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KMID : 1130220210250020079
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Annals of Geriatric Medicine and Research
2021 Volume.25 No. 2 p.79 ~ p.85
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Association of the FRAIL Scale with Geriatric Syndromes and Health-Related Outcomes in Korean Older Adults
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Lee Hea-Yon
Chong Jun-Yong
Jung Hee-Won
Baek Ji-Yeon
Lee Eun-Ju
Jang Il-Young
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Abstract
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Background: Owing to the growing older population, appropriate tools are needed for frailty screening in community-dwelling older people. We investigated the association between geriatric conditions and health-related outcomes using the five-item Fatigue, Resistance, Ambulation, Illnesses, & Loss of Weight (FRAIL) scale in a Korean rural community setting.
Methods: We performed comprehensive geriatric assessments, including the FRAIL scale, in 1,292 community-dwelling people (mean age, 74.6 years) in the Aging Study of Pyeongchang Rural Area. These populations were prospectively followed up for 3 years to analyze the outcomes of death, institutionalization, disability, and quality of life. We investigated the association between frailty status and outcomes using the FRAIL scale.
Results: According to the FRAIL scale, 524 (36.5%) participants were prefrail and 297 (23.0%) were frail. According to the adjusted model, the degree of frailty status was significantly associated with concurrent geriatric syndromes and 3-year incidences of mortality, institutionalization, and disability; Kaplan?Meier analysis showed significant differences in 3-year survival based on frailty status (92.6% for robust, 85.7% for prefrail, and 74.2% for frail; log-rank p<0.001).
Conclusion: The five-item FRAIL scale can be used to screen for accompanying geriatric syndromes and is associated with the 3-year health-related outcomes in community-dwelling Korean older adults. From the public health perspective, this simple screening tool for frailty assessment might be applicable to older populations in Korea.
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KEYWORD
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Frailty, Outcome assessment, Health care, Public health, Mass screening
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