FRAILTY IS ASSOCIATED WITH INCREASED MORTALITY IN OLDER ADULTS 12 MONTHS AFTER DISCHARGE FROM POST-ACUTE CARE IN SWISS NURSING HOMES
C. Fompeyrine, L.A. Abderhalden, N. Mantegazza, N. Hofstetter, G. Bieri-Brüning, H.A. Bischoff-Ferrari, M. Gagesch
Frail older adults with ongoing care needs often require post-acute care (PAC) following acute hospitalization when not eligible for specific rehabilitation. Long-term outcomes of PAC in this patient group have not been reported for Switzerland so far. In the present report, we investigated 12-month mortality in regard to frailty status upon admission to PAC in a nursing home setting. In our sample of 140 patients (mean age 84 [±8.6] years) 4.3% were robust, 37.1% were pre-frail, 54.3% were frail and 4.3% were missing frailty status. Mortality at 12-months follow-up stratified by baseline frailty was 0% (robust), 11.5% (pre-frail) and 31.6% (frail). Kaplan-Meier analysis stratified by frailty status showed a decreased probability of 12-months survival for frail individuals compared to their pre-frail and robust counterparts (P = 0.0096). Being frail was associated with more than 4-fold increased odds of death at follow-up (OR 4.19; 95% CI 1.53-11.47).
C. Fompeyrine ; L.A. Abderhalden ; N. Mantegazza ; N. Hofstetter ; G. Bieri-Brüning ; H.A. Bischoff-Ferrari ; M. Gagesch ; (2020): Frailty is associated with increased mortality in older adults 12 months after discharge from post-acute care in Swiss nursing homes. The Journal of Frailty and Aging (JFA). http://dx.doi.org/10.14283/jfa.2020.58