دورية أكاديمية
أعرض في EDS

Social vulnerability, mental health and correlates of frailty in older outpatients living alone in the community in Italy.

التفاصيل البيبلوغرافية
العنوان: Social vulnerability, mental health and correlates of frailty in older outpatients living alone in the community in Italy.
المؤلفون: Bilotta C; Department of Internal Medicine, Geriatric Medicine Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, via Pace 9, 20122 Milan, Italy. claudio.bilotta@gmail.com, Casè A, Nicolini P, Mauri S, Castelli M, Vergani C
المصدر: Aging & mental health [Aging Ment Health] 2010 Nov; Vol. 14 (8), pp. 1024-36.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Routledge Country of Publication: England NLM ID: 9705773 Publication Model: Print Cited Medium: Internet ISSN: 1364-6915 (Electronic) Linking ISSN: 13607863 NLM ISO Abbreviation: Aging Ment Health Subsets: MEDLINE
أسماء مطبوعة: Publication: Abingdon : Routledge : Taylor & Francis Group
Original Publication: Abingdon ; Cambridge, MA : Carfax, c1997-
مواضيع طبية MeSH: Interpersonal Relations* , Social Support* , Vulnerable Populations*, Frail Elderly/*psychology, Activities of Daily Living ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Dementia/epidemiology ; Dementia/psychology ; Female ; Financing, Personal ; Frail Elderly/statistics & numerical data ; Geriatric Assessment ; Humans ; Italy/epidemiology ; Logistic Models ; Male ; Mental Health ; Outpatients/statistics & numerical data ; Prevalence ; Residence Characteristics
مستخلص: Objective: To determine the main social, functional and clinical characteristics of community-dwelling older outpatients living alone and to find correlates of frailty in this population.
Method: Cross-sectional survey of 302 community-dwelling outpatients aged 65+ (median age 82 years) consecutively referred to a geriatric medicine clinic in Italy from June to November 2009. Participants underwent a comprehensive geriatric assessment including frailty status evaluated by means of the study of osteoporotic fractures (SOF) criteria. Student's t-test and the chi-squared test were used to compare subjects 'living alone' and 'not living alone' as well as 'frail' and 'not frail' subjects among the participants living alone. Multiple logistic regression analyses were performed to find independent correlates of frailty among participants living alone.
Results: Participants 'living alone' were 124 (41%). Compared to subjects 'not living alone' (n = 178), they were older, received less assistance from informal and formal caregivers, had poorer living and financial conditions, a better cognitive status and functional self-sufficiency but a worse emotional status. One-third of them (n = 41) were frail. Among frail elders (n = 116), subjects living alone also showed a higher prevalence of unexpected new diagnoses of dementia than those not living alone. Independent correlates of frailty among participants living alone were: having experienced a severe acute disease in the past year (odds ratio [OR] 303.9; 95% confidence interval [CI] 13-7091; p < 0.001), dependence in the bathing BADL ability (OR 62.74; 95% CI 12.17-323.32; p < 0.001), depression (OR 10.43; 95% CI 2.31-47.13; p = 0.002) and incontinence (OR 3.98; 95% CI 1.01-15.66; p = 0.048).
Conclusion: In older outpatients living alone, including those who were frail, we found a lower availability of personal assistance, significantly more social and financial vulnerability and a higher risk of depression. In frail elders there was also a higher prevalence of underdiagnosed dementia. In order to better recognise frail subjects in this specific population, four independent correlates of frailty were identified.
تواريخ الأحداث: Date Created: 20101112 Date Completed: 20110201 Latest Revision: 20101111
رمز التحديث: 20240628
DOI: 10.1080/13607863.2010.508772
PMID: 21069609
قاعدة البيانات: MEDLINE
الوصف
تدمد:1364-6915
DOI:10.1080/13607863.2010.508772