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Identifying Frailty in Thermal/Spa Clinical Setting: A Cross-Sectional Study
1Département de Gériatrie; CHU de Montpellier 34295 cedex. Université de Montpellier.
Frailty is common in older adults at spa facilities. Geriatric assessments could help screen for frailty in this setting, improving patient health overviews.
Area of Science:
- Gerontology
- Public Health
- Clinical Medicine
Background:
- Frailty has not been previously studied in thermal/spa facilities, which commonly treat elderly patients with musculoskeletal issues.
- Older adults with osteo-articular and musculoskeletal conditions often seek treatment at thermal/spa facilities.
Purpose of the Study:
- To determine the prevalence of frailty among older adults undergoing thermal/spa treatment.
- To assess the feasibility of incorporating geriatric assessments, including frailty screening, into routine spa consultations.
Main Methods:
- A mixed-methods approach combining a quantitative cross-sectional study (197 patients) and qualitative interviews (9 physicians).
- Frailty was assessed using a modified Fried frailty phenotype with six self-reported criteria.
- Physician interviews explored the practicality of integrating geriatric assessments into clinical practice at spa facilities.
Main Results:
- Over half (56.9%) of the patients studied were identified as frail.
- 13.2% were pre-frail, and 29.9% were robust.
- Physician feedback on integrating geriatric assessments varied, with some seeing potential in routine or targeted consultations, health education, or research.
Conclusions:
- Frailty is highly prevalent in the older adult population attending spa facilities.
- Thermal/spa facilities represent a promising setting for implementing geriatric assessments to screen for frailty.
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