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frailty syndrome Prevalence and Its Correlation with Cognitive Function in Elderly Surgical Inpatients

Journal of Biosciences and Medicines 2020年第10期8卷 148-156页

作者： Feifan Liu Yanling Heng Qianwen Li Qingyi He Department of Medicine Yangtze University Jingzhou China

Background: frailty is a geriatric syndrome, and a common negative consequence of aging, which shares some obvious characteristics as cognitive impairment. Preventing and relieving frailty may reduce the possibility of developing cognitive impairment. Objective: This study aimed to investigate frailty prevalence and its correlation with cognitive function in elderly surgical inpatients. Methods: We enrolled a random sample of elderly surgical inpatients from Jingzhou from June 2020 to August 2020. We used a self-made registration sheet to collect their demographic data (gender, age, nationality, educational level and monthly income), and used the FRAIL Scale to assess the prevalence of frailty, and used the Mini-Mental State Examination (MMSE) to assess cognitive function. We used multiple linear regression analysis to explore the correlation between frailty level and demographic data, then Pearson correlation analysis was performed to analyze the correlation between frailty and cognitive function. Results: In the 143 elderly surgical inpatients, prevalence of frail was seen in 29 (20.3%), and pre-frail state was found in 64 (44.8%). Only 50 (34.9%) were in healthy state. Cognitive impairment was seen in 28 (19.5%). Pearson correlation analysis showed that the frail scoring was correlated with cognitive function in elderly surgical inpatients (r = -0.378, P Conclusion: The prevalence of frailty is high in elderly surgical inpatients, which is closely related to age and gender. Elderly surgical inpatients have high cognitive impairment, and frailty appears strongly associated with cognitive status. The findings suggest that attention should be paid to the frailty and cognitive function in the elderly surgical inpatients by pro-vision of effective interventions.

关键词： frailty syndrome Cognitive Impairment Aged Surgical Inpatients Mini Mental State Examination

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Prevalence of frailty syndrome in the Elderly and Associated Factors in Brazil

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Health 2015年第11期7卷 1591-1599页

作者： Anna Ferla Monteiro Silva Passos Iris do Céu Clara Costa Fábia Barbosa de Andrade Maria do Carmo Eulálio Anita Liberalesso Neri Romulo Lustosa Pimenteira de Melo Adrianna Ribeiro Lacerda Postgraduation Program in Health Sciences Federal University of Rio Grande do Norte Natal Brazil Department of Dentistry Federal University of Rio Grande do Norte Natal Brazil Nursing Faculty of Health Sciencies of Trairi/Federal University of Rio Grande do Norte Santa Cruz Brazil Department of Psychology State University of Paraíba Campina Grande Brazil Department of Educational Psychology State University of Campinas Campinas Brazil

This paper aims to identify the prevalence of frailty syndrome and its association with demographic, economic, health, psychological and functional variables in Brazilian population. The study was cross-sectional and composed of 385 elderly aged from 65 years, an average age of 73.92 years. A multivariate Poisson regression was used to check for conditions associated with frailty and to determine the prevalence (α = 0.05). The prevalence of frailty was 8.7% and pre-frailty of 50.4%. The frail and pre-frail older adults showed larger and increasing prevalence ratios for marital status, difficulty performing instrumental activities of daily living, old age, involuntary loss of feces, depression and negative affections. These results can guide the establishment of preventive measures and the development of intervention strategies aimed at minimizing the adverse effects of frailty in elderly people.

关键词： Aging Frail Elderly frailty frailty syndrome

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Adherence to pharmacological and non-pharmacological treatment of frail hypertensive patients

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Journal of Geriatric Cardiology 2018年第2期15卷 153-161页

作者： Beata Jankowska-Polanska Karolina Zameta Izabella Uchmanowicz Anna Szymanska-Chabowska Donald Morisky Grzegorz Mazur Department of Clinical Nursing Wroclaw Medical University Wroclaw Poland Department of lnternal Medicine Occupational Diseases Hypertension and Oncology Wroclaw Medical University Wroclaw Poland Department of Community Health Sciences UCLA Fielding School of Public Health Los Angeles USA

Objective To investigate the relationship between frailty syndrome （FS） and adherence to pharmacological and non-pharmacological treatment for hypertension. Methods The study included 100 patients diagnosed with hypertension and treated with one or more hypotensive drugs. Results Frail patients obtained low scores （4.1 ± 2.0） for adherence to pharmaceutical treatment of hypertension, while non-frail patients obtained moderate scores （6.1 ± 2.1）. Non-frail patients had higher scores in two out of four domains of the Health Behavior Inventory （HBI）： positive mental attitudes （3.6 ± 0.4 vs. 3.2 ± 0.5; P = 0.006） and health practices （3.6 ± 0.5 vs. 3.2 ± 0.5; P 〈 0.03）; as well as higher global scores （HBI raw score）： 83.3 ±10.6 vs. 77.3 ± 9.5; P 〈 0.03. Multiple regression analysis showed that frailty syndrome （FS） was a statistically significant independent determinant of worse adherence to pharmacological treatment （β= -0.27; P 〈 0.001） and health behaviors （β = -0.10; P = 0.036）. Education was a statistically significant independent determinant of better adherence to pharmacological treatment （β = 0.82; P = 0.012）, while net income positively affected health behaviors as measured by the HBI （β = 0.39; P = 0.046）. Conclusions FS is a significant independent factor contributing to worse adherence to pharmacological and non-pharmacological treatment of hypertension. Better education significantly improves patients＇ adherence to the prescribed pharmacological treatment, while a good financial standing evidenced by high net income is a determinant of better adherence to health-related behaviors recommended in hypertension treatment.

关键词： Adherence Elderly frailty syndrome Non-pharmacological treatment

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