Pandemic Related Physical Decline

Angie Szumlinski Featured, Health

One little-discussed, long-term toll of the pandemic: Large numbers of older adults have become physically and cognitively debilitated and less able to care for themselves during 15 months of sheltering in place. No large-scale studies have documented the extent of this phenomenon however, physicians, physical therapists, and health plan leaders said the prospect of increased impairment and frailty in the …

Frailty and COVID-19 Recovery

Angie Szumlinski Health, Studies

Older adults account for almost one-half of hospitalizations due to coronavirus disease 2019 (COVID-19). Providing post-acute rehabilitation for frail older adults recovering from COVID-19 remains a significant challenge as nursing facilities, one of the most common settings for post-acute care, have become overwhelmed by the COVID-19 pandemic. As the post-acute period is an essential window of opportunity for recovery, having …

Frailty Outweighs Polypharmacy

Angie Szumlinski News

A study was done to investigate the association between different combined statuses of frailty and polypharmacy on risks of adverse outcomes. The subjects were aged 65-100 years old and were identified from an Insurance Research Database in Taiwan. Frailty was categorized into fit, mild, moderate, and severe frailty based on the multimorbidity frailty index. The use of 5-9 and over …

Frailty and Comorbidities – COVID-19 Outcomes

Angie Szumlinski Health, Studies

A study conducted in Sweden during the COVID-19 pandemic had some very interesting variables and outcomes. The study was performed in an acute care setting with geriatric patients with the goal of analyzing whether frailty and comorbidities are associated with in-hospital mortality and discharge to home. The COVID-19 diagnosis was clinically confirmed by positive reverse transcription-polymerase chain reaction test, or, …

Elderly woman in hospital bed

Frailty and Mortality COVID-19

Angie Szumlinski News

In a recent study, frailty is associated with all-cause mortality risk in older inpatients with COVID-19. Frailty is defined as the propensity to deteriorate in the face of a stressor. It reflects homeostatic reserve and physiological resilience or “biological age.” It is increasingly used to stratify clinical populations to reflect differing prognosis and clinical needs, in particular the need for …

Frailty – Delirium – COVID-19

Angie Szumlinski Studies

COVID-19 disproportionately affects older adults, partly due to increased prevalence of frailty. Frail adults in residential settings may be at particular risk of transmission of respiratory illness. Understanding the differences in COVID-19 presentation resulting from frailty is imperative to prompt rapid diagnosis, isolation and contact-tracing and to guide assessment and treatment. Early identification of frailty facilitates a differential, targeted clinical …

Frailty (Again, Sorry)!

Angie Szumlinski Studies

Although we have posted many blog articles on the issue of Frailty, this study caught my eye because frailty is becoming more and more a concern for our residents! How many of your residents in the past year required emergency general surgery? What exactly is emergency general surgery? According to a study published in the Journal of the American Geriatrics …

Image of pills

Frailty – Fact or Fiction

Angie Szumlinski Health, Studies

Many scholarly articles have been written regarding the incidence of frailty in the geriatric population and the negative outcomes related to frailty. In the post-acute care sector, we have just recently embraced the frailty idea and are working with different organizations, software companies, and assessment tools to assist in determining the level of frailty in our residents. A recent study …

Frailty and falls in the elderly

Frailty and Falls in the Elderly

Angie Szumlinski Health, Studies

Angie SzumlinskiDirector, HealthCap Risk Management Services Resident falls continue to challenge our communities, it is the highest cause of rehospitalizations, negative outcomes, immobility and claims in long-term/post-acute care. There are many products on the market that appear to have some promise in early identification of fall risk including the use of assessment tools to measure the level of frailty. The …