Publication details
Frailty - prevalence výskytu u akutně hospitalizovaných seniorů letech 1995 - 2022
Title in English | Frailty - prevalence of acutely hospitalized seniors from 1995 to 2022 |
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Authors | |
Year of publication | 2023 |
Type | Article in Periodical |
Magazine / Source | Geriatrie a gerontologie |
MU Faculty or unit | |
Citation | |
Web | https://www.prolekare.cz/casopisy/geriatrie-gerontologie/2023-2-22/frailty-prevalence-vyskytu-u-akutne-hospitalizovanych-senioru-v-letech-1995-2022-134888 |
Keywords | geriatricization of medicine; aging of the population; acute hospitalization of the elderly; frailty syndrome; mortality |
Description | Objective: Frailty (F) is a medical syndrome associated with the rise of sarcopenia with an impact on quality of life, health care, and health care as a whole. Methodology: We present a retrospective cohort study of patients from 1995 to 2022 who were acutely admitted to our clinic. There were a total of 29,646 people aged 65 to 105. Of this number, there were 18,867 women with an average age of 81.7 ± 7.7 years, while there were only 10,787 men with an average age of 79.0 ± 7.6 years. Women were almost 3 years older than men (p < 0, 01). Results: In the subset of younger seniors (65-74 years), the occurrence of F in men ranged between 12 and 20% and in women between 13 and 19%. With increasing age, there is an obvious increase in the occurrence of F - in the subset aged 75-84 years in men to 16-33% and in women to 18-24%. In the oldest age subgroup ? 85 years, there is a significant rise in F - to 25-40% in men and 26-38% in women. Pre-frailty in men varied between 36-50% and in women between 27-55%. Mortality was significantly higher in individuals acutely hospitalized with F in men in all age groups 31-32% and in women 22-26%; while in the group of acutely admitted patients without F, it increased in men with age from 3.0 to 6% and in women from 2.1 to 4%. Conclusion: Our data point to the importance of monitoring frailty and the risk of increased mortality associated with it in acutely hospitalized seniors and underline prevention and treatment options. |