John Libbey Eurotext

Gériatrie et Psychologie Neuropsychiatrie du Vieillissement

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Interest of follow-up of recommendations over a period of 6 months for elderly subjects who have been screened for frailty Volume 17, issue 2, Juin 2019

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Authors
1 Département de gérontologie clinique, Hôpital de la Charité, Saint-Étienne, France
2 Département de gérontologie clinique, CHU Saint-Étienne, France
3 Centre technique d’appui et de formation des centres d’examens de santé, Saint-Etienne, France
4 Laboratoire SNA-EPIS, Université Jean Monnet, Saint-Etienne, France
5 Gérontopôle Auvergne Rhône-Alpes, Saint-Etienne, France
* Correspondance

Frailty is a partially reversible geriatric syndrome. Its prevention requires a structured screening, and is a major public health issue given the increasing life expectancy of the population. The observance of the recommendations made after a screening of the frailty patients is not well known. The objective of our research was to describe the characteristics of patients evaluated in a frailty-day-hospital and followed up recommendation adherence at 3 and 6 months. Methods: patients aged over 65 years old with an ADL score of at least 5 out of 6, were evaluated according to the Fried score to classify patients into pre-frailty or frailty patients. According to the standardized geriatric assessment, recommendations were prescribed for each medico-social situation according to HAS recommendations. A follow-up assessment of these measures was carried out at home basis at 3 and 6 months. Results: 82 patients were included, with mean age of 83.7±5.7 years. 99% were pre-frail or frail and received an average of 3.7±1.7 recommendations. At 3 months, there is an inverse correlation between number and follow-up compliance (r=-0.340, p=0.008), as well as at 6 months (r=-0.352, p=0.006). Between 3 and 6 months, there is a significant increase recommendation number followed (r=0.707, p=0.000). Conclusion: at 6 months, 74.3% recommendations were realized, with a significant increase of recommendation number between the 3rd and 6th month. This result is encouraging by showing the benefit of home support in recommendations follow-up.