ISSN: 2149-2247 | E-ISSN: 2149-2549

Quick Search




Which Frailty Scale Predicts 4-Year Mortality in Community-Dwelling Turkish Elderly Better: The FRAIL Scale or the Fried Frailty Index? [Erciyes Med J]
Erciyes Med J. 2019; 41(1): 56-61 | DOI: 10.14744/etd.2018.18167

Which Frailty Scale Predicts 4-Year Mortality in Community-Dwelling Turkish Elderly Better: The FRAIL Scale or the Fried Frailty Index?

Sibel Akın1, Firuzan Fırat Özer1, Gözde Ertürk2, Şemsinur Göçer3, Mustafa Mümtaz Mazıcıoğlu4, Elif Deniz Şafak4, Salime Mucuk5
1Division of Geriatrics, Department of Internal Medicine, Erciyes University Faculty of Medicine, Kayseri, Turkey
2Department of Biostatistics, Erciyes University Faculty of Medicine, Kayseri, Turkey
3Public Health Center, Hacılar, Kayseri, Turkey
4Department of Family Medicine, Erciyes University Faculty of Medicine, Kayseri, Turkey
5Department of Nursing, Erciyes University Faculty of Health Sciences, Kayseri, Turkey

Objective: Frailty is a prevalent geriatric syndrome that can indicate mortality in the elderly. The aim of this study was to determine if there was an association between frailty and 4-year mortality in the community-dwelling Turkish older people.
Materials and Methods: The Fried Frailty Index (FFI) and FRAIL scale data from the Kayseri Elderly Health Study were used. Univariate and multivariate analyses were conducted to determine the association between frailty and mortality, as assessed by the FFI and FRAIL scales.
Results: The 4-year mortality frequency was found at 7.2% (n=65/905).The gender-specific mortality was 2.4% (n=22) in females and 4.8% (n=43) in males. The frequency of mortality in the elderly aged ≥75 years was 12.8% (n=34/265), and in those aged 60–74 years, it was 4.8% (n=31/640). The frequency of mortality in the frail, pre-frail, and non-frail older people was 57.4%, 25.9%, and 16.7%, respectively, for the FFI. The corresponding frequency of mortality for the FRAIL scale was 20.6%, 54.0%, and 25.4%, respectively. In a multivariate analysis, male gender (OR 2.67, 95% confidence interval [CI] 1.43–4.96) and being frail (OR 5.34, 95%CI 2.45–11.67) were significantly associated with 4-year mortality according to the FFI.
Conclusion: Both the FFI and FRAIL scales may be significant predictors of 4-year mortality in the sample. However, the FFI may be considered as the strongest predictor for 4-year mortality, primarily in male gender.

Keywords: Frailty, mortality, older people, community-dwelling

Sibel Akın, Firuzan Fırat Özer, Gözde Ertürk, Şemsinur Göçer, Mustafa Mümtaz Mazıcıoğlu, Elif Deniz Şafak, Salime Mucuk. Which Frailty Scale Predicts 4-Year Mortality in Community-Dwelling Turkish Elderly Better: The FRAIL Scale or the Fried Frailty Index?. Erciyes Med J. 2019; 41(1): 56-61

Corresponding Author: Sibel Akın, Türkiye
LookUs & Online Makale