Resilience, frailty and outcomes in geriatric rehabilitation

Sabrina Kohler; Robert Rametta; Matthew Poulter; Sara Vogrin; Paul Yates

doi:10.1111/ajag.12754

Resilience, frailty and outcomes in geriatric rehabilitation

Australas J Ageing. 2020 Jun;39(2):e205-e209. doi: 10.1111/ajag.12754. Epub 2019 Nov 28.

Authors

Sabrina Kohler^{1

2}, Robert Rametta², Matthew Poulter², Sara Vogrin², Paul Yates^{1

2}

Affiliations

¹ Austin Health, Department of Geriatric Medicine, Continuing Care Clinical Service Unit, Melbourne, Vic., Australia.
² University of Melbourne, Melbourne, Vic., Australia.

PMID: 31782236
DOI: 10.1111/ajag.12754

Abstract

Objective: To assess relationships between resilience, frailty and outcomes in geriatric rehabilitation inpatients.

Methods: Eighty-nine inpatients had Brief Resilience Scale (BRS) and frailty index (FI-CGA) completed. Pearson's or Spearman's correlation was used to determine correlation between BRS, FI-CGA and covariates. Multivariate logistic regression was used to determine associations between resilience, frailty and covariates with functional independence measure gain, length of stay (LOS) > 21 days, mortality and discharge care requirements.

Results: There was a negative correlation between BRS and premorbid FI-CGA (r = -0.31, P = 0.03) and admission FI-CGA (r = -0.26, P = 0.01) and between BRS and Mini-Mental State Examination score (rho = -0.26, P = 0.02). BRS was not associated with observed outcomes. Premorbid FI-CGA was associated with inpatient mortality, and greater increase in FI-CGA during acute stay was associated with greater LOS. All patients who died were frail (FI-CGA > 0.25).

Conclusion: Resilience and frailty were inversely related. Frailty was an independent predictor of rehabilitation LOS and mortality.

Keywords: frailty; geriatric; psychological; rehabilitation; resilience.

MeSH terms

Aged
Frail Elderly
Frailty* / diagnosis
Geriatric Assessment*
Hospitalization
Humans
Length of Stay
Rehabilitation