Associations of length of stay with frailty status and COVID-19 disease severity among older adults at a community treatment facility in Singapore
Background. Hospitalised older patients with coronavirus disease 2019 (COVID-19) have an increased risk of poor health outcomes. We aimed to determine the associations of length of stay (LOS) with frailty status and disease severity among older patients admitted to a community treatment facility (CT...
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| Veröffentlicht in: | Asian Journal of Gerontology and Geriatrics 2023-12, Vol.18 (2), p.61-71 |
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| creator | Chen, Christine Yuanxin Rosario, Barbara H Leong, Sabrina Li Qi Tun, Mon Hnin |
| description | Background. Hospitalised older patients with coronavirus disease 2019 (COVID-19) have an increased risk of poor health outcomes. We aimed to determine the associations of length of stay (LOS) with frailty status and disease severity among older patients admitted to a community treatment facility (CTF) in Singapore. Methods. Medical records of consecutive patients admitted to the CTF were retrospectively reviewed. Data retrieved included demographics, frailty LOS, 30-day readmission, disease severity, and functional statuses on admission and at discharge. Results. In total, 96 older patients (mean age, 80.3 years) were included. According to the Clinical Frailty Scale (CFS), 26.0% were robust (CFS 1-3), 27.1% were mildly frail (CFS 4-5), and 46.9% were moderately/ severely frail (CFS 6-9). Compared with the robust and mildly frail groups, the moderately/severely frail group had more severe COVID-19 cases (p=0.033), longer LOS at the CTF (p=0.005), and fewer patients discharged home (p=0.01). Greater disease severity was associated with poorer frailty status (p=0.033), worsening of functional status at discharge (p=0.02), higher International Severe Acute Respiratory and emerging Infection Consortium score (p=0.031), and receipt of |
| doi_str_mv | 10.12809/ajgg-2022-578-oa |
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Hospitalised older patients with coronavirus disease 2019 (COVID-19) have an increased risk of poor health outcomes. We aimed to determine the associations of length of stay (LOS) with frailty status and disease severity among older patients admitted to a community treatment facility (CTF) in Singapore. Methods. Medical records of consecutive patients admitted to the CTF were retrospectively reviewed. Data retrieved included demographics, frailty LOS, 30-day readmission, disease severity, and functional statuses on admission and at discharge. Results. In total, 96 older patients (mean age, 80.3 years) were included. According to the Clinical Frailty Scale (CFS), 26.0% were robust (CFS 1-3), 27.1% were mildly frail (CFS 4-5), and 46.9% were moderately/ severely frail (CFS 6-9). Compared with the robust and mildly frail groups, the moderately/severely frail group had more severe COVID-19 cases (p=0.033), longer LOS at the CTF (p=0.005), and fewer patients discharged home (p=0.01). Greater disease severity was associated with poorer frailty status (p=0.033), worsening of functional status at discharge (p=0.02), higher International Severe Acute Respiratory and emerging Infection Consortium score (p=0.031), and receipt of <2 doses of COVID-19 vaccine (p=0.005). Risk factors for longer LOS at the CTF and overall LOS were basic ADL-assisted status on admission (p=0.09 and p=0.017, respectively), fully dependent status on admission (p=0.043 and p=0.002, respectively), presence of infective changes on chest X-ray (p=0.027 and p=0.003, respectively), and receipt of <2 doses of COVID-19 vaccine (p=0.007 and p=0.005, respectively). Conclusions. Risk factors for longer LOS in older patients with COVID-19 were basic ADL-assisted status and fully dependent status on admission, presence of infective changes on chest X-ray, and receipt of <2 doses of COVID-19 vaccine. High-risk patients should be identified through assessments of these characteristics. Identification of risk factors for longer LOS can help guide medical decisions and optimise healthcare resource utilisation.</description><identifier>ISSN: 1819-1576</identifier><identifier>EISSN: 1819-1576</identifier><identifier>DOI: 10.12809/ajgg-2022-578-oa</identifier><language>eng</language><publisher>Hong Kong: Hong Kong Academy of Medicine</publisher><subject>Comorbidity ; Coronaviruses ; COVID-19 vaccines ; Frailty ; Mortality ; Older people</subject><ispartof>Asian Journal of Gerontology and Geriatrics, 2023-12, Vol.18 (2), p.61-71</ispartof><rights>2023. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids></links><search><creatorcontrib>Chen, Christine Yuanxin</creatorcontrib><creatorcontrib>Rosario, Barbara H</creatorcontrib><creatorcontrib>Leong, Sabrina Li Qi</creatorcontrib><creatorcontrib>Tun, Mon Hnin</creatorcontrib><title>Associations of length of stay with frailty status and COVID-19 disease severity among older adults at a community treatment facility in Singapore</title><title>Asian Journal of Gerontology and Geriatrics</title><description>Background. Hospitalised older patients with coronavirus disease 2019 (COVID-19) have an increased risk of poor health outcomes. We aimed to determine the associations of length of stay (LOS) with frailty status and disease severity among older patients admitted to a community treatment facility (CTF) in Singapore. Methods. Medical records of consecutive patients admitted to the CTF were retrospectively reviewed. Data retrieved included demographics, frailty LOS, 30-day readmission, disease severity, and functional statuses on admission and at discharge. Results. In total, 96 older patients (mean age, 80.3 years) were included. According to the Clinical Frailty Scale (CFS), 26.0% were robust (CFS 1-3), 27.1% were mildly frail (CFS 4-5), and 46.9% were moderately/ severely frail (CFS 6-9). Compared with the robust and mildly frail groups, the moderately/severely frail group had more severe COVID-19 cases (p=0.033), longer LOS at the CTF (p=0.005), and fewer patients discharged home (p=0.01). Greater disease severity was associated with poorer frailty status (p=0.033), worsening of functional status at discharge (p=0.02), higher International Severe Acute Respiratory and emerging Infection Consortium score (p=0.031), and receipt of <2 doses of COVID-19 vaccine (p=0.005). Risk factors for longer LOS at the CTF and overall LOS were basic ADL-assisted status on admission (p=0.09 and p=0.017, respectively), fully dependent status on admission (p=0.043 and p=0.002, respectively), presence of infective changes on chest X-ray (p=0.027 and p=0.003, respectively), and receipt of <2 doses of COVID-19 vaccine (p=0.007 and p=0.005, respectively). Conclusions. Risk factors for longer LOS in older patients with COVID-19 were basic ADL-assisted status and fully dependent status on admission, presence of infective changes on chest X-ray, and receipt of <2 doses of COVID-19 vaccine. High-risk patients should be identified through assessments of these characteristics. Identification of risk factors for longer LOS can help guide medical decisions and optimise healthcare resource utilisation.</description><subject>Comorbidity</subject><subject>Coronaviruses</subject><subject>COVID-19 vaccines</subject><subject>Frailty</subject><subject>Mortality</subject><subject>Older people</subject><issn>1819-1576</issn><issn>1819-1576</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpNkMtOwzAQRS0EEhX0A9hZYh2wndROllV5VarUBY-tNbGd4Cqxi-2A-ht8MQllwWzmztWdGekgdEXJDWUlqW5h17YZI4xlC1FmHk7QjJa0yuhC8NN_-hzNY9yRsThhJKcz9L2M0SsLyXoXsW9wZ1yb3icVExzwlx2HJoDt0mFy0hAxOI1X27f1XUYrrG00EA2O5tMEO4ag967FvtMmYNBDl8aFhAEr3_eDmxIpGEi9cQk3oGw3WdbhZ-ta2PtgLtFZA100879-gV4f7l9WT9lm-7heLTeZomUOGadaM665qM2CUEFL0hANvBCqbpiAnKqqBF6rmrFaV4QXxojKFLyAIleCL_ILdH28uw_-YzAxyZ0fghtfypwIQvIR7ZSix5QKPsZgGrkPtodwkJTIX_pyoi8n-nKkLz3kP9REe0g</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Chen, Christine Yuanxin</creator><creator>Rosario, Barbara H</creator><creator>Leong, Sabrina Li Qi</creator><creator>Tun, Mon Hnin</creator><general>Hong Kong Academy of Medicine</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>KB0</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20231201</creationdate><title>Associations of length of stay with frailty status and COVID-19 disease severity among older adults at a community treatment facility in Singapore</title><author>Chen, Christine Yuanxin ; Rosario, Barbara H ; Leong, Sabrina Li Qi ; Tun, Mon Hnin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c183a-61dd26d67be5017180f0da647cbf27a31c98a6bcb22bd9064ee79e464a43c7653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Comorbidity</topic><topic>Coronaviruses</topic><topic>COVID-19 vaccines</topic><topic>Frailty</topic><topic>Mortality</topic><topic>Older people</topic><toplevel>online_resources</toplevel><creatorcontrib>Chen, Christine Yuanxin</creatorcontrib><creatorcontrib>Rosario, Barbara H</creatorcontrib><creatorcontrib>Leong, Sabrina Li Qi</creatorcontrib><creatorcontrib>Tun, Mon Hnin</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Asian Journal of Gerontology and Geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Christine Yuanxin</au><au>Rosario, Barbara H</au><au>Leong, Sabrina Li Qi</au><au>Tun, Mon Hnin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of length of stay with frailty status and COVID-19 disease severity among older adults at a community treatment facility in Singapore</atitle><jtitle>Asian Journal of Gerontology and Geriatrics</jtitle><date>2023-12-01</date><risdate>2023</risdate><volume>18</volume><issue>2</issue><spage>61</spage><epage>71</epage><pages>61-71</pages><issn>1819-1576</issn><eissn>1819-1576</eissn><abstract>Background. Hospitalised older patients with coronavirus disease 2019 (COVID-19) have an increased risk of poor health outcomes. We aimed to determine the associations of length of stay (LOS) with frailty status and disease severity among older patients admitted to a community treatment facility (CTF) in Singapore. Methods. Medical records of consecutive patients admitted to the CTF were retrospectively reviewed. Data retrieved included demographics, frailty LOS, 30-day readmission, disease severity, and functional statuses on admission and at discharge. Results. In total, 96 older patients (mean age, 80.3 years) were included. According to the Clinical Frailty Scale (CFS), 26.0% were robust (CFS 1-3), 27.1% were mildly frail (CFS 4-5), and 46.9% were moderately/ severely frail (CFS 6-9). Compared with the robust and mildly frail groups, the moderately/severely frail group had more severe COVID-19 cases (p=0.033), longer LOS at the CTF (p=0.005), and fewer patients discharged home (p=0.01). Greater disease severity was associated with poorer frailty status (p=0.033), worsening of functional status at discharge (p=0.02), higher International Severe Acute Respiratory and emerging Infection Consortium score (p=0.031), and receipt of <2 doses of COVID-19 vaccine (p=0.005). Risk factors for longer LOS at the CTF and overall LOS were basic ADL-assisted status on admission (p=0.09 and p=0.017, respectively), fully dependent status on admission (p=0.043 and p=0.002, respectively), presence of infective changes on chest X-ray (p=0.027 and p=0.003, respectively), and receipt of <2 doses of COVID-19 vaccine (p=0.007 and p=0.005, respectively). Conclusions. Risk factors for longer LOS in older patients with COVID-19 were basic ADL-assisted status and fully dependent status on admission, presence of infective changes on chest X-ray, and receipt of <2 doses of COVID-19 vaccine. High-risk patients should be identified through assessments of these characteristics. Identification of risk factors for longer LOS can help guide medical decisions and optimise healthcare resource utilisation.</abstract><cop>Hong Kong</cop><pub>Hong Kong Academy of Medicine</pub><doi>10.12809/ajgg-2022-578-oa</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Comorbidity Coronaviruses COVID-19 vaccines Frailty Mortality Older people |
| title | Associations of length of stay with frailty status and COVID-19 disease severity among older adults at a community treatment facility in Singapore |
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