Version 1
: Received: 8 May 2023 / Approved: 10 May 2023 / Online: 10 May 2023 (10:12:44 CEST)
Version 2
: Received: 16 July 2023 / Approved: 17 July 2023 / Online: 17 July 2023 (15:15:01 CEST)
How to cite:
Blázquez-Andión, M.; Montiel-Dacosta, J.A.; Rizzi-Bordigoni, M.A.; Acosta-Mejuto, B.; Moline-Pareja, A.; Ris-Romeu, J.; Puig-Campmany, M. Utility of VIG-Frail Index in a ED Short-Stay Unit: Frailty and Mortality Correlation. Preprints2023, 2023050731. https://doi.org/10.20944/preprints202305.0731.v2
Blázquez-Andión, M.; Montiel-Dacosta, J.A.; Rizzi-Bordigoni, M.A.; Acosta-Mejuto, B.; Moline-Pareja, A.; Ris-Romeu, J.; Puig-Campmany, M. Utility of VIG-Frail Index in a ED Short-Stay Unit: Frailty and Mortality Correlation. Preprints 2023, 2023050731. https://doi.org/10.20944/preprints202305.0731.v2
Blázquez-Andión, M.; Montiel-Dacosta, J.A.; Rizzi-Bordigoni, M.A.; Acosta-Mejuto, B.; Moline-Pareja, A.; Ris-Romeu, J.; Puig-Campmany, M. Utility of VIG-Frail Index in a ED Short-Stay Unit: Frailty and Mortality Correlation. Preprints2023, 2023050731. https://doi.org/10.20944/preprints202305.0731.v2
APA Style
Blázquez-Andión, M., Montiel-Dacosta, J.A., Rizzi-Bordigoni, M.A., Acosta-Mejuto, B., Moline-Pareja, A., Ris-Romeu, J., & Puig-Campmany, M. (2023). Utility of VIG-Frail Index in a ED Short-Stay Unit: Frailty and Mortality Correlation. Preprints. https://doi.org/10.20944/preprints202305.0731.v2
Chicago/Turabian Style
Blázquez-Andión, M., Josep Ris-Romeu and Mireia Puig-Campmany. 2023 "Utility of VIG-Frail Index in a ED Short-Stay Unit: Frailty and Mortality Correlation" Preprints. https://doi.org/10.20944/preprints202305.0731.v2
Abstract
Background: Frailty assessment allows the identification of patients at risk of death, and it is a challenge in both emergency departments and support wards. The aim here was to study the ability of the Frail-VIG Index (FI-VIG) in order to discriminate frailty groups of older adults and garner its correlation with mortality in an emergency department short-stay unit (2) Methods: Our observational, single-center, prospective study consecutively included patients over 65-years-old admitted to the unit between March 1, 2021, and April 30, 2021. (3) Results: A total of 302 patients were included (56% women), with a mean age of 83 ± 8 years, and 39.1% of them had a functional disability whilst 16.5% of them had dementia. A total of 174 patients (58%) met the frailty criteria (FI-VIG ≥0.2): 111 (63.8%) had mild frailty (FI-VIG 0.2 - 0.36), 52 (29.9%) had moderate frailty (FI-VIG 0.36 - 0.55), and 11 (6.3%) had advanced frailty (FI-VIG >0.55). Mortality at 30 days, 6 months, and 1 year was analyzed: no frailty was 6.3%, 10.8%, and 12.5%, respectively; mild frailty was 10.8%, 22.5%, and 22.5%, respectively; moderate frailty was 25%, 34.6%, and 42.3%, respectively; and advanced frailty was 36.4%, 54.5%, and 3.6%, respectively. This shows the significant differences between the groups (1-year mortality p<0.001). Mild frailty vs. non-frail HR was 2.47 (95%CI 1.12 - 5.46), moderate frailty vs. non-frail HR was 6.93 (95%CI 3.16 - 15.23), and advanced frailty vs. non-frail HR was 11.29 (95%CI 3.54 - 36.03). The mean test time was 7 minutes. (4) Conclusions: There was a strong correlation between frailty degree and mortality at 1, 6, and 12 months. FI-VIG Index is a fast and easy-to-use tool in this setting, and its routine implementation in SSUs could enable early risk stratification in order to detect vulnerable patients with specific needs.
Keywords
Emergency; Frailty; Mortality; IF-VIG
Subject
Medicine and Pharmacology, Emergency Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Commenter: Mireia Puig-Campmany
Commenter's Conflict of Interests: Author