Comparing four frailty assessment tools against seven-year mortality in the Malaysian elders longitudinal research study

Aim: Several frailty assessment tools are currently used in clinics and research, however, there appears to be a lack of head-to-head comparisons between these tools among older adults in developing countries. This study compared the Cardiovascular Health Study, Study of Osteoporotic Fractures, the...

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Main Authors: Aravindhan, Kiirtaara, Mat, Sumaiyah, Bahyah, Shahrul, Saedon, Nor Izzati, Hasmukharay, Kejal, Mahadzir, Hazlina, Khoo, Selina, Chin, Ai-Vyrn, Tan, Maw Pin
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Published: Elsevier 2024
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Online Access:http://eprints.um.edu.my/44260/
https://doi.org/10.1016/j.archger.2023.105304
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spelling my.um.eprints.442602024-06-27T07:26:39Z http://eprints.um.edu.my/44260/ Comparing four frailty assessment tools against seven-year mortality in the Malaysian elders longitudinal research study Aravindhan, Kiirtaara Mat, Sumaiyah Bahyah, Shahrul Saedon, Nor Izzati Hasmukharay, Kejal Mahadzir, Hazlina Khoo, Selina Chin, Ai-Vyrn Tan, Maw Pin RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry RC1200 Sports Medicine Aim: Several frailty assessment tools are currently used in clinics and research, however, there appears to be a lack of head-to-head comparisons between these tools among older adults in developing countries. This study compared the Cardiovascular Health Study, Study of Osteoporotic Fractures, the Tilburg Frailty Indicator and the Canadian Study of Health and Aging frailty assessment tools and evaluated performance of these individual frailty assessment tools with mortality.Methods: This prospective cohort study utilized stratified simple random sampling to recruit 1614 participants from the Malaysian Elders Longitudinal Research aged above 55 years within the Klang Valley region from 2013 to 2015. Individual items for the frailty tools, alongside baseline physical and cognitive measures were extracted from the initial survey. Mortality data up to 31 December 2020 were obtained through data linkage from the death registry data obtained from the Malaysian National Registration Department.Results: Data were available for over 1609 participants, age (68.92 +/- 7.52) years and 57 % women, during recruitment. Mortality data revealed 13.4 % had died as of 31 December 2020. Five to 25 % of our study population fulfilled the criteria for frailty using all four frailty tools. This study found an increased risk of mortality with frailty following adjustments for potential factors of falls, total number of illnesses and cognitive impairment, alongside moderate to strong correlation and agreement between frailty tools. Conclusion: Frailty was associated with increased mortality. All four frailty assessment tools can be used to assess frailty within the Malaysian older adult population. The four available tools, however, may not be interchangeable. Elsevier 2024-03 Article PeerReviewed Aravindhan, Kiirtaara and Mat, Sumaiyah and Bahyah, Shahrul and Saedon, Nor Izzati and Hasmukharay, Kejal and Mahadzir, Hazlina and Khoo, Selina and Chin, Ai-Vyrn and Tan, Maw Pin (2024) Comparing four frailty assessment tools against seven-year mortality in the Malaysian elders longitudinal research study. Archives of Gerontology and Geriatrics, 118. ISSN 0167-4943, DOI https://doi.org/10.1016/j.archger.2023.105304 <https://doi.org/10.1016/j.archger.2023.105304>. https://doi.org/10.1016/j.archger.2023.105304 10.1016/j.archger.2023.105304
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
RC1200 Sports Medicine
spellingShingle RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
RC1200 Sports Medicine
Aravindhan, Kiirtaara
Mat, Sumaiyah
Bahyah, Shahrul
Saedon, Nor Izzati
Hasmukharay, Kejal
Mahadzir, Hazlina
Khoo, Selina
Chin, Ai-Vyrn
Tan, Maw Pin
Comparing four frailty assessment tools against seven-year mortality in the Malaysian elders longitudinal research study
description Aim: Several frailty assessment tools are currently used in clinics and research, however, there appears to be a lack of head-to-head comparisons between these tools among older adults in developing countries. This study compared the Cardiovascular Health Study, Study of Osteoporotic Fractures, the Tilburg Frailty Indicator and the Canadian Study of Health and Aging frailty assessment tools and evaluated performance of these individual frailty assessment tools with mortality.Methods: This prospective cohort study utilized stratified simple random sampling to recruit 1614 participants from the Malaysian Elders Longitudinal Research aged above 55 years within the Klang Valley region from 2013 to 2015. Individual items for the frailty tools, alongside baseline physical and cognitive measures were extracted from the initial survey. Mortality data up to 31 December 2020 were obtained through data linkage from the death registry data obtained from the Malaysian National Registration Department.Results: Data were available for over 1609 participants, age (68.92 +/- 7.52) years and 57 % women, during recruitment. Mortality data revealed 13.4 % had died as of 31 December 2020. Five to 25 % of our study population fulfilled the criteria for frailty using all four frailty tools. This study found an increased risk of mortality with frailty following adjustments for potential factors of falls, total number of illnesses and cognitive impairment, alongside moderate to strong correlation and agreement between frailty tools. Conclusion: Frailty was associated with increased mortality. All four frailty assessment tools can be used to assess frailty within the Malaysian older adult population. The four available tools, however, may not be interchangeable.
format Article
author Aravindhan, Kiirtaara
Mat, Sumaiyah
Bahyah, Shahrul
Saedon, Nor Izzati
Hasmukharay, Kejal
Mahadzir, Hazlina
Khoo, Selina
Chin, Ai-Vyrn
Tan, Maw Pin
author_facet Aravindhan, Kiirtaara
Mat, Sumaiyah
Bahyah, Shahrul
Saedon, Nor Izzati
Hasmukharay, Kejal
Mahadzir, Hazlina
Khoo, Selina
Chin, Ai-Vyrn
Tan, Maw Pin
author_sort Aravindhan, Kiirtaara
title Comparing four frailty assessment tools against seven-year mortality in the Malaysian elders longitudinal research study
title_short Comparing four frailty assessment tools against seven-year mortality in the Malaysian elders longitudinal research study
title_full Comparing four frailty assessment tools against seven-year mortality in the Malaysian elders longitudinal research study
title_fullStr Comparing four frailty assessment tools against seven-year mortality in the Malaysian elders longitudinal research study
title_full_unstemmed Comparing four frailty assessment tools against seven-year mortality in the Malaysian elders longitudinal research study
title_sort comparing four frailty assessment tools against seven-year mortality in the malaysian elders longitudinal research study
publisher Elsevier
publishDate 2024
url http://eprints.um.edu.my/44260/
https://doi.org/10.1016/j.archger.2023.105304
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