Relationship Between Frailty and Risk of Falls Among Hospitalised Older People with Cardiac Conditions: An Observational Cohort Study.
Background/Objective: Ageing favours the onset of cardiovascular diseases, frailty, and risk of falls. In the hospital setting, 47.7% of patients may be frail, and the incidence of falls may be as high as five per thousand. This study seeks to determine the relationship between frailty, risk of fall...
| Publicado en: | Nursing Reports Vol. 15; no. 3; pp. 100 - 116 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Mar2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184102327&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184102327 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Mar2025 vid: 15 iid: 3 pid: 97109 pub: MDPI artinfo: ui: 184102327 184102327 184102327 10.3390/nursrep15030100 184102327 ppf: 100 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Relationship Between Frailty and Risk of Falls Among Hospitalised Older People with Cardiac Conditions: An Observational Cohort Study. aug: au: Rivas-González, Noel López, María Martín-Gil, Belén Fernández-Castro, Mercedes Castro, María José San Román, J. Alberto affil: Continuing Education Department, Valladolid University Clinical Hospital, 47005 Valladolid, Spain sug: subj: Frailty Syndrome Complications Frailty Syndrome Complications Accidental Falls Risk Factors Heart Diseases Complications Hospitalization of Older Persons Psychosocial Factors Length of Stay Risk Assessment Human Nonexperimental Studies Prospective Studies Middle Age Aged Aged, 80 and Over Pilot Studies Tertiary Health Care Spain Convenience Sample Spain Center for Epidemiological Studies Depression Scale Scales Descriptive Statistics Male Female Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background/Objective: Ageing favours the onset of cardiovascular diseases, frailty, and risk of falls. In the hospital setting, 47.7% of patients may be frail, and the incidence of falls may be as high as five per thousand. This study seeks to determine the relationship between frailty, risk of falls, and length of hospital stays in hospitalised older adults with heart disease. Methods: An observational study was conducted of a cohort of patients aged ≥60 years admitted to a cardiology unit (2022–2024). Frailty was assessed using Fried's phenotype, risk of falls using the J.H. Downton scale, and level of dependency using the Barthel index. Clinical variables, anthropometric measurements, and length of stay were analysed. Statistical analysis: quantitative variables were expressed as means and standard deviations, and categorical variables as frequencies. Associations were analysed using Student's t-tests, chi-squared tests, and Kruskal–Wallis tests for comparisons of three or more groups. Relationships between frailty, risk of falls, and other variables were examined using univariate binary logistic regression, with a 95% confidence interval and statistical significance set at p < 0.05. Results: A total of 144 patients were recruited (mean age = 73.08 years [SD = 7.95]) (women = 33.30%). Frailty was associated with waist circumference in men (p = 0.01) and diastolic blood pressure in women (p = 0.05). Frailty was further linked to Downton scores (odds ratio [OR] = 1.565; 95% CI: 1.156–2.120; p = 0.004), age (OR = 1.114; 95% CI: 1.058–1.173; p = 0.000), Barthel index (OR = 0.902; 95% CI: 0.854–0.953; p = 0.000), and length of stay (OR = 1.101; 95% CI: 1.021–1.186; p = 0.012). Conclusions: Frailty appears to be related to Downton scores and impacts the length of hospital stays in older adults hospitalised with cardiac conditions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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