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Impacts of multi‐morbidity, hemoglobin levels, and frailty on functional disability of older adult residents of long‐term care facilities: A structural equation analysis

Aim Previous studies have focused on the relationship between multi‐morbidity, frailty, and anemia or functional disability alone rather than in combination. This study aimed to explore the impacts of multi‐morbidity, hemoglobin levels, and frailty on functional disability simultaneously in older ad...

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Published in:Geriatrics & gerontology international 2021-06, Vol.21 (6), p.532-537
Main Authors: Liu, Li‐Hsing, Kao, Chia‐Chan, Wang, Ruey‐Hsia, Liu, Yi‐Hui
Format: Article
Language:English
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Summary:Aim Previous studies have focused on the relationship between multi‐morbidity, frailty, and anemia or functional disability alone rather than in combination. This study aimed to explore the impacts of multi‐morbidity, hemoglobin levels, and frailty on functional disability simultaneously in older adult residents of long‐term care facilities. Methods This was a cross‐sectional study. Data were retrieved from the electronic health records of eight long‐term care facilities. Data from a total of 352 subjects aged at least 60 years and residing in these facilities for at least 6 months were analysed. Analytic datasets included the Barthel Index of Activities of Daily Living, the Frailty Phenotype Criteria, the number of chronic diseases, hemoglobin levels, age, and gender. Results The final model demonstrated acceptable goodness‐of‐fit indices, namely goodness‐of‐fit index, comparative fit index, and incremental fit index ≧0.90, root mean square error of approximation  0.05). Frailty, multi‐morbidity, and hemoglobin levels all had direct associations with functional disability (all P 
ISSN:1444-1586
1447-0594
DOI:10.1111/ggi.14177