Frailty assessment and its influencing factors analysis in elderly inpatients

Abstract

Objective To explore the frailty condition in elderly inpatients and analyze its influencing factors. Methods Using convenience sampling method, 360 elderly patients with chronic diseases hospitalized in Beijing Friendship Hospital from May 2017 to September 2018 were selected as the subjects of this study. The incidence of frailty was investigated by Fried Weakness Phenotype Assessment. In addition, the general data and clinical related indicators of the subjects were collected, and the influencing factors of elderly patients' frailty were analyzed by univariate and multivariate analysis. Results In this study, 89 patients with frailty were enrolled, accounting for 24.72% (89/360) . Univariate analysis showed that there were statistically significant differences in gender, age, living conditions, sleep status, albumin level, hemoglobin level, fall risk, ability of daily living (ADL) , cognitive function, mental health and nutritional risk condition between the frailty group and non-frailty group (P<0.05) . Multivariate logistic regression analysis showed that age, sleep status, fall risk, mental health and nutritional risk were the influencing factors of elderly hospitalized patients' frailty (P<0.05) . Conclusions There is a high incidence of frailty in the elderly inpatients. Old age, poor sleep quality, high risk of falling, depression and malnutrition are the influencing factors of frailty. Therefore, it is suggested that comprehensive assessment should be carried out as soon as possible to improve the quality of life of elderly patients. Key words: Aged; Frailty; Influencing factors; Evaluation