TY - JOUR

T1 - Predictive validity of PRISMA-7 as a screening instrument for frailty in a hospital setting

AU - Hoffmann, Sarah

AU - Wiben, Amalie

AU - Kruse, Marie

AU - Jacobsen, Katja Kemp

AU - Lembeck, Maurice A.

AU - Holm, Ellen Astrid

PY - 2020

Y1 - 2020

N2 - Objectives Frailty is a major clinical geriatric syndrome associated with serious adverse events including functional disability, falls, hospitalisation, increased morbidity and mortality. The aim of this study was to study the associations between frailty defined as Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA-7) score ≥3 and use of healthcare resources in hospital and in the municipality as well as association between frailty and mortality. Design Register-based retrospective study. Setting The target population consists of patients aged 75 years or above who, during hospital stay, were assessed by a physiotherapist, and at discharge from hospital were prescribed further physical training in the community. Participants 973 individuals aged 75+ years were included. Outcome measures We examined associations between frailty and use of healthcare resources in hospital and in the municipality as well as the association between frailty and mortality. Results 973 individuals aged 75+ years were included. Of these, 63.9% had a PRISMA-7 score ≥3 and were thus defined as frail. Frail individuals were older compared with non-frail with mean ages of 84.6 and 80.4 years, respectively, p>0.001. Age and gender-adjusted mortality after 1 year was higher among the frail (OR 2.46, 95% CI 1.53 to 3.97). Use of healthcare services in the municipality as well as hospital admissions was significantly higher among frail individuals. Conclusions Based on these findings we consider PRISMA-7 to be useful in an in-hospital setting as a screening tool to identify frail elderly patients who may profit from further geriatric assessment during hospital stay. Trial registration number ID REG-070-2017.

AB - Objectives Frailty is a major clinical geriatric syndrome associated with serious adverse events including functional disability, falls, hospitalisation, increased morbidity and mortality. The aim of this study was to study the associations between frailty defined as Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA-7) score ≥3 and use of healthcare resources in hospital and in the municipality as well as association between frailty and mortality. Design Register-based retrospective study. Setting The target population consists of patients aged 75 years or above who, during hospital stay, were assessed by a physiotherapist, and at discharge from hospital were prescribed further physical training in the community. Participants 973 individuals aged 75+ years were included. Outcome measures We examined associations between frailty and use of healthcare resources in hospital and in the municipality as well as the association between frailty and mortality. Results 973 individuals aged 75+ years were included. Of these, 63.9% had a PRISMA-7 score ≥3 and were thus defined as frail. Frail individuals were older compared with non-frail with mean ages of 84.6 and 80.4 years, respectively, p>0.001. Age and gender-adjusted mortality after 1 year was higher among the frail (OR 2.46, 95% CI 1.53 to 3.97). Use of healthcare services in the municipality as well as hospital admissions was significantly higher among frail individuals. Conclusions Based on these findings we consider PRISMA-7 to be useful in an in-hospital setting as a screening tool to identify frail elderly patients who may profit from further geriatric assessment during hospital stay. Trial registration number ID REG-070-2017.

KW - epidemiology

KW - geriatric medicine

KW - internal medicine

KW - rehabilitation medicine

U2 - 10.1136/bmjopen-2020-038768

DO - 10.1136/bmjopen-2020-038768

M3 - Journal article

C2 - 33115896

AN - SCOPUS:85094821542

VL - 10

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 10

M1 - e038768

ER -