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Relationship between Multimorbidity and Disability in Elderly Patients with Coexisting Frailty Syndrome

Background: Multimorbidity is a common problem worldwide. It carries the risk of reduced quality of life, disability, frequent hospitalizations, and death. The present study was designed to assess the relationships that exist between multimorbidity and disability in elderly patients. Methods: The st...

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Autores principales: Jędrzejczyk, Maria, Foryś, Weronika, Czapla, Michał, Uchmanowicz, Izabella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950513/
https://www.ncbi.nlm.nih.gov/pubmed/35329148
http://dx.doi.org/10.3390/ijerph19063461
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author Jędrzejczyk, Maria
Foryś, Weronika
Czapla, Michał
Uchmanowicz, Izabella
author_facet Jędrzejczyk, Maria
Foryś, Weronika
Czapla, Michał
Uchmanowicz, Izabella
author_sort Jędrzejczyk, Maria
collection PubMed
description Background: Multimorbidity is a common problem worldwide. It carries the risk of reduced quality of life, disability, frequent hospitalizations, and death. The present study was designed to assess the relationships that exist between multimorbidity and disability in elderly patients. Methods: The study included 100 patients and was conducted between October 2020 and January 2021. Inclusion criteria included age >65 years, presence of a minimum of two comorbidities in the subject, and consent to participate in the study. Standardized survey instruments such as Tilburg Frailty Indicator (TFI), Charlson Comorbidities Index (CCI), Assessment of Basic Activities of Daily Living—Katz Scale (ADL), and Assessment of Complex Activities of Daily Living—Lawton Scale (IADL) were used in the study. Results: The majority of the subjects (92) had a frailty syndrome (TFI). A small group of respondents (8%) suffered from severe comorbidities (CCI). Among the subjects surveyed, 71% maintained full function in performing simple activities of daily living (ADL), while 29% demonstrated moderate disability on the scale. Full independence in performing complex activities of daily living (IADL) was present in 33% of the respondents, and 67% were partially independent. Independence in complex activities of daily living (IADL) was significantly higher in patients with fewer comorbidities. The severity of comorbidities (CCI) had a significant effect on the decrease in the level of independence (ADL and IADL). Independence in performing complex activities (IADL) was worse among older patients. Conclusions: An increase in the number of comorbidities contributes to a decrease in the level of performance of complex activities of daily living. The severity of comorbidities significantly reduces the level of independence of the subjects in simple and complex activities of daily living. In patients with a higher level of independence in performing simple and complex activities, the co-occurrence of frailty syndrome was less severe. As the age of the subjects increases, the frequency in which they show moderate dependence on third parties in performing complex activities of daily living increases.
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spelling pubmed-89505132022-03-26 Relationship between Multimorbidity and Disability in Elderly Patients with Coexisting Frailty Syndrome Jędrzejczyk, Maria Foryś, Weronika Czapla, Michał Uchmanowicz, Izabella Int J Environ Res Public Health Article Background: Multimorbidity is a common problem worldwide. It carries the risk of reduced quality of life, disability, frequent hospitalizations, and death. The present study was designed to assess the relationships that exist between multimorbidity and disability in elderly patients. Methods: The study included 100 patients and was conducted between October 2020 and January 2021. Inclusion criteria included age >65 years, presence of a minimum of two comorbidities in the subject, and consent to participate in the study. Standardized survey instruments such as Tilburg Frailty Indicator (TFI), Charlson Comorbidities Index (CCI), Assessment of Basic Activities of Daily Living—Katz Scale (ADL), and Assessment of Complex Activities of Daily Living—Lawton Scale (IADL) were used in the study. Results: The majority of the subjects (92) had a frailty syndrome (TFI). A small group of respondents (8%) suffered from severe comorbidities (CCI). Among the subjects surveyed, 71% maintained full function in performing simple activities of daily living (ADL), while 29% demonstrated moderate disability on the scale. Full independence in performing complex activities of daily living (IADL) was present in 33% of the respondents, and 67% were partially independent. Independence in complex activities of daily living (IADL) was significantly higher in patients with fewer comorbidities. The severity of comorbidities (CCI) had a significant effect on the decrease in the level of independence (ADL and IADL). Independence in performing complex activities (IADL) was worse among older patients. Conclusions: An increase in the number of comorbidities contributes to a decrease in the level of performance of complex activities of daily living. The severity of comorbidities significantly reduces the level of independence of the subjects in simple and complex activities of daily living. In patients with a higher level of independence in performing simple and complex activities, the co-occurrence of frailty syndrome was less severe. As the age of the subjects increases, the frequency in which they show moderate dependence on third parties in performing complex activities of daily living increases. MDPI 2022-03-15 /pmc/articles/PMC8950513/ /pubmed/35329148 http://dx.doi.org/10.3390/ijerph19063461 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jędrzejczyk, Maria
Foryś, Weronika
Czapla, Michał
Uchmanowicz, Izabella
Relationship between Multimorbidity and Disability in Elderly Patients with Coexisting Frailty Syndrome
title Relationship between Multimorbidity and Disability in Elderly Patients with Coexisting Frailty Syndrome
title_full Relationship between Multimorbidity and Disability in Elderly Patients with Coexisting Frailty Syndrome
title_fullStr Relationship between Multimorbidity and Disability in Elderly Patients with Coexisting Frailty Syndrome
title_full_unstemmed Relationship between Multimorbidity and Disability in Elderly Patients with Coexisting Frailty Syndrome
title_short Relationship between Multimorbidity and Disability in Elderly Patients with Coexisting Frailty Syndrome
title_sort relationship between multimorbidity and disability in elderly patients with coexisting frailty syndrome
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950513/
https://www.ncbi.nlm.nih.gov/pubmed/35329148
http://dx.doi.org/10.3390/ijerph19063461
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