@article{ref1,
title="Measures of frailty in homebound older adults",
journal="Southern medical journal",
year="2022",
author="Shirai, Sara and Kwak, Min Ji and Lee, Jessica",
volume="115",
number="4",
pages="276-279",
abstract="OBJECTIVES: Frailty, a geriatric syndrome associated with high morbidity and mortality, has rarely been assessed in homebound older adults. As such, we evaluated the prevalence of frailty among older adults enrolled in a home-based primary care program. <br><br>METHODS: We measured frailty using the Fried Frailty Phenotype criteria of unintentional weight loss, weakness, poor endurance, slowness, and low physical activity. <br><br>RESULTS: Of 25 homebound patients (average age 73), 14 (56%) were frail, 11 (44%) were prefrail, and none (0%) were robust. Among those who took ≥5 medications, 63% were frail and 37% were prefrail, and among those who had ≥10 comorbidities, 57% were frail and 43% were prefrail. We also observed that frailty in our homebound older adults was mainly driven by slow gait speed. <br><br>CONCLUSIONS: Frailty is prevalent in homebound older adults and may be related to slower gait speed, polypharmacy, and/or multimorbidity.<p /> <p>Language: en</p>",
language="en",
issn="0038-4348",
doi="10.14423/SMJ.0000000000001380",
url="http://dx.doi.org/10.14423/SMJ.0000000000001380"
}