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Frailty as a Predictor of Poor Rehabilitation Outcomes among Older Patients Attending a Geriatric Day Hospital Program: An Observational Study

Author

Listed:
  • Daniel Andres

    (BESAS Berner Spitalzentrum für Altersmedizin Siloah, Gümligen, 3073 Bern, Switzerland)

  • Caroline Imhoof

    (Department of Geriatrics, Inselspital, Bern University Hospital, and University of Bern, 3010 Bern, Switzerland)

  • Markus Bürge

    (BESAS Berner Spitalzentrum für Altersmedizin Siloah, Gümligen, 3073 Bern, Switzerland)

  • Gabi Jakob

    (BESAS Berner Spitalzentrum für Altersmedizin Siloah, Gümligen, 3073 Bern, Switzerland)

  • Andreas Limacher

    (CTU, University of Bern, 3012 Bern, Switzerland)

  • Anna K. Stuck

    (Department of Geriatrics, Inselspital, Bern University Hospital, and University of Bern, 3010 Bern, Switzerland)

Abstract

Background: The Geriatric Day Hospital (GDH) is an important outpatient geriatric service, but there are few data on the role of frailty as a potential predictor of poor outcomes in this setting. Methods: Data were analyzed from 499 patients aged ≥ 60 years attending a 12-week GDH program between 2018 and 2021. Frailty status was defined as non-frail (68, 13.6%), mild/moderate frailty (351, 70.3%), and severe frailty (80, 16.0%) based on the Clinical Frailty Scale (CFS). Outcomes were defined as (1) poor outcome (hospital readmission, death, or medical deterioration) during the program and (2) admission to permanent nursing home care upon completion of the program. Multivariate logistic models were used for predictive analyses. Results: The mean age was 80.3 (standard deviation 7.0); 58.3% were women. Overall, 77 patients (15.4%) had a poor outcome, and 48 (9.6%) were admitted to permanent nursing home care. Poor outcome was experienced by none of the non-frail patients (0%), by 49 (14.0%) patients with mild/moderate frailty, and 22 (27.5%) patients with severe frailty (adjusted OR, 2.0; 95% CI 1.3, 3.2; p < 0.01). Admission to a permanent nursing home care was experienced by none of the non-frail patients (0%), 20 (5.7%) of those with mild/moderate frailty, and 28 (35.0%) with severe frailty (adjusted OR, 2.9; 95% CI 1.3, 6.3; p < 0.01). Conclusions: The CFS is a promising risk predictor of poor outcome and admission to permanent nursing home discharge among older patients attending a GDH program.

Suggested Citation

  • Daniel Andres & Caroline Imhoof & Markus Bürge & Gabi Jakob & Andreas Limacher & Anna K. Stuck, 2022. "Frailty as a Predictor of Poor Rehabilitation Outcomes among Older Patients Attending a Geriatric Day Hospital Program: An Observational Study," IJERPH, MDPI, vol. 19(10), pages 1-9, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6276-:d:821021
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    References listed on IDEAS

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    1. Hyeon-Ju Lee & Youn-Jung Son, 2021. "Prevalence and Associated Factors of Frailty and Mortality in Patients with End-Stage Renal Disease Undergoing Hemodialysis: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(7), pages 1-12, March.
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    1. Rónán O’Caoimh & Laura Morrison & Marion Hanley & Caoimhe McManus & Kate Donlon & Patricia Galvin, 2024. "Impact of Frailty on Healthcare Outcomes after Cardioembolic Ischaemic Stroke Due to Atrial Fibrillation," IJERPH, MDPI, vol. 21(3), pages 1-11, February.

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