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Prevalence and risk factors of frailty among home care clients

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Article (371.7Kb)
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published version
Date
2017
Author(s)
Miettinen Minna
Tiihonen Miia
Hartikainen Sirpa
Nykänen Irma
Unique identifier
10.1186/s12877-017-0660-8
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Self-archived article

Citation
Miettinen Minna. Tiihonen Miia. Hartikainen Sirpa. Nykänen Irma. (2017). Prevalence and risk factors of frailty among home care clients.  BMC GERIATRICS [ONLINE: HTTP://WWW.BIOMEDCENTRAL.COM/BMCGERIATR/], 17, 266. 10.1186/s12877-017-0660-8.
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© Authors
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CC BY http://creativecommons.org/licenses/by/4.0/
Abstract

Background
Frailty is a common problem among older people and it is associated with an increased risk of death and long-term institutional care. Early identification of frailty is necessary to prevent a further decline in the health status of home care clients. The aims of the present study were to determine the prevalence of frailty and associated factors among 75-year-old or older home care clients.

Methods
The study participants were 75-year-old or older home care clients living in three cities in Eastern and Central Finland. Home care clients who had completed the abbreviated Comprehensive Geriatric Assessment (aCGA) for frailty (n = 257) were included in the present study. Baseline data were obtained on functional status, cognitive status, depressive symptoms, self-rated health, ability to walk 400 m, nutritional status, drug use and comorbidities.

Results
Most of the home care clients (90%) were screened for frailty using the aCGA. Multivariate analysis showed that the risk of malnutrition or malnutrition (OR = 4.27, 95% CI = 1.56, 11.68) and a low level of education (OR = 1.14, 95% CI = 1.07, 1.23) were associated with frailty.

Conclusion
Frailty is a prevalent problem among home care clients. The risk of malnutrition or malnourishment and a lower level of education increase the risk of frailty. Screening for frailty should be done to detect the most vulnerable older people for further intervention to prevent adverse health problems.

Subjects
aCGA   Aged   Home care   Malnutrition   Risk of malnutrition   
URI
https://erepo.uef.fi/handle/123456789/5796
Link to the original item
http://dx.doi.org/10.1186/s12877-017-0660-8
Publisher
Springer Nature
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  • Terveystieteiden tiedekunta [1330]
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