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Prevalence of frailty in a tertiary hospital: a point prevalence observational study

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Summary:

This report included 420 adult inpatients in a single tertiary New Zealand hospital who were assessed using the Reported Edmonton Frail Scale; those with scores of ≥8 were considered frail. The overall prevalence of frailty was 48.8% and increased significantly with age; ≥85-year-olds were significantly more likely to be frail compared with <65-year-olds (OR 6.25; 95% CI, 3.17 to 12.7; p<0.01). Compared with New Zealand Europeans, Māori patients were significantly more likely to be frail (OR 4.0; 95% CI, 1.45 to 11.9; p=0.02). Compared with patients admitted to a medical specialty, those admitted to a surgical specialty were less likely to be frail (OR 0.52; 95% CI, 0.31 to 0.86; p<0.01) and those admitted for rehabilitation were more likely to be frail (1.86; 1.03 to 3.41; p<0.04). Frail patients were significantly more likely to come from a rest home (OR 2.81; 95% CI, 1.38 to 6.14; p<0.01) or hospital-level care (9.62; 2.68 to 61.6; p<0.01).

Comment:
This was certainly new information for me, and I was not aware that frailty was such a significant health issue for Māori. However, as we have more Māori ageing, we must ensure that frailty is identified and managed equitably for our kaumātua, and that their rights to ‘age well’ are upheld.
Reference: PLoS One. 2019;14(7):e0219083
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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