Frailty Trends in an Older Veteran Subpopulation 1 Year Prior and Into the COVID-19 Pandemic Using CAN Scores.

Federal practitioner : for the health care professionals of the VA, DoD, and PHS Pub Date : 2023-06-01 Epub Date: 2023-06-14 DOI:10.12788/fp.0385

Nalini S Bhalla, Janet Fawcett

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Abstract

Background: We studied the effects of the first year of the COVID-19 pandemic on frailty trends in a subset of older veterans at the Phoenix Veterans Affairs Health Care System.

Methods: We identified 3538 and 6103 veterans aged 70 to 75 years as of February 8, 2019, with a calculated Care Assessment Need (CAN) score of ≥ 75 for 1-year mortality and hospitalization, respectively. After excluding veterans with insufficient 2020 and 2021 data, we compared the difference in 1-year mortality and hospitalization CAN scores from 2019 to 2020 with 2020 to 2021 using a paired t test.

Results: The difference in mean (SD) 1-year mortality CAN scores from 2020 to 2021 was 0.2 (13.4) when compared with the previous year's -4.9 (12.5) (P < .0001), indicating increased frailty. The difference in 1-year hospitalization CAN scores from 2020 to 2021 was -1.5 (12.0) when compared with the previous year's -2.8 (9.9) (P < .0001).

Conclusions: Frailty in our veteran subpopulation as calculated by 1-year mortality CAN scores increased in the first year of the COVID-19 pandemic when compared with a recovering trend the previous year.

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使用CAN评分的新冠肺炎大流行前和进入前1年老年退伍军人亚群的脆弱趋势。

背景：我们在凤凰城退伍军人事务医疗保健系统研究了新冠肺炎大流行第一年对一部分老年退伍军人虚弱趋势的影响。方法：我们确定了截至2019年2月8日年龄在70至75岁之间的3538名和6103名退伍军人，1年死亡率和住院治疗的护理评估需求（CAN）计算得分分别≥75。在排除2020年和2021年数据不足的退伍军人后，我们使用配对t检验比较了2019年至2020年与2020年至2021年1年死亡率和住院CAN评分的差异。结果：与前一年的-4.9（12.5）（P<.0001）相比，2020年至2021年的平均（SD）1年死亡率CAN评分差异为0.2（13.4），表明虚弱程度增加。与前一年的-2.8（9.9）相比，2020年至2021年的1年住院CAN评分差异为-1.5（12.0）（P<.0001）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Federal practitioner : for the health care professionals of the VA, DoD, and PHS

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