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Frailty risk in hospitalised older adults with and without diabetes mellitus

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  • Deborah A. Lekan
  • Thomas P. McCoy

Abstract

Background Research indicates that diabetes mellitus (DM) may be a risk factor for frailty and individuals with DM are more likely to be frail than individuals without DM; however, there is limited research in hospitalised older adults. Objectives To determine the extent of frailty in hospitalised older adults with and without DM using a 16‐item Frailty Risk Score (FRS) and assess the role of frailty in predicting 30‐day rehospitalisation, discharge to an institution and in‐hospital mortality. Methods The study was a retrospective, cohort, correlational design and secondary analysis of a data set consisting of electronic health record data. The sample was older adults hospitalised on medicine units. Logistic regression was performed for 30‐day rehospitalisation and discharge location. Cox proportional hazards regression was used to analyse time to in‐hospital death and weighted using propensity scores. Results Of 278 hospitalised older adults, 49% had DM, and the mean FRS was not significantly different by DM status (9.6 vs. 9.1, p = 0.07). For 30‐day rehospitalisation, increased FRS was associated with significantly increased odds of rehospitalisation (AOR = 1.24, 95% CI [1.01, 1.51], p = 0.04). Although 81% were admitted from home, 57% were discharged home and 43% to an institution. An increased FRS was associated with increased odds of discharge to an institution (AOR = 1.48, 95% CI [1.26, 1.74], p

Suggested Citation

  • Deborah A. Lekan & Thomas P. McCoy, 2018. "Frailty risk in hospitalised older adults with and without diabetes mellitus," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3510-3521, October.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:19-20:p:3510-3521
    DOI: 10.1111/jocn.14529
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