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Frailty as a Predictor of Adverse Outcomes among Spanish Community-Dwelling Older Adults

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  • Ascensión Doñate-Martínez

    (Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain)

  • Tamara Alhambra-Borrás

    (Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain)

  • Estrella Durá-Ferrandis

    (Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain)

Abstract

Spain is one of the European countries with the oldest populations. The prevalence of frailty among Spanish older people ranges from 8.4 to 29.4% and currently, is one of the most relevant public health challenges. The Tilburg Frailty indicator (TFI) has been widely used in the community and in healthcare settings for assessing frailty. The objective of this study is to evaluate the predictive performance of the TFI for several adverse outcomes among Spanish community-dwelling older adults. The predictive performance was tested through linear regression analyses and receiver operating characteristics (ROC) curves. A total of 552 Spanish older adults composed the study sample. Participants were assessed at baseline and after 6 months. Main results showed that frailty was strongly and significantly correlated with disability, physical health, mental health and falls efficacy. The TFI score predicted most of these adverse outcomes. The ROC analyses confirmed the acceptable predictive performance of the total frailty. This study provides new evidence confirming that the TFI is a valid tool to predict several adverse outcomes in Spanish older adults, which may allow professionals to plan and activate health and social care resources to support frail patients’ needs.

Suggested Citation

  • Ascensión Doñate-Martínez & Tamara Alhambra-Borrás & Estrella Durá-Ferrandis, 2022. "Frailty as a Predictor of Adverse Outcomes among Spanish Community-Dwelling Older Adults," IJERPH, MDPI, vol. 19(19), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12756-:d:934321
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    References listed on IDEAS

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    1. Suurmeijer, T.P.B.M. & Doeglas, D.M. & Moum, T. & Briancon, S. & Krol, B. & Sanderman, R. & Guillemin, F. & Bjelle, A. & Van den Heuvel, W.J.A., 1994. "The Groningen Activity Restriction Scale for measuring disability: Its utility in international comparisons," American Journal of Public Health, American Public Health Association, vol. 84(8), pages 1270-1273.
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