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Healthcare utilization among pre-frail and frail Puerto Ricans

Frailty is associated with adverse health outcomes and greater healthcare utilization. Less is known about the relationship between frailty and healthcare utilization in Puerto Rico, where high rates of chronic conditions and limited healthcare may put this group at a higher likelihood of using heal...

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Autores principales: Barba, Cheyanne, Downer, Brian, Clay, Olivio J., Kennedy, Richard, Ballard, Erin, Crowe, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9836292/
https://www.ncbi.nlm.nih.gov/pubmed/36634091
http://dx.doi.org/10.1371/journal.pone.0280128
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author Barba, Cheyanne
Downer, Brian
Clay, Olivio J.
Kennedy, Richard
Ballard, Erin
Crowe, Michael
author_facet Barba, Cheyanne
Downer, Brian
Clay, Olivio J.
Kennedy, Richard
Ballard, Erin
Crowe, Michael
author_sort Barba, Cheyanne
collection PubMed
description Frailty is associated with adverse health outcomes and greater healthcare utilization. Less is known about the relationship between frailty and healthcare utilization in Puerto Rico, where high rates of chronic conditions and limited healthcare may put this group at a higher likelihood of using healthcare resources. This study examined the association between pre-frailty and frailty with healthcare utilization at baseline and 4-year follow-up among a cohort of community dwelling Puerto Ricans living on the island. We examined data from 3,040 Puerto Ricans (mean age 70.6 years) from The Puerto Rican Elderly: Health Conditions (PREHCO) study between 2002–2003 and 2006–2007. We used a modified version of the Fried criteria defined as 3 or more of the following: shrinking, weakness, poor energy, slowness, and low physical activity. Pre-frailty was defined as 1–2 components. The number of emergency room visits, hospital stays, and doctor visits within the last year were self-reported. Zero-inflated negative binomial regression models were used for ER visits and hospital stays. Negative binomial models were used for doctor visits. Pre-frailty was associated with a higher rate of doctor visits with a rate ratio of 1.11 (95% CI = 1.01–1.22) at baseline. Frailty was associated with a higher rate of ER visits (1.48, 95% CI = 1.13–1.95), hospital stays (1.69, 95% CI = 1.08–2.65), and doctor visits (1.24, 95% CI = 1.10–1.39) at baseline. Pre-frailty and frailty were not associated with any healthcare outcomes at follow-up. Pre-frailty and frailty are associated with an increased rate of healthcare services cross-sectionally among Puerto Rican adults, which may cause additional burdens on the already pressured healthcare infrastructure on the island.
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spelling pubmed-98362922023-01-13 Healthcare utilization among pre-frail and frail Puerto Ricans Barba, Cheyanne Downer, Brian Clay, Olivio J. Kennedy, Richard Ballard, Erin Crowe, Michael PLoS One Research Article Frailty is associated with adverse health outcomes and greater healthcare utilization. Less is known about the relationship between frailty and healthcare utilization in Puerto Rico, where high rates of chronic conditions and limited healthcare may put this group at a higher likelihood of using healthcare resources. This study examined the association between pre-frailty and frailty with healthcare utilization at baseline and 4-year follow-up among a cohort of community dwelling Puerto Ricans living on the island. We examined data from 3,040 Puerto Ricans (mean age 70.6 years) from The Puerto Rican Elderly: Health Conditions (PREHCO) study between 2002–2003 and 2006–2007. We used a modified version of the Fried criteria defined as 3 or more of the following: shrinking, weakness, poor energy, slowness, and low physical activity. Pre-frailty was defined as 1–2 components. The number of emergency room visits, hospital stays, and doctor visits within the last year were self-reported. Zero-inflated negative binomial regression models were used for ER visits and hospital stays. Negative binomial models were used for doctor visits. Pre-frailty was associated with a higher rate of doctor visits with a rate ratio of 1.11 (95% CI = 1.01–1.22) at baseline. Frailty was associated with a higher rate of ER visits (1.48, 95% CI = 1.13–1.95), hospital stays (1.69, 95% CI = 1.08–2.65), and doctor visits (1.24, 95% CI = 1.10–1.39) at baseline. Pre-frailty and frailty were not associated with any healthcare outcomes at follow-up. Pre-frailty and frailty are associated with an increased rate of healthcare services cross-sectionally among Puerto Rican adults, which may cause additional burdens on the already pressured healthcare infrastructure on the island. Public Library of Science 2023-01-12 /pmc/articles/PMC9836292/ /pubmed/36634091 http://dx.doi.org/10.1371/journal.pone.0280128 Text en © 2023 Barba et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Barba, Cheyanne
Downer, Brian
Clay, Olivio J.
Kennedy, Richard
Ballard, Erin
Crowe, Michael
Healthcare utilization among pre-frail and frail Puerto Ricans
title Healthcare utilization among pre-frail and frail Puerto Ricans
title_full Healthcare utilization among pre-frail and frail Puerto Ricans
title_fullStr Healthcare utilization among pre-frail and frail Puerto Ricans
title_full_unstemmed Healthcare utilization among pre-frail and frail Puerto Ricans
title_short Healthcare utilization among pre-frail and frail Puerto Ricans
title_sort healthcare utilization among pre-frail and frail puerto ricans
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9836292/
https://www.ncbi.nlm.nih.gov/pubmed/36634091
http://dx.doi.org/10.1371/journal.pone.0280128
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