• Gac Med Mex · Jan 2024

    Association of frailty with the use of health services in older adults: a secondary analysis of the Mexican Health and Aging Study.

    • Mario U Pérez-Zepeda.
    • Directorate of Research, Instituto Nacional de Geriatría, Mexico City; Centro de Investigación en Ciencias de la Salud (CICSA), Faculty of Health Sciences, Universidad Anáhuac México, Campus Norte, Huixquilucan, State of Mexico. Mexico.
    • Gac Med Mex. 2024 Jan 1; 160 (1): 172217-22.

    BackgroundFrailty has been related to adverse outcomes, but evidence on its association with the use of health services is still scarce.ObjectiveThe purpose of this work was to determine the association of frailty with the use of health services in Mexican adults older than 60 years.Material And MethodsAnalysis of the Mexican Health and Aging Study for the years 2015 (baseline) and 2018 (follow-up). Frailty was defined with the frailty index. The following outcomes were included: hospitalization, medical visits, major surgery, minor surgical procedures, and dental visits. Competing risk and count analyses (negative binomial regression) were performed.ResultsA total of 8,526 individuals were included, whose average age was 70.8%; 55.8% corresponded to the female gender. According to the results, hospitalization days and the number of minor procedures were associated with frailty.ConclusionsFrailty could be useful in the planning of health services for older adults. On the other hand, its evaluation would allow prioritizing care for those who are at higher risk of adverse outcomes.Copyright: © 2024 Permanyer.

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