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

Daniel Andres, Caroline Imhoof, Markus Bürge, Gabi Jakob, Andreas Limacher and Anna K. Stuck
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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

IJERPH, 2022, vol. 19, issue 10, 1-9

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.

Keywords: post-acute care; institutionalization; clinical frailty scale; nursing home (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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