Counting deficits or diseases? The agreement between frailty and multimorbidity in subjects with cognitive disturbances

Aging Clin Exp Res. 2020 Jan;32(1):179-182. doi: 10.1007/s40520-019-01161-2. Epub 2019 Mar 6.

Abstract

In the present study, we explored the relationship between multimorbidity and frailty in a population of older individuals with cognitive disturbances attending a memory clinic. All subjects consecutively attending the Memory Clinic of the Department of Human Neuroscience, "Sapienza" University of Rome, between January 2017 and April 2018 for a first neurological evaluation were considered for the present analysis. Multimorbidity was defined as the simultaneous presence of two or more diseases in the same individual. A Frailty Index was computed by considering 44 age-related, multidimensional health deficits. Overall, 185 subjects were recruited in the study. A condition of multimorbidity was detected in 87.6% of the sample, whereas only the 44.6% of the study population was considered as frail. A poor agreement was observed between multimorbidity and frailty. The present findings confirm that counting diseases or health deficits may provide discordant information concerning the risk profile of older subjects.

Keywords: Aging; Cognitive disorders; Deficit accumulation; Frailty; Multimorbidity.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognitive Dysfunction / complications
  • Female
  • Frailty / diagnosis*
  • Geriatric Assessment / methods*
  • Humans
  • Male
  • Multimorbidity*
  • Risk Assessment