16% (n=179). Correlation analyses and multivariate regression analysis were performed to investigate the association between frailty and other factors. In multivariable analysis frailty was found independently associated with age (p=0.041), chronic pain (p=0.021), usual walking speed (p<0.01), malnutrition (p<0.01), instrumental activities of daily living (IADL) (p=0.024) respectively.
Conclusion: Frailty is a common clinical syndrome in older adults, which carries an increased risk for poor health outcomes, including falls, incident disability, hospitalization, and mortality. Elucidating its etiology and natural history is therefore critical for identifying high-risk subsets and new arenas for frailty prevention and treatment. an important strength of our study is assessment of chronic pain which is a new area of research in frailty concept. our findings provides data on the significance of chronic pain and its association with frailty.