Older people's goals of care in relation to frailty status-the COOP-study.
Age Ageing
; 53(5)2024 05 01.
Article
en En
| MEDLINE
| ID: mdl-38796317
ABSTRACT
BACKGROUND:
Literature relating older people's goals of care to their varying frailty status is scarce.OBJECTIVE:
To investigate goals of care in case of acute and/or severe disease in relationship to frailty status among the general older population.METHOD:
Older people aged ≥70 in the Netherlands completed a questionnaire. They were divided into three subgroups based on a self-reported Clinical Frailty Scale fit (CFS 1-3), mildly frail (CFS 4-5) and severely frail (CFS 6-8). Seven goals were graded as unimportant (1-5), somewhat important (6-7) or very important (8-10) extending life, preserving quality of life (QoL), staying independent, relieving symptoms, supporting others, preventing hospital admission and preventing nursing home admission.RESULTS:
Of the 1,278 participants (median age 76 years, 63% female), 57% was fit, 32% mildly frail and 12% severely frail. Overall, participants most frequently considered preventing nursing home admission as very important (87%), followed by staying independent (84%) and preserving QoL (83%), and least frequently considered extending life as very important (31%). All frailty subgroups reported similar preferences out of the surveyed goals as the overall study population. However, participants with a higher frailty status attached slightly less importance to each individual goal compared with fit participants (Ptrend-values ≤ 0.037).CONCLUSION:
Preferred goals of care are not related to frailty status, while the importance ascribed to individual goals is slightly lower with higher frailty status. Future research should prioritise outcomes related to the shared goals of fit, mildly frail and severely frail older people to improve personalised medicine for older patients.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Calidad de Vida
/
Evaluación Geriátrica
/
Anciano Frágil
/
Fragilidad
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Age Ageing
/
Age ageing
/
Age and ageing
Año:
2024
Tipo del documento:
Article
País de afiliación:
Países Bajos