The Impact of Socioeconomic Factors and Geriatric Syndromes on Frailty among Elderly People Receiving Home-Based Healthcare: A Cross-Sectional Study
Abstract
:1. Introduction
Aim
2. Material and Methods
2.1. Study Design and Participants
2.2. Instruments
2.2.1. Frailty Assessment
2.2.2. Geriatrics Syndromes
2.2.3. Socioeconomic Factors
2.3. Ethical Consideration
2.4. Data Analysis
3. Results
3.1. Demographic Data of the Participants
3.2. Distribution of the Socio-Economic Factors and Geriatrics Syndromes according to Gender and Frailty Classification
3.3. The impact of Geriatric Syndromes on Frailty
4. Discussion
5. Future Implications
6. Limitations
7. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Mean ± SD, Median (IQR) | ||
---|---|---|
Age (years) | 78.45 ± 7.87, 79.00 (11.00) | |
N | % | |
Gender | ||
Male | 111 | 36.9 |
Female | 190 | 63.1 |
Annual individual Income | ||
≤4500 | 133 | 45.4 |
>4500 | 160 | 54.6 |
Educational Level | ||
* Uneducated | 245 | 81.4 |
Highschool | 36 | 12.0 |
Bachelor/MSc/PhD | 20 | 6.6 |
Cognitive function a | ||
Dysfunction (MoCA < 26) | 253 | 87.8 |
Normal (MoCA ≥ 26) | 35 | 12.2 |
Frailty status | ||
Frail | 110 | 38.5 |
Pre-frail | 130 | 45.5 |
Non-frail | 46 | 16 |
Depression | ||
Severe (GDS 11+) | 41 | 13.6 |
Mild (GDS 6–10) | 106 | 35.2 |
Normal (GDS 0–5) | 154 | 51.2 |
Comorbidity b | ||
Severe (CCI ≥ 5) | 207 | 70.6 |
Mild (CCI 2–4) | 86 | 29.4 |
Normal (CCI 0–1) | 0 | 0 |
Disability in ADL c | ||
Dependent (Barthel ≤ 10) | 21 | 7.2 |
Semi-dependent (Barthel 11–14) | 25 | 8.5 |
Independent (Barthel 15+) | 247 | 84.3 |
Homebound status d | ||
Homebound | 54 | 18.1 |
Semi-homebound | 48 | 16.1 |
Non-homebound | 196 | 65.8 |
Total | Females n (%) | Males n (%) | ||||||
---|---|---|---|---|---|---|---|---|
Frailty Status | Frailty Status | |||||||
n | % | Non-Frail | Pre-Frail | Frail | Non-Frail | Pre-Frail | Frail | |
Frailty | 286 | 100 | 18(6.3) | 85(29.7) | 79(27.6) | 28(9.8) | 45(15.7) | 31(10.8) |
Cognitive Function a | ||||||||
Dysfunction (MoCA < 26) | 242 | 88 | 13(4.7) | 74(26.9) | 70(25.5) | 16(5.8) | 41(14.9) | 28(10.2) |
Normal (MoCA ≥ 26) | 33 | 12 | 4(1.5) | 10(3.6) | 4(1.5) | 11(4) | 2(0.7) | 2(0.7) |
Age | ||||||||
≤65–79 | 153 | 53.5 | 13(4.6) | 51(17.8) | 40(14) | 18(6.3) | 21(7.3) | 10(3.5) |
≥80 | 133 | 46.5 | 5(1.8) | 34(11.9) | 39(13.6) | 10(3.5) | 24(8.4) | 21(7.3) |
Depression | ||||||||
Severe (GDS 11+) | 41 | 14.3 | 0(0) | 12(4.2) | 19(6.6) | 1(0.3) | 3(1.1) | 6(2.1) |
Mild (GDS 6–10) | 96 | 33.6 | 5(1.7) | 24(8.4) | 34(11.9) | 6(2.1) | 13(4.6) | 14(4.9) |
Normal (GDS 0–5) | 149 | 52.1 | 13(4.6) | 49(17.1) | 26(9.1) | 21(7.3) | 29(10.1) | 11(3.9) |
Comorbidity b | ||||||||
Severe (CCI ≥ 5) | 201 | 70.3 | 10(3.5) | 59(20.7) | 57(19.9) | 18(6.3) | 32(11.2) | 25(8.7) |
Mild (CCI 2–4) | 85 | 29.7 | 8(2.8) | 26(9.1) | 22(7.7) | 10(3.5) | 13(4.5) | 6(2.1) |
Normal (CCI 0–1) | 0 | 0.0 | 0(0) | 0(0) | 0(0) | 0(0) | 0(0) | 0(0) |
Disability in ADL c | ||||||||
Dependent (Barthel ≤ 10) | 19 | 6.7 | 0(0) | 5(1.8) | 13(4.5) | 0(0) | 0(0) | 1(0.4) |
Semi-dependent (Barthel 11–14) | 25 | 8.7 | 0(0) | 6(2) | 11(3.8) | 0(0) | 3(1.1) | 5(1.8) |
Independent (Barthel 15+) | 242 | 84.6 | 18(6.3) | 74(25.9) | 55(19.2) | 28(9.8) | 42(14.7) | 25(8.7) |
Homebound Status d | ||||||||
Homebound | 51 | 18 | 0(0) | 14(4.9) | 30(10.6) | 0(0) | 3(1.1) | 4(1.4) |
Semi-Homebound | 42 | 14.9 | 0(0) | 9(3.2) | 19(6.7) | 1(0.4) | 3(1.1) | 10(3.5) |
Non-Homebound | 190 | 67.1 | 17(6) | 62(21.9) | 30(10.6) | 27(9.5) | 37(13.1) | 17(6) |
Annual individual Income | ||||||||
≤4500 | 125 | 44.6 | 8(2.9) | 30(10.7) | 42(15) | 5(1.8) | 20(7.1) | 20(7.1) |
>4500 | 155 | 55.4 | 9(3.2) | 53(19) | 36(12.9) | 23(8.2) | 25(8.9) | 9(3.2) |
Educational Level | ||||||||
* Uneducated | 230 | 80.4 | 14(4.9) | 70(24.5) | 66(23) | 18(6.3) | 32(11.2) | 30(10.5) |
Highschool | 36 | 12.6 | 3(1.1) | 10(3.5) | 8(2.8) | 7(2.4) | 8(2.8) | 0(0) |
Bachelor/MSc/PhD | 20 | 7 | 1(0.4) | 5(1.7) | 5(1.7) | 3(1.1) | 5(1.7) | 1(0.4) |
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Aravantinou-Karlatou, A.; Kavasileiadou, S.; Panagiotakis, S.; Tziraki, C.; Almegewly, W.; Androulakis, E.; Kleisiaris, C. The Impact of Socioeconomic Factors and Geriatric Syndromes on Frailty among Elderly People Receiving Home-Based Healthcare: A Cross-Sectional Study. Healthcare 2022, 10, 2079. https://doi.org/10.3390/healthcare10102079
Aravantinou-Karlatou A, Kavasileiadou S, Panagiotakis S, Tziraki C, Almegewly W, Androulakis E, Kleisiaris C. The Impact of Socioeconomic Factors and Geriatric Syndromes on Frailty among Elderly People Receiving Home-Based Healthcare: A Cross-Sectional Study. Healthcare. 2022; 10(10):2079. https://doi.org/10.3390/healthcare10102079
Chicago/Turabian StyleAravantinou-Karlatou, Antonia, Savvato Kavasileiadou, Simeon Panagiotakis, Chariklia Tziraki, Wafa Almegewly, Emmanouil Androulakis, and Christos Kleisiaris. 2022. "The Impact of Socioeconomic Factors and Geriatric Syndromes on Frailty among Elderly People Receiving Home-Based Healthcare: A Cross-Sectional Study" Healthcare 10, no. 10: 2079. https://doi.org/10.3390/healthcare10102079