Affiliation:
1. University of Wisconsin, Madison, WI, USA
2. Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA
3. Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA
4. Dartmouth Hitchcock Medical Center, Lebanon, NH, USA
Abstract
Objectives: To determine the prevalence and relationship of frailty and health-related quality of life (HRQOL) among residents of long-term care [nursing homes (NH) and assisted living (AL)] facilities. Methods: Residents of NH and AL facilities in La Crosse County, Wisconsin, were recruited 1/2009-6/2010 and assessed for frailty (gait speed, unintended weight loss, grip strength), comorbidity (Charlson index), and HRQOL [Short Form (SF)-36]. Results: Among 137 participants, 85% were frail. Frail residents were older, had more comorbidities (2.0 vs. 0, p < .001) and lower mean SF-36 Physical Component Score (PCS, 32 vs. 48, p < .001). Following adjustments for age, sex, and comorbidities, compared to nonfrail residents, frail residents had lower SF-36 PCS (mean difference −14.7, 95% CI. −19.3,−10.1, p < .001). Frailty, comorbidity, and HRQOL did not differ between NH and AL facilities. Discussion: Frail residents had lower HRQOL, suggesting that preventing frailty may lead to better HRQOL among residents of long-term care facilities.
Subject
Geriatrics and Gerontology,Community and Home Care,Gerontology
Cited by
59 articles.
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