The increase in healthcare costs associated with frailty in older people discharged to a post-acute transition care program

Age and Ageing
T A ComansP A Scuffham

Abstract

older people are high users of healthcare resources. The frailty index can predict negative health outcomes; however, the amount of extra resources required has not been quantified. to quantify the impact of frailty on healthcare expenditure and resource utilisation in a patient cohort who entered a community-based post-acute program and compare this to a cohort entering residential care. the interRAI home care assessment was used to construct a frailty index in three frailty levels. Costs and resource use were collected alongside a prospective observational cohort study of patients. A generalized linear model was constructed to estimate the additional cost of frailty and the cost of alternative residential care for those with high frailty. participants (n = 272) had an average age of 79, frailty levels were low in 20%, intermediate in 50% and high in 30% of the cohort. Having an intermediate or high level of frailty increased the likelihood of re-hospitalisation and was associated with 22 and 43% higher healthcare costs over 6 months compared with low frailty. It was less costly to remain living at home than enter residential care unless >62% of subsequent hospitalisations in 6 months could be prevented. the frailty index can ...Continue Reading

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Citations

Oct 13, 2016·Journal of Advanced Nursing·Oliver MauthnerUNKNOWN GERAS study consortium; For the Psychosocial Interest Group; Swiss Transplant Cohort Study (STCS)
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