Frailty as a strategy for organizing Health Services for Older Adults

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Introduction: The aging process increases clinical conditions associated with age, such as urinary incontinence, systemic arterial hypertension, diabetes mellitus, risk of falls, depression, and cognitive decline. There is no consensus on the definition of frailty due to the scope of different physical and biopsychosocial dimensions of the term. Nevertheless, this condition is associated with vulnerability, increasing the chances of falls, functional decline, hospitalization, institutionalization, and death. Objective: Describe and identify clinical/functional dimensions associated with different frailty levels in older people. Methods: A retrospective cross-sectional study was conducted with older adults in Amazonas, Brazil. Variables extracted from the Clinical-Functional Vulnerability Index. The Chi-square test determines the association between the outcome variable and the independent variables. To assess the variables associated with vulnerability, the Poisson model was used. Results: The results show that a total of 497 older people aged 60 to 101 years 216 were classified as robust, 161 pre-frail, and 120 frails. It was concluded that a large part of the older adults in the analyzed community was already in the process of frailty or was fragile. The domains that contributed most to the frailty in each stratum were mood alterations, gait alterations, and deficiency in Activities of Daily Living (basic and instrumental). Conclusion: A large part of the older adults in the analyzed community was already in the process of frailty or was fragile. The domains that most contribute to the frailty in each stratum were mood alterations, gait alterations, and deficiency in activity daily life (basic and instrumental).

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