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Frailty and Cause-Specific Hospitalizations in Community-Dwelling Older Men
B Hsu1, V Naganathan, F M Blyth
1Benjumin Hsu, Centre for Big Data Research in Health, UNSW Sydney, New South Wales, Australia 2052.
The Journal of Nutrition, Health & Aging
|June 9, 2020
Summary
Frailty significantly increases the risk and number of non-elective hospitalizations in older men across many causes. Early identification and preventative strategies for frailty are crucial to reduce hospital admissions.
Area of Science:
- Gerontology
- Public Health
- Epidemiology
Background:
- The relationship between frailty and hospitalization causes in older adults remains under-investigated.
- Understanding these links is vital for developing targeted interventions.
Purpose of the Study:
- To assess the association between frailty and the risk and rate of all-cause and cause-specific hospitalizations in older men.
- To identify specific medical conditions contributing to hospitalizations in frail elderly individuals.
Main Methods:
- Utilized data from the Concord Health and Ageing in Men Project (CHAMP), assessing frailty using Fried frailty phenotype (FP) and Rockwood frailty index (FI).
- Analyzed non-elective and elective hospitalization data (2005-2017) from NSW Admitted Patient Data Collection, categorizing causes by ICD-10.
- Followed 1705 community-dwelling men aged 70+ for up to 9 years.
Main Results:
- Nearly 80% of participants experienced at least one non-elective hospitalization.
- Frailty (FP or FI) was associated with a doubled risk (HR: 1.98) and increased rate (IRR: 1.44) of non-elective hospitalizations.
- Frail men were more likely to be hospitalized for 13 of 14 causes non-electively and had increased non-elective admissions for all 14 causes.
Conclusions:
- Frailty is a significant predictor of increased risk and frequency of non-elective hospitalizations in older men across diverse medical conditions.
- Emphasizes the need for early frailty detection and preventative measures to mitigate non-elective hospital admissions.
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