TY - JOUR
T1 - Frailty and health-related quality of life among residents of long-term care facilities
AU - Kanwar, Amrit
AU - Singh, Mandeep
AU - Lennon, Ryan
AU - Ghanta, Kalyan
AU - McNallan, Sheila M.
AU - Roger, Véronique L.
N1 - Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.
PY - 2013/8
Y1 - 2013/8
N2 - 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.
AB - 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.
KW - assisted living facilities
KW - frailty
KW - long-term care
KW - nursing homes
KW - quality of life
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U2 - 10.1177/0898264313493003
DO - 10.1177/0898264313493003
M3 - Article
C2 - 23801154
AN - SCOPUS:84883422306
VL - 25
SP - 792
EP - 802
JO - Journal of Aging and Health
JF - Journal of Aging and Health
SN - 0898-2643
IS - 5
ER -