Frailty Screening is Associated with Hospitalization and Decline in Quality of Life and Functional Status in Older Patients with Inflammatory Bowel Disease.
In: Journal of Crohn's & colitis, Jg. 18 (2024-04-23), Heft 4, S. 516-524
academicJournal
Zugriff:
Background and Aims: Our goals were to study frailty screening in association with hospitalization and decline in quality of life [QoL] and functional status in older patients with inflammatory bowel diseases [IBD].
Methods: This was a prospective multicentre cohort study in IBD patients ≥65 years old using frailty screening [G8 Questionnaire]. Outcomes were all-cause, acute, and IBD-related hospitalization, any infection, any malignancy, QoL [EQ5D-3L], and functional decline (Instrumental Activities of Daily Living [IADL]) during 18 months of follow-up. Confounders were age, IBD type, biochemical disease activity [C-reactive protein ≥10 mg/L and/or faecal calprotectin ≥250 µg/g], and comorbidity [Charlson Comorbidity Index].
Results: Of 405 patients, with a median age of 70 years, 196 [48%] were screened as being at risk for frailty. All-cause hospitalizations occurred 136 times in 96 patients [23.7%], and acute hospitalizations 103 times in 74 patients [18.3%]. Risk of frailty was not associated with all-cause (adjusted hazard ratio [aHR] 1.5, 95% confidence interval [CI] 0.9-2.4), but was associated with acute hospitalizations [aHR 2.2, 95% CI 1.3-3.8]. Infections occurred in 86 patients [21.2%] and these were not associated with frailty. A decline in QoL was experienced by 108 [30.6%] patients, and a decline in functional status by 46 patients [13.3%]. Frailty screening was associated with a decline in QoL (adjusted odds ratio [aOR] 2.1, 95% CI 1.3-3.6) and functional status [aOR 3.7, 95% CI 1.7-8.1].
Conclusions: Frailty screening is associated with worse health outcomes in older patients with IBD. Further studies are needed to assess the feasibility and effectiveness of its implementation in routine care.
(© The Author(s) 2023. Published by Oxford University Press on behalf of European Crohn’s and Colitis Organisation.)
| Titel: |
Frailty Screening is Associated with Hospitalization and Decline in Quality of Life and Functional Status in Older Patients with Inflammatory Bowel Disease.
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| Autor/in / Beteiligte Person: | Asscher, VER ; Rodriguez Gírondo, M ; Fens, J ; Waars, SN ; Stuyt, RJL ; Baven-Pronk, AMC ; Srivastava, N ; Jacobs, RJ ; Haans, JJL ; Meijer, LJ ; Klijnsma-Slagboom, JD ; Duin, MH ; Peters, MER ; Lee-Kong, FVYL ; Provoost, NE ; Tijdeman, F ; van Dijk KT ; Wieland, MWM ; Verstegen, MGM ; van der Meijs ME ; Maan, ADI ; van Deudekom FJ ; van der Meulen-de Jong AE ; Mooijaart, SP ; Maljaars, PWJ |
| Zeitschrift: | Journal of Crohn's & colitis, Jg. 18 (2024-04-23), Heft 4, S. 516-524 |
| Veröffentlichung: | 2015- : Oxford : Oxford University Press ; <i>Original Publication</i>: Amsterdam : Elsevier Science, 2024 |
| Medientyp: | academicJournal |
| ISSN: | 1876-4479 (electronic) |
| DOI: | 10.1093/ecco-jcc/jjad175 |
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