Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study

Thanuja R. De Silva; Olga Theou; Bruno Vellas; Matteo Cesari; Renuka Visvanathan

doi:10.1016/j.jamda.2017.12.101

Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study

Thanuja R. De Silva, Olga Theou, Bruno Vellas, Matteo Cesari, Renuka Visvanathan

Research output: Contribution to journal › Article › peer-review

25 Citations (Scopus)

Abstract

Objectives: To investigate the ability of the fatigue, resistance, ambulation, incontinence or illness, loss of weight, nutritional approach, and help with dressing (FRAIL-NH) tool to predict mortality. Design: The Incidence of Pneumonia and Related Consequences in Nursing Home Residents (INCUR) study database was used. This was an observational cohort study in French nursing homes conducted over 12 months in 2012. Participants: A total of 788 residents aged 60 years or older, from 13 randomly selected French nursing homes. Measurements: FRAIL-NH was generated from the available variables at baseline. FRAIL-NH scores ranged from 0 to 14 and people were categorized as nonfrail (0‒1), frail (2‒5), and most frail (6‒14). Mortality data were obtained from medical charts and confirmed by the nursing home administrative documentation. Results: Mean age of the participants was 86.2 ± 7.5 years, and 74.5% were women. The prevalence of persons with FRAIL-NH score greater than 1 was 88.8%, with 54.2% and 34.6% of residents identified as most frail and frail, respectively. The mean FRAIL-NH score was 6.0 ± 3.4. Women (N = 583) were frailer (6.1 ± 3.4) than men (N = 200, 5.5 ± 3.4; P =.027). Overall, 136 residents died over the 1-year follow-up period. The FRAIL-NH score was a predictor of mortality (adjusted hazard ratios: for frail group 1.15, 95% confidence interval 0.55‒2.41; for most frail group 2.14, 95% confidence interval 1.07‒ 4.27). Conclusions: FRAIL-NH is a predictor of mortality in nursing home residents and the score could assist with guiding appropriate care planning.

Original language	English
Pages (from-to)	411-414
Number of pages	4
Journal	Journal of the American Medical Directors Association
Volume	19
Issue number	5
DOIs	https://doi.org/10.1016/j.jamda.2017.12.101
Publication status	Published - May 2018

Bibliographical note

Funding Information:
This work did not receive any specific grants from funding agencies in the public, commercial, or not-for- profit sectors. The INCUR project was supported by Pfizer. The sponsor had no role in the development of the present study.

Publisher Copyright:
© 2018 AMDA – The Society for Post-Acute and Long-Term Care Medicine

ASJC Scopus Subject Areas

General Nursing
Health Policy
Geriatrics and Gerontology

PubMed: MeSH publication types

Journal Article
Observational Study

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jamda.2017.12.101

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Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study. / De Silva, Thanuja R.; Theou, Olga; Vellas, Bruno et al.
In: Journal of the American Medical Directors Association, Vol. 19, No. 5, 05.2018, p. 411-414.

Research output: Contribution to journal › Article › peer-review

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title = "Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study",

abstract = "Objectives: To investigate the ability of the fatigue, resistance, ambulation, incontinence or illness, loss of weight, nutritional approach, and help with dressing (FRAIL-NH) tool to predict mortality. Design: The Incidence of Pneumonia and Related Consequences in Nursing Home Residents (INCUR) study database was used. This was an observational cohort study in French nursing homes conducted over 12 months in 2012. Participants: A total of 788 residents aged 60 years or older, from 13 randomly selected French nursing homes. Measurements: FRAIL-NH was generated from the available variables at baseline. FRAIL-NH scores ranged from 0 to 14 and people were categorized as nonfrail (0‒1), frail (2‒5), and most frail (6‒14). Mortality data were obtained from medical charts and confirmed by the nursing home administrative documentation. Results: Mean age of the participants was 86.2 ± 7.5 years, and 74.5% were women. The prevalence of persons with FRAIL-NH score greater than 1 was 88.8%, with 54.2% and 34.6% of residents identified as most frail and frail, respectively. The mean FRAIL-NH score was 6.0 ± 3.4. Women (N = 583) were frailer (6.1 ± 3.4) than men (N = 200, 5.5 ± 3.4; P =.027). Overall, 136 residents died over the 1-year follow-up period. The FRAIL-NH score was a predictor of mortality (adjusted hazard ratios: for frail group 1.15, 95% confidence interval 0.55‒2.41; for most frail group 2.14, 95% confidence interval 1.07‒ 4.27). Conclusions: FRAIL-NH is a predictor of mortality in nursing home residents and the score could assist with guiding appropriate care planning.",

author = "{De Silva}, {Thanuja R.} and Olga Theou and Bruno Vellas and Matteo Cesari and Renuka Visvanathan",

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AU - Theou, Olga

AU - Vellas, Bruno

AU - Cesari, Matteo

AU - Visvanathan, Renuka

N1 - Funding Information: This work did not receive any specific grants from funding agencies in the public, commercial, or not-for- profit sectors. The INCUR project was supported by Pfizer. The sponsor had no role in the development of the present study. Publisher Copyright: © 2018 AMDA – The Society for Post-Acute and Long-Term Care Medicine

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N2 - Objectives: To investigate the ability of the fatigue, resistance, ambulation, incontinence or illness, loss of weight, nutritional approach, and help with dressing (FRAIL-NH) tool to predict mortality. Design: The Incidence of Pneumonia and Related Consequences in Nursing Home Residents (INCUR) study database was used. This was an observational cohort study in French nursing homes conducted over 12 months in 2012. Participants: A total of 788 residents aged 60 years or older, from 13 randomly selected French nursing homes. Measurements: FRAIL-NH was generated from the available variables at baseline. FRAIL-NH scores ranged from 0 to 14 and people were categorized as nonfrail (0‒1), frail (2‒5), and most frail (6‒14). Mortality data were obtained from medical charts and confirmed by the nursing home administrative documentation. Results: Mean age of the participants was 86.2 ± 7.5 years, and 74.5% were women. The prevalence of persons with FRAIL-NH score greater than 1 was 88.8%, with 54.2% and 34.6% of residents identified as most frail and frail, respectively. The mean FRAIL-NH score was 6.0 ± 3.4. Women (N = 583) were frailer (6.1 ± 3.4) than men (N = 200, 5.5 ± 3.4; P =.027). Overall, 136 residents died over the 1-year follow-up period. The FRAIL-NH score was a predictor of mortality (adjusted hazard ratios: for frail group 1.15, 95% confidence interval 0.55‒2.41; for most frail group 2.14, 95% confidence interval 1.07‒ 4.27). Conclusions: FRAIL-NH is a predictor of mortality in nursing home residents and the score could assist with guiding appropriate care planning.

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Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study

Abstract

Bibliographical note

ASJC Scopus Subject Areas

PubMed: MeSH publication types

UN SDGs

Access to Document

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