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How to assess frailty and the need for care? Report from the Study of Health and Drugs in the Elderly (SHADES) in community dwellings in Sweden
Jönköping University, Sweden.
County Hospital Ryhov, Jönköping, Sweden.
Lund University, Sweden.
Linköping University, Department of Medical and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences.
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2011 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 53, no 1, 40-45 p.Article in journal (Refereed) Published
Abstract [en]


Knowledge about the need for care of elderly individuals in community dwellings and the factors affecting their needs and support is limited. The aim of this study was to characterize the frailty of a population of elderly individuals living in community dwellings in Sweden in relation to co-morbidity, use of drugs, and risk of severe conditions such as malnutrition, pressure ulcers, and falls. In 2008, 315 elderly individuals living in community dwellings were interviewed and examined as part of the SHADES-study. The elderly demonstrated co-morbidity (a mean of three diseases) and polypharmacy (an average of seven drugs). More than half the sample was at risk for malnutrition, one third was at risk for developing pressure ulcers, and nearly all (93%) had an increased risk of falling and a great majority had cognitive problems. Age, pulse pressure, body mass index, and specific items from the modified Norton scale (MNS), the Downton fall risk index (DFRI), and the mini nutritional assessment (MNA-SF) were related to different outcomes, defining the need for care and frailty. Based on the results of this study, we suggest a single set of items useful for understanding the need for care and to improve individual based care in community dwellings.


Place, publisher, year, edition, pages
Elsevier, 2011. Vol. 53, no 1, 40-45 p.
Keyword [en]
Frailty; Community dwellings; Risk-assessments; Cognitive function
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-66914DOI: 10.1016/j.archger.2010.06.011OAI: diva2:405154
Available from: 2011-03-21 Created: 2011-03-21 Last updated: 2014-01-10Bibliographically approved

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Östgren, Carl JohanBorgquist, Lars
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General PracticeFaculty of Health SciencesResearch & Development Unit in Local Health Care
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