FRAIL-NH Predicts Outcomes in Long Term Care

The Journal of Nutrition, Health & Aging
E W KaehrJ E Morley

Abstract

To investigate the predictive validity of the short, simple FRAIL-NH frailty screening tool in the long term care population and to then compare the predictive validity with the frailty index (FI) for 6-month adverse health outcomes. Retrospective study using the Minimum Data Set (MDS) 3.0 and chart review from June-December 2014. Two Long Term Care Facilities in Saint Louis, MO. 270 patients ages ≥ 65 years old residing in long term care. Frailty was measured using the FRAIL-NH and Frailty Index (FI) criteria. Adverse outcomes measured at 6-month follow-up included falls, hospitalizations, and hospice enrollment/mortality. Based on screening tool used frailty prevalence was 48.7% for FRAIL-NH and 30.3% for FI. The FRAIL-NH pre-frail (Adjusted Odds Ratio [AOR]=2.62; 95% Confidence Interval [CI]=1.25-5.54; p=0.11) classification was associated with 6 month risk of falling and mortality/hospice enrollment was associated with the frail classification, AOR=3.96 (1.44-10.87, p=0.007). Combining the pre-frail and frail categories both measures predicted 6 month mortality with the FRAIL-NH being the strongest predictor (AOR=3.36; 95%CI=1.26-8.98; p=0.016) and the FI was a more modest predictor with an AOR of 2.28; 95%CI=1.01-5.15; p=0...Continue Reading

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Citations

Mar 10, 2016·Journal of the American Medical Directors Association·Patricia Abele, John E Morley
Mar 21, 2016·Journal of the American Medical Directors Association·Matteo CesariMario Ulises Pérez-Zepeda
Jun 28, 2016·Journal of the American Medical Directors Association·John E Morley, Patricia Abele
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Aug 7, 2018·The Journal of Nutrition, Health & Aging·J E Morley
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Dec 19, 2020·Journal of the American Geriatrics Society·Milta O LittleJohn E Morley
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Jan 15, 2019·Journal of the American Medical Directors Association·XiaoMing ZhangYingChun Zeng
Sep 15, 2021·Palliative Medicine·Alex HallBarbara Hanratty

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