The relative impact of socioeconomic position and frailty varies by population setting

Introduction Frailty and socioeconomic position (SEP) are well‐established determinants of health. However, we know less about the contributions of frailty and SEP in older adults, especially in acute settings. We set out to answer how frailty and SEP might influence health outcomes in older people,...

Full description

Saved in:
Bibliographic Details
Published in:Aging medicine 2022-03, Vol.5 (1), p.10-16
Main Authors: Goodyer, Elliot, Mah, Jasmine C., Rangan, Apoorva, Chitalu, Petronella, Andrew, Melissa K., Searle, Samuel D., Davis, Daniel, Tsui, Alex
Format: Article
Language:English
Subjects:
acute hospitalisation
epidemiology
Frailty
Mortality
Older people
Original
Socioeconomic factors
socioeconomic position
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction Frailty and socioeconomic position (SEP) are well‐established determinants of health. However, we know less about the contributions of frailty and SEP in older adults, especially in acute settings. We set out to answer how frailty and SEP might influence health outcomes in older people, comparing a population sample and patients managed by a speciality acute frailty service. Methods We used the Delirium and Population Health Informatics Cohort, a population sample of 1510 individuals aged ≥70 years from the London Borough of Camden and 1750 acute frailty patients. SEP was determined using the Index of Multiple Deprivation. Linear and Cox proportional hazard regression models were conducted to assess SEP on frailty, readmission, and mortality outcomes. Results In the population sample, SEP was significantly associated with frailty and mortality with successive increases in rate of death for each IMD quintile (HR = 1.28, 95% CI 1.11 to 1.49, P 
ISSN:2475-0360
2475-0360
DOI:10.1002/agm2.12200