Journal Article

Frailty and use of health and community services by community-dwelling older men: the Concord Health and Ageing in Men Project

Stephane Rochat, Robert G. Cumming, Fiona Blyth, Helen Creasey, David Handelsman, David G. Le Couteur, Vasi Naganathan, Philip N. Sambrook, Markus J. Seibel and Louise Waite

in Age and Ageing

Published on behalf of British Geriatrics Society

Volume 39, issue 2, pages 228-233
Published in print March 2010 | ISSN: 0002-0729
Published online January 2010 | e-ISSN: 1468-2834 | DOI: https://dx.doi.org/10.1093/ageing/afp257
Frailty and use of health and community services by community-dwelling older men: the Concord Health and Ageing in Men Project

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Background: frailty is a concept used to describe older people at high risk of adverse outcomes, including falls, functional decline, hospital or nursing home admission and death. The associations between frailty and use of specific health and community services have not been investigated.

Methods: the cross-sectional relationship between frailty and use of several health and community services in the last 12 months was investigated in 1,674 community-dwelling men aged 70 or older in the Concord Health and Ageing in Men study, a population-based study conducted in Sydney, Australia. Frailty was assessed using a modified version of the Cardiovascular Health Study criteria.

Results: overall, 158 (9.4%) subjects were frail, 679 (40.6%) were intermediate (pre-frail) and 837 (50.0%) were robust. Frailty was associated with use of health and community services in the last 12 months, including consulting a doctor, visiting or being visited by a nurse or a physiotherapist, using help with meals or household duties and spending at least one night in a hospital or nursing home. Frail men without disability in activities of daily living were twice more likely to have seen a doctor in the previous 2 weeks than robust men (adjusted odds ratio 2.04, 95% confidence interval 1.21–3.44), independent of age, comorbidity and socio-economic status.

Conclusion: frailty is strongly associated with use of health and community services in community-dwelling older men. The high level of use of medical services suggests that doctors and nurses could play a key role in implementation of preventive interventions.

Keywords: frailty; older men; health services; elderly

Journal Article.  4063 words. 

Subjects: Geriatric Medicine

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