TY - JOUR
T1 - The Functional Continuum Scale in Relation to Hospitalization Density in Older Adults: The FRADEA Study
T2 - The FRADEA Study
AU - Córcoles, Rubén Alcantud
AU - Andrés-Pretel, Fernando
AU - Sánchez-Jurado, Pedro Manuel
AU - Céspedes, Almudena Avendaño
AU - Ballesteros, Cristina G. mez
AU - Alfaro, Victoria S. nchez-Flor
AU - Bru, Rita L.
AU - Sahuquillo, María Teresa Tabernero
AU - Rizos, Luis Romero
AU - Hoogendijk, Emiel O.
AU - Abizanda, Pedro
N1 - Publisher Copyright: © 2021 The Author(s). Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/8/1
Y1 - 2021/8/1
N2 - Background: There is a need to know the relationship between function and hospitalization risk in older adults. We aimed at investigating whether the Functional Continuum Scale (FCS), based on basic (BADL) and instrumental (IADL) activities of daily living and frailty, is associated with hospitalization density in older adults across 12 years of follow-up. Methods: Cohort study, with a follow-up of 12 years. A total of 915 participants aged 70 years and older from the Frailty and Dependence in Albacete (FRADEA) study, a population-based study in Spain, were included. At baseline, the FCS, sociodemographic characteristics, comorbidity, number of medications, and place of residence were assessed. Associations with first hospitalization, number of hospitalizations, and 12-year density of hospitalizations were assessed using Kaplan-Meier curves, Poisson regression analyses, and density models. Results: The median time until the first hospitalization was shorter toward the less functionally independent end of the FCS, from 3917 days (95% confidence interval [CI] 3701-3995) to 1056 days (95% CI 785-1645) (p <. 001). The incidence rate ratio (IRR) for all hospitalizations increased from the robust category until the frail one (IRR 1.89), and thereafter it decreased until the worse functional category. Those who were BADL dependent presented an increased hospitalization density in the first 4 follow-up years (58%), those who were frail in the third-to-sixth follow-up years (55%), while in those prefrail or robust the hospitalization density was homogeneous during the complete follow-up. Conclusions: The FCS is useful for stratifying the risk of hospitalization and for predicting the density of hospitalizations in older adults.
AB - Background: There is a need to know the relationship between function and hospitalization risk in older adults. We aimed at investigating whether the Functional Continuum Scale (FCS), based on basic (BADL) and instrumental (IADL) activities of daily living and frailty, is associated with hospitalization density in older adults across 12 years of follow-up. Methods: Cohort study, with a follow-up of 12 years. A total of 915 participants aged 70 years and older from the Frailty and Dependence in Albacete (FRADEA) study, a population-based study in Spain, were included. At baseline, the FCS, sociodemographic characteristics, comorbidity, number of medications, and place of residence were assessed. Associations with first hospitalization, number of hospitalizations, and 12-year density of hospitalizations were assessed using Kaplan-Meier curves, Poisson regression analyses, and density models. Results: The median time until the first hospitalization was shorter toward the less functionally independent end of the FCS, from 3917 days (95% confidence interval [CI] 3701-3995) to 1056 days (95% CI 785-1645) (p <. 001). The incidence rate ratio (IRR) for all hospitalizations increased from the robust category until the frail one (IRR 1.89), and thereafter it decreased until the worse functional category. Those who were BADL dependent presented an increased hospitalization density in the first 4 follow-up years (58%), those who were frail in the third-to-sixth follow-up years (55%), while in those prefrail or robust the hospitalization density was homogeneous during the complete follow-up. Conclusions: The FCS is useful for stratifying the risk of hospitalization and for predicting the density of hospitalizations in older adults.
KW - Disablement process
KW - Hospital related
KW - Physical function
KW - Risk factors
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85111956354&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/33475726
U2 - https://doi.org/10.1093/gerona/glab004
DO - https://doi.org/10.1093/gerona/glab004
M3 - Article
C2 - 33475726
SN - 1079-5006
VL - 76
SP - 1512
EP - 1518
JO - The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
JF - The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
IS - 8
ER -