FACTORS ASSOCIATED WITH FRAILTY AMONG HOSPITALIZED OLDER ADULTS AT CAN THO CENTRAL GENERAL HOSPITAL: A CROSS-SECTIONAL STUDY

Nguyen Thi Hong Diem1, Ly Lan Chi1, Le Hoang Phuc1, Nguyen Tan Phuoc1, Nguyen Duy Linh2,  
1 Can Tho Central General Hospital
2 Can Tho University of Medicine and Pharmacy

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Background: Population ageing has become a major global trend, accompanied by an increasing prevalence of geriatric syndromes such as frailty. Frailty is characterized by reduced physiological reserve and increased vulnerability to stressors, leading to adverse outcomes including disability, prolonged hospitalization, and mortality. Data on frailty among hospitalized older adults in Vietnam remain limited. Objectives: To determine the prevalence of frailty and to identify the associated factors with frailty among hospitalized older adults at Can Tho Central General Hospital. Materials and methods: A cross-sectional study was conducted at the Department of Geriatrics, Can Tho Central General Hospital from August to September 2025. Hospitalized patients aged ≥60 years were recruited using convenience sampling. Frailty was assessed using the Clinical Frailty Scale, with Clinical Frailty Scale ≥5 defined as frailty. Data on demographic characteristics, nutritional status, dietary diversity, comorbidities, and functional status (ADL and IADL) were collected through interviews and medical record review. Logistic regression analysis was performed to identify factors associated with frailty. Results: A total of 123 patients were included, with a mean age of 75.1 ± 9.3 years; 67.5% were female. Overall, 74.0% of patients were classified as frail, including 58.5% with mild-moderate frailty and 15.5% with severe frailty. Multivariable analysis showed that increasing age (OR = 1.34; 95% CI: 1.17-1.55; p < 0.001) and a higher number of comorbidities (OR = 3.25; 95% CI: 1.75-6.02; p < 0.001) were independently associated with frailty whereas adequate dietary intake was inversely associated with frailty (OR = 0.07; 95% CI: 0.01-0.48; p = 0.007). Conclusion: Frailty is highly prevalent among hospitalized older adults. Routine frailty screening using the Clinical Frailty Scale may help identify high-risk patients and support early geriatric interventions to improve clinical outcomes. 

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Tài liệu tham khảo

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