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Published on: July 26, 2024
Resilience, frailty and outcomes in geriatric rehabilitation
Sabrina Kohler1,2, Robert Rametta2, Matthew Poulter2
1Austin Health, Department of Geriatric Medicine, Continuing Care Clinical Service Unit, Melbourne, Vic., Australia.
Objective:
To assess relationships between resilience, frailty and outcomes in geriatric rehabilitation inpatients.
Methods:
Eighty-nine inpatients had Brief Resilience Scale (BRS) and frailty index (FI-CGA) completed. Pearson's or Spearman's correlation was used to determine correlation between BRS, FI-CGA and covariates. Multivariate logistic regression was used to determine associations between resilience, frailty and covariates with functional independence measure gain, length of stay (LOS) > 21 days, mortality and discharge care requirements.
Results:
There was a negative correlation between BRS and premorbid FI-CGA (r = -0.31, P = 0.03) and admission FI-CGA (r = -0.26, P = 0.01) and between BRS and Mini-Mental State Examination score (rho = -0.26, P = 0.02). BRS was not associated with observed outcomes. Premorbid FI-CGA was associated with inpatient mortality, and greater increase in FI-CGA during acute stay was associated with greater LOS. All patients who died were frail (FI-CGA > 0.25).
Conclusion:
Resilience and frailty were inversely related. Frailty was an independent predictor of rehabilitation LOS and mortality.
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