Prediction of Nursing Home Admission Using the FRAIL-NH Scale Among Older Adults in Post-Acute Care Settings

Objectives The FRAIL-NH scale was developed to identify frailty status in nursing home residents. The purpose of this study was to examine the utility of the FRAIL-NH scale for predicting nursing home admission among patients in post-acute care settings. Design/Setting/Participants This single-cente...

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Bibliographic Details
Published in:The Journal of nutrition, health & aging health & aging, 2023-03, Vol.27 (3), p.213-218
Main Authors: Yasuoka, M., Shinozaki, M., Kinoshita, K., Li, J., Takemura, M., Yamaoka, A., Arahata, Y., Kondo, I., Arai, H., Satake, Shosuke
Format: Article
Language:English
Subjects:
Aged
Aging
Discharge
Frail Elderly
Frailty
Geriatric Assessment
Geriatrics/Gerontology
Health risks
Humans
Medicine
Medicine & Public Health
Neurosciences
Nursing Homes
Nutrition
Older people
Original Research
Patient admissions
Primary Care Medicine
Prospective Studies
Quality of Life Research
Questionnaires
Retrospective Studies
Subacute Care
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Summary:Objectives The FRAIL-NH scale was developed to identify frailty status in nursing home residents. The purpose of this study was to examine the utility of the FRAIL-NH scale for predicting nursing home admission among patients in post-acute care settings. Design/Setting/Participants This single-center, prospective, observational cohort study included participants aged 65 years or older who were admitted to a community-based integrated care ward (CICW) between July 2015 and November 2020. Measurements Using the CICW database, we retrospectively classified participants as robust, prefrail, or frail based on the FRAIL-NH scale the score by identifying variables from our database that were most representative of each component. The following data were collected: examination findings, CICW admission and discharge information, length of CICW stay, and nursing home admission. The participants were divided into two groups based on whether or not they were admitted to a nursing home after CICW discharge. The hazard ratios (HRs) and 95% confidence intervals (CIs) for nursing home admission were calculated according to the FRAIL-NH categories using the Cox proportional hazards models with reference to the robust group. In the multivariate adjusted model, we adjusted for age, sex, nutritional status, cognitive function, living status, and economic status. Results Data of 550 older adults were analyzed, of which 118 were admitted and 432 were not admitted to a nursing home. The frail group had a higher risk of nursing home admission (HR, 2.22; 95% CI 1.32–3.76) than the robust group. Conclusions This study showed that the FRAIL-NH scale was beneficial for predicting nursing home admission among older adults in the post-acute care setting. Thus, assessment using the FRAIL-NH scale may help to consider preparation and support for life after discharge.
ISSN:1279-7707
1760-4788
DOI:10.1007/s12603-023-1893-1