scholarly journals Frailty Phenotype and Healthcare Costs and Utilization in Older Women

2018 ◽  
Vol 66 (7) ◽  
pp. 1276-1283 ◽  
Author(s):  
Kristine E. Ensrud ◽  
Allyson M. Kats ◽  
John T. Schousboe ◽  
Brent C. Taylor ◽  
Peggy M. Cawthon ◽  
...  
2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 778-778
Author(s):  
Lisa Langsetmo ◽  
Allyson Kats ◽  
John Schousboe ◽  
Tien Vo ◽  
Brent Taylor ◽  
...  

Abstract We used data from 1324 women (mean age 83) at the 2002-2004 exam linked with their Medicare claims to determine the association of the frailty phenotype with healthcare costs. The frailty phenotype was categorized as robust, pre-frail or frail. Multimorbidity and a frailty indicator (approximating the deficit accumulation index) were derived from claims. Functional limitations were assessed by asking about difficulty performing IADL. Total direct healthcare costs were ascertained during 36 months following the exam. Compared with robust, pre-frailty and frailty were associated with higher costs after accounting for demographics, multimorbidity, functional limitations and the frailty indicator (cost ratio 1.37 [1.10-1.71] among pre-frail and 1.63 [1.28-2.08] among frail). Discrimination of high-cost (top decile) women was improved by adding the phenotype and functional limitations to a model containing demographics and the claims-based measures. Findings suggest that assessment of the phenotype may improve identification of individuals at higher risk of costly care.


2020 ◽  
Vol 68 (9) ◽  
pp. 2034-2042 ◽  
Author(s):  
Kristine E. Ensrud ◽  
Allyson M. Kats ◽  
John T. Schousboe ◽  
Brent C. Taylor ◽  
Tien N. Vo ◽  
...  

2008 ◽  
Vol 18 (6) ◽  
pp. 783-789 ◽  
Author(s):  
L. Timonen ◽  
T. Rantanen ◽  
E. Mäkinen ◽  
T.E. Timonen ◽  
T. Törmäkangas ◽  
...  

SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A286-A287
Author(s):  
Kristine E Ensrud ◽  
Allyson M Kats ◽  
John T Schousboe ◽  
Lisa Langsetmo ◽  
Brent C Taylor ◽  
...  

2020 ◽  
Vol 45 ◽  
pp. e020021
Author(s):  
Letícia Pophal da Silva ◽  
Ariadne Leal Santana ◽  
Carolina Sayuri Santos Suzuki ◽  
Natália Boneti Moreira

Introduction: The aging process results in falls, frailty, and functional dependence. However, the practice of physical exercises can prevent negative impacts on the older adult health. Objective: To compare the incidence of frailty, physical aspects, and number of falls among older adult women and sedentary controls. Methods: The study has a cross-sectional design and included 70 community-dwelling older adult women (73.96±7.52 years). The frailty phenotype (Fried Criteria) and the history of falls in the last 12 months were analyzed, followed by the evaluation of muscle power (Five times Sit-to-Stand Test), functional mobility (Time Up and Go), balance (Mini BESTest) and fear of falling (Falls Efficacy Scale). The Mann Whitney and Chi-Square tests were used for statistical analysis. Results: The frailty rate among sedentary women (Pre-frail: 42.9%; Frail: 57.1%) was different from athlete women (Non frail: 100%). The rate of falls was the same in both groups (25.7%), however, sedentary controls fell at home (100%), while older adult athlete women fell in sports activities (88.9%). The athletes showed better scores (p<0.001) in all physical aspects when compared to the sedentary controls in muscle power (11.25 vs 24.10 seconds), functional mobility (10.01 vs. 16.04 seconds), balance (27 vs 19 points) and fear of falling (16 vs 27 points). Conclusion: Ahlete older women had lower frailty rates and fear of falling, as well as better physical aspects. The characteristics of falls were different, indicating the need and the importance of contemplating the lifestyle in prevention programs promoting healthy life for older adults.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 778-778
Author(s):  
Kristine Ensrud ◽  
Allyson Kats ◽  
Lisa Lisa Langsetmo ◽  
Tien Vo ◽  
John Schousboe

Abstract To determine the association of the frailty phenotype with subsequent healthcare costs, we studied 1514 men (mean age 79.3 years) participating in the 2007-2009 exam linked with their Medicare claims data. The frailty phenotype (5 components) was categorized as robust, pre-frail or frail. Multimorbidity and a frailty indicator (approximating the deficit accumulation index) were derived from claims data. Functional limitations were assessed by asking about difficulty performing 5 IADL. Total direct healthcare costs were ascertained during 36 months following the exam. Mean annualized costs (2018 dollars) was $5707 among robust, $8964 among pre-frail and $20,027 among frail men. Compared with robust, pre-frailty and frailty were each associated with higher costs after accounting for demographics, multimorbidity, functional limitations and the frailty indicator (cost ratio 1.18 [1.02-1.36] among pre-frail and 1.87 [1.47-2.39] among frail). Findings suggest that assessment of the phenotype may improve identification of individuals at increased risk of costly care.


Author(s):  
Fatemeh Ramezan Alaghehband ◽  
Arja T. Erkkilä ◽  
Toni Rikkonen ◽  
Joonas Sirola ◽  
Heikki Kröger ◽  
...  

Ob Gyn News ◽  
2011 ◽  
Vol 46 (7) ◽  
pp. 10
Author(s):  
ALICE GOODMAN
Keyword(s):  

Ob Gyn News ◽  
2007 ◽  
Vol 42 (22) ◽  
pp. 1-8
Author(s):  
GREG MUIRHEAD
Keyword(s):  

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