DETERMINING ASSOCIATION OF FRAILTY SYNDROME WITH COMPREHENSIVE GERIATRIC ASSESSMENT IN COMMUNITY DWELLING ELDERLY

DETERMINING ASSOCIATION OF FRAILTY SYNDROME WITH COMPREHENSIVE GERIATRIC ASSESSMENT IN COMMUNITY DWELLING ELDERLY

Registration ID: IJNRD_191872

Published ID: IJNRD2304522

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Tanupriya Bhaskar , Dr.Pragya Kumar

frailty, geriatric assessment,

BACKGROUND: Frailty is characterized by multisystem dysregulations, leading to a loss of dynamic homeostasis, decreased physiologic reserve, and increased vulnerability for subsequent morbidity and mortality. This is often manifested by maladaptive response to stressors, leading to a vicious cycle toward functional decline and other serious adverse health outcomes. The five frailty criteria are weight loss, exhaustion, low physical activity, slowness and weakness. The sum score of these five criteria classifies people into one of three frailty stages (or groups): not frail (score 0), pre-frail (score 1–2) and frail (score 3–5). Comprehensive geriatric assessment (CGA) was developed as a multidimensional and structured approach aimed at the identification and management of the problems in older adults. High prevalence of frailty indicates the need of routine frailty appraisal as a part of comprehensive geriatric assessment. The CGA contributed to early recognition of frail older people’s needs and ensured a care plan and follow up. PURPOSE: To study the association between the frailty syndrome and comprehensive geriatric assessment in community dwelling elderly. METHODS: 60 individuals (Mean age = 68.15 ± 6.98 years) were selected based on inclusion and exclusion criteria. All individuals were divided into non frail, pre frail and frail groups as per frailty criteria and then comprehensive geriatric assessment including function, cognition, depression, sensory, nutrition, balance and social isolation were assessed and then scoring was done. RESULT: The chi square test of independence (level of significance p<0.05) was performed to examine the relation between frailty and CGA components. Results indicated no significant association between grades of frailty and fall risk (χ 2 = 0.41), BMI (χ2 = 4.40), social isolation (χ 2 = 0.01), IADLs (χ 2 = 2.07) whereas significant association was seen between frailty and depression (χ 2 = 0.12), cognition (χ2 = 6.30), hearing (χ 2 = 7.13), vision (χ 2 = 22.55) & basic ADLs (χ 2 = 20.92). CONCLUSION: Frailty was significantly associated with cognition, sensory impairments, and basic ADLs of components of CGA. Nutrition, depression, fall risk, social isolation and instrumental ADLs of functional impairment components of comprehensive geriatric assessment were not associated with Frailty. KEY WORDS: Frailty, Comprehensive Geriatric Assessment (CGA)

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"DETERMINING ASSOCIATION OF FRAILTY SYNDROME WITH COMPREHENSIVE GERIATRIC ASSESSMENT IN COMMUNITY DWELLING ELDERLY", IJNRD - INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT (www.IJNRD.org), ISSN:2456-4184, Vol.8, Issue 4, page no.f210-f221, April-2023, Available :https://ijnrd.org/papers/IJNRD2304522.pdf

Volume 8 Issue 4, April-2023

Pages : f210-f221

Paper Reg. ID: IJNRD_191872

Published Paper Id: IJNRD2304522

Downloads: 000121115

Research Area: Health Science 

Country: Delhi, Delhi, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2304522.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2304522

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

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