Assessing frailty index and correlation with crp and serum albumin and clinical outcome in terms of length of hospital stay

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Original Article

Author Details : Akash Durgakar, Pratibha Pereira, Shilpa Avarebeel*, Tandure Varsha, Mahesh Poojari, S Meenakshi

Volume : 8, Issue : 1, Year : 2021

Article Page : 15-21

https://doi.org/10.18231/j.agems.2021.005

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Abstract

Background: Frailty is defined as “a clinically recognizable state of increased vulnerability, resulting from aging associated decline in reserve and function across multiple
Materials and Methods: A Hospital based descriptive cross-sectional study in tertiary care hospital. Atotal of 294 patients admitted in the Medicine/Geriatric Ward, were included in stressors is compromised”. It is a robust and powerful risk factor for disability. With this background, study was conducted at a tertiary centre with objectives to assess the frailty in elderly patients and to assess the correlation of frailty with Serum Albumin and CRP physiologic systems, such that the ability to cope with every day or acute and evaluate the clinical outcome in terms of length of hospital stay. The study. Demographic details and details of known comorbidities were recorded. Cognition score of all patients were assessed using mini mental scale examination. Investigations like Serum Albumin and CRP were done. The data was analyzed using statistical software.
Results: Our results show that in hospitalized patients frailty is seen in both gender. The presence of co-morbidities worsens the frailty. 30 second chair test is very good indicator for frailty and risk of fall and we observed reduced duration in the Pre-Frail group. The cognition score decreased along with the increase in age groups. When compared with the Frailty index, it was more in the Pre-Frail group. The duration of hospital stay was more in Frail group. The mean serum albumin level is important marker to identify early frailty.
Conclusion: Assessment of frailty in elderly patients is necessary and identifying Pre-Frailgroup is very important. 30 second chair stand test and serum albumin are very important early markers in the assessment of frailty. Cognitive function is also very important to identify early frailty. Our study shows that the length of hospital stay is more in the Frail group. Frailty is important aspect of elderly. It should be included in routine clinical assessment of all elderly patients.

Keywords: Albumin, CRP, Disability, Elderly, Frailty

How to cite : Durgakar A, Pereira P, Avarebeel S, Varsha T, Poojari M, Meenakshi S, Assessing frailty index and correlation with crp and serum albumin and clinical outcome in terms of length of hospital stay. Ann Geriatr Educ Med Sci 2021;8(1):15-21

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