Frail- VIG index and mortality at 12 months of follow- up

Carmen Eliana Peralta Vargas PhD (1), María Ahon Jiraldo (1) , Claudia Valdivia Alcalde(1),
Ian Falvy Bockos Mg(1)

(1) Central Hospital of the Peruvian Air Force, Peru

1. Backgrounds:
Frailty is related to health outcomes in older adults. The frail index (FI) is used
to quantitatively measure frailty levels. FI share their multidimensional nature
with Comprehensive Geriatric Assessment (VGI).
2. Objective:
Know if the higher the frailty index (FI), the higher the mortality, at the 12-
months follow- up.
3. Method:
• Study descriptive, observational and prospective.
• Patients older than 59 years of age from the geriatric service of
the Central Hospital of the Peruvian Air Force were included at
the end of 2019.
• For two months, the Frail- VIG index was used at the different
levels of care: acute unit, day hospital, outpatient clinic and
home care.
• At twelve months of follow- up, mortality was evaluated as an
adverse event.
• Patients who died due to complicaciones of coronavirus were
excluded.
• To determine the association between Frail – VIG index and
mortality, the Chi- square test and Student’s T test were used
for qualitative and quantitative variables, respectively.
4. Results:
Subjects 241
Mean age 85.08 years (61- 105 y)
Women 65.97%
Barthel index >= 65 53.53%
Cognitive impairment 87.14%
Delirium 34.02%
Polypharmacy 80.08%
Falls 22.82%
Chronic diseases:
Neurological disease 59.33%
Kidney disease 48.54%
Cardiovascular disease 47.71%
Respiratory disease 26.97%
Advance chronicity criteria according to NECPAL 14.51%
• When analyzing the association between mortality and the
Frail- VIG, it was found that the higher the frailty index, the
Frail VGI index < 0.2 7.88% (n19)
higher the mortality; with very significant differences
Frail VGI index >= 0.2 92.12% (n=222)
Mortality at 12 months of follow-up 11.61% (n=28)
(p=0.001).
*Mortality and Frail VGI index >= 0.56 82.14% (n=23) • There wasn’t association between age and mortality
(p=0.95).
5. Conclusion:
The higher the frailty index, the higher the mortality at 12 months of follow- up.
The authors declare no conflicts of interest.