Frailty Levels in Residential Aged Care Facilities Measured Using the Frailty Index and FRAIL- NH Scale.

Objectives To compare the FRAIL- NH scale with the Frailty Index in assessing frailty in residential aged care facilities. Design Cross-sectional. Setting Six Australian residential aged care facilities. Participants Individuals aged 65 and older (N = 383, mean aged 87.5 ± 6.2, 77.5% female). Measurements Frailty was assessed using the 66-item Frailty Index and the FRAIL- NH scale. Other measures examined were dementia diagnosis, level of care, resident satisfaction with care, nurse-reported resident quality of life, neuropsychiatric symptoms, and professional caregiver burden. Results The FRAIL- NH scale was significantly associated with the Frailty Index (correlation coefficient = 0.81, P < .001). Based on the Frailty Index, 60.8% of participants were categorized as frail and 24.4% as most frail. Based on the FRAIL- NH, 37.5% of participants were classified as frail and 35.9% as most frail. Women were assessed as being frailer than men using both tools ( P = .006 for FI; P = .03 for FRAIL- NH). Frailty Index levels were higher in participants aged 95 and older (0.39 ± 0.13) than in those aged younger than 85 (0.33 ± 0.13; P = .008) and in participants born outside Australia (0.38 ± 0.13) than in those born in Australia (0.34 ± 0.13; P = .01). Both frailty tools were associated with most characteristics that would indicate higher care needs, with the Frailty Index having stronger associations with all of these measures. Conclusion The FRAIL- NH scale is a simple and practical method to screen for frailty in residential aged care facilities. [ABSTRACT FROM AUTHOR]