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

Resilience, frailty and outcomes in geriatric rehabilitation

Sabrina Kohler  1   2 , Robert Rametta  2 , Matthew Poulter  2 , Sara Vogrin  2 , Paul Yates  1   2
Affiliations

Resilience, frailty and outcomes in geriatric rehabilitation

Sabrina Kohler et al. Australas J Ageing. 2020 Jun.

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.

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References

REFERENCES

    1. Rockwood K, Mitinski A. Frailty defined by deficit accumulation and geriatric medicine defined by frailty. Clin Geriatr Med. 2011;27(1):17-26.
    1. Clegg A, Young J, Iliffe S, Rikkert M, Rockwood K. Frailty in elderly people. Lancet. 2013;381(9868):752-762.
    1. Ong A, Bergeman C, Bisconti T, Wallace K. Psychological resilience, positive emotions, and successful adaptation to stress in later life. J Pers Soc Psychol. 2006;91(4):730-749.
    1. Resnick B. Successful aging. Rooted in resilience. Adv NPs Pas. 2010;1(1):31-32, 34-35, 47.
    1. Tabibnia G, Radecki D. Resilience training that can change the brain. Consult Psychol J. 2018;70(1):59-88.

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