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Frailty and mortality: an 18-year follow-up study among Finnish community-dwelling older people.


ABSTRACT: BACKGROUND:There is a lack of agreement about applicable instrument to screen frailty in clinical settings. AIMS:To analyze the association between frailty and mortality in Finnish community-dwelling older people. METHODS:This was a prospective study with 10- and 18-year follow-ups. Frailty was assessed using FRAIL scale (FS) (n?=?1152), Rockwood's frailty index (FI) (n?=?1126), and PRISMA-7 (n?=?1124). To analyze the association between frailty and mortality, Cox regression model was used. RESULTS:Prevalence of frailty varied from 2 to 24% based on the index used. In unadjusted models, frailty was associated with higher mortality according to FS (hazard ratio 7.96 [95% confidence interval 5.10-12.41] in 10-year follow-up, and 6.32 [4.17-9.57] in 18-year follow-up) and FI (5.97 [4.13-8.64], and 3.95 [3.16-4.94], respectively) in both follow-ups. Also being pre-frail was associated with higher mortality according to both indexes in both follow-ups (FS 2.19 [1.78-2.69], and 1.69 [1.46-1.96]; FI 1.81[1.25-2.62], and 1.31 [1.07-1.61], respectively). Associations persisted even after adjustments. Also according to PRISMA-7, a binary index (robust or frail), frailty was associated with higher mortality in 10- (4.41 [3.55-5.34]) and 18-year follow-ups (3.78 [3.19-4.49]). DISCUSSION:Frailty was associated with higher mortality risk according to all three frailty screening instrument used. Simple and fast frailty indexes, FS and PRISMA-7, seemed to be comparable with a multidimensional time-consuming FI in predicting mortality among community-dwelling Finnish older people. CONCLUSIONS:FS and PRISMA-7 are applicable frailty screening instruments in clinical setting among community-dwelling Finnish older people.

SUBMITTER: Salminen M 

PROVIDER: S-EPMC7532963 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Frailty and mortality: an 18-year follow-up study among Finnish community-dwelling older people.

Salminen Marika M   Viljanen Anna A   Eloranta Sini S   Viikari Paula P   Wuorela Maarit M   Vahlberg Tero T   Isoaho Raimo R   Kivelä Sirkka-Liisa SL   Korhonen Päivi P   Irjala Kerttu K   Löppönen Minna M   Viikari Laura L  

Aging clinical and experimental research 20191025 10


<h4>Background</h4>There is a lack of agreement about applicable instrument to screen frailty in clinical settings.<h4>Aims</h4>To analyze the association between frailty and mortality in Finnish community-dwelling older people.<h4>Methods</h4>This was a prospective study with 10- and 18-year follow-ups. Frailty was assessed using FRAIL scale (FS) (n = 1152), Rockwood's frailty index (FI) (n = 1126), and PRISMA-7 (n = 1124). To analyze the association between frailty and mortality, Cox regressio  ...[more]

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