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.
Keywords
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Article info
Publication history
Published online: February 02, 2018
Footnotes
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.
Identification
Copyright
© 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
