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Frailty and type of death among older adults in China
 — prospective cohort study
Author(s)Matthew E Dupre, Danan Gu, David F Warner
Journal titleBritish Medical Journal, vol 338, no 7700, 18 April 2009
Pagespp 924-927
Sourcewww.bmj.com
KeywordsChronic illness ; Independence ; Terminal care ; Death ; Correlation ; China.
AnnotationParticipants were 13,717 older Chinese people aged 65+ from the 2002 and 2003 waves of the Chinese longitudinal healthy longevity survey carried out in 22 provinces throughout China. Multinomial analyses showed that higher levels of frailty significantly increased the relative risk ratios of mortality for all types of death. Of those with the highest levels of frailty, men were most likely to experience 30 or more bedridden days with suffering before death, and women 30 or more bedridden days with no suffering. Regardless of frailty, centenarians and nonagenarians were most likely to experience fewer than 30 bedridden days with no suffering, whereas those aged 65-79 and 80-89 were more likely to experience fewer than 30 bedridden days with suffering. Adjusting for compositional differences had little impact on the links between frailty and type of death for both sexes and age groups. The association between frailty and type of death differs by sex and age. Health scholars and clinical practitioners should consider age and se differences in frailty to develop more effective measures to reduce preventable suffering before death. (RH).
Accession NumberCPA-090628231 A
ClassmarkCI: C3: LV: CW: 49: 7DC *

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