Anna Viljanen1,2, Marika Salminen3,4, Kerttu Irjala5, Päivi Korhonen4, Maarit Wuorela6,3, Raimo Isoaho4,7, Sirkka-Liisa Kivelä4,8, Tero Vahlberg9, Matti Viitanen6, Minna Löppönen10, Laura Viikari6,3. 1. Health Care Center, Municipality of Lieto, Hyvättyläntie 7, 21420, Lieto, Finland. amvilj@utu.fi. 2. Faculty of Medicine, Department of Clinical Medicine, Unit of Geriatrics, University of Turku, Turku City Hospital, Kunnallissairaalantie 20, 20700, Turku, Finland. amvilj@utu.fi. 3. Welfare Division, City of Turku, Yliopistonkatu 30, 20101, Turku, Finland. 4. Faculty of Medicine, Department of Clinical Medicine, Unit of Family Medicine, University of Turku, Turku University Hospital, 20014, Turku, Finland. 5. Faculty of Medicine, Department of Clinical Medicine, Unit of Clinical Chemistry, TYKSLAB, 20521, Turku, Finland. 6. Faculty of Medicine, Department of Clinical Medicine, Unit of Geriatrics, University of Turku, Turku City Hospital, Kunnallissairaalantie 20, 20700, Turku, Finland. 7. Social and Health Care, City of Vaasa, Ruutikellarintie 4, 65101, Vaasa, Finland. 8. Faculty of Pharmacy, Division of Social Pharmacy, University of Helsinki, 00014, Helsinki, Finland. 9. Institute of Clinical Medicine, Biostatistics, University of Turku, Turku, Finland. 10. Social and Health Care for Elderly, City of Raisio, Sairaalakatu 5, 21200, Raisio, Finland.
Abstract
BACKGROUND: In clinical practice, there is a need for an instrument to screen older people at risk of institutionalization. AIMS: To analyze the association of frailty, walking-ability and self-rated health (SRH) with institutionalization in Finnish community-dwelling older people. METHODS: In this prospective study with 10- and 18-year follow-ups, frailty was assessed using FRAIL Scale (FS) (n = 1087), Frailty Index (FI) (n = 1061) and PRISMA-7 (n = 1055). Walking ability was assessed as self-reported ability to walk 400 m (n = 1101). SRH was assessed by a question of general SRH (n = 1105). Cox regression model was used to analyze the association of the explanatory variables with institutionalization. RESULTS: The mean age of the participants was 73.0 (range 64.0‒97.0) years. Prevalence of institutionalization was 40.8%. In unadjusted models, frailty was associated with a higher risk of institutionalization by FS in 10-year follow-up, and FI in both follow-ups. Associations by FI persisted after age- and gender-adjustments in both follow-ups. By PRISMA-7, frailty predicted a higher risk of institutionalization in both follow-ups. In unadjusted models, inability to walk 400 m predicted a higher risk of institutionalization in both follow-ups and after adjustments in 10-year follow-up. Poor SRH predicted a higher risk of institutionalization in unadjusted models in both follow-ups and after adjustments in 10-year follow-up. DISCUSSION: Simple self-reported items of walking ability and SRH seemed to be comparable with frailty indexes in predicting institutionalization among community-dwelling older people in 10-year follow-up. CONCLUSIONS: In clinical practice, self-reported walking ability and SRH could be used to screen those at risk.
BACKGROUND: In clinical practice, there is a need for an instrument to screen older people at risk of institutionalization. AIMS: To analyze the association of frailty, walking-ability and self-rated health (SRH) with institutionalization in Finnish community-dwelling older people. METHODS: In this prospective study with 10- and 18-year follow-ups, frailty was assessed using FRAIL Scale (FS) (n = 1087), Frailty Index (FI) (n = 1061) and PRISMA-7 (n = 1055). Walking ability was assessed as self-reported ability to walk 400 m (n = 1101). SRH was assessed by a question of general SRH (n = 1105). Cox regression model was used to analyze the association of the explanatory variables with institutionalization. RESULTS: The mean age of the participants was 73.0 (range 64.0‒97.0) years. Prevalence of institutionalization was 40.8%. In unadjusted models, frailty was associated with a higher risk of institutionalization by FS in 10-year follow-up, and FI in both follow-ups. Associations by FI persisted after age- and gender-adjustments in both follow-ups. By PRISMA-7, frailty predicted a higher risk of institutionalization in both follow-ups. In unadjusted models, inability to walk 400 m predicted a higher risk of institutionalization in both follow-ups and after adjustments in 10-year follow-up. Poor SRH predicted a higher risk of institutionalization in unadjusted models in both follow-ups and after adjustments in 10-year follow-up. DISCUSSION: Simple self-reported items of walking ability and SRH seemed to be comparable with frailty indexes in predicting institutionalization among community-dwelling older people in 10-year follow-up. CONCLUSIONS: In clinical practice, self-reported walking ability and SRH could be used to screen those at risk.
Authors: Rónán O'Caoimh; Lucia Galluzzo; Ángel Rodríguez-Laso; Johan Van der Heyden; Anette Hylen Ranhoff; Maria Lamprini-Koula; Marius Ciutan; Luz López-Samaniego; Laure Carcaillon-Bentata; Siobhán Kennelly; Aaron Liew Journal: Ann Ist Super Sanita Date: 2018 Jul-Sep Impact factor: 1.663
Authors: Daniel Andres; Caroline Imhoof; Markus Bürge; Gabi Jakob; Andreas Limacher; Anna K Stuck Journal: Int J Environ Res Public Health Date: 2022-05-21 Impact factor: 4.614