Table 2.
Physical frailty indicators by cognitive impairment in newly-admitted older nursing home residents (2014–2016)
| All | Cognitive impairment | ||||
|---|---|---|---|---|---|
| None/Mild | Moderate | Severe | |||
| (n = 871,801) | (n = 292,548) | (n = 262,307) | (n = 316,946) | ||
| Percentage | Percentage | Percentage | Percentage | ||
| FRAIL-NH Items | |||||
| Fatigue | |||||
| 0 | No (never or 1 day) | 62.1 | 59.4 | 59.5 | 67.1 |
| 1 | Yes (several days/everyday) | 31.7 | 34.5 | 33.8 | 27.2 |
| 2 | PHQ-9 ≥ 10 | 6.2 | 6.1 | 6.8 | 5.7 |
| Resistancea | |||||
| 0 | Independent | 4.5 | 4.5 | 4.5 | 4.5 |
| 1 | With set-up only | 4.0 | 3.9 | 4.0 | 4.1 |
| 2 | Need physical assistance | 91.5 | 91.6 | 91.5 | 91.4 |
| Ambulationb | |||||
| 0 | Independent | 6.5 | 7.9 | 6.4 | 5.3 |
| 1 | With assistive device | 7.8 | 7.3 | 8.3 | 7.8 |
| 2 | Cannot walk | 85.7 | 84.8 | 85.4 | 86.8 |
| Incontinence | |||||
| 0 | None | 19.8 | 27.3 | 19.6 | 13.2 |
| 1 | Urinary incontinence only | 22.7 | 26.1 | 23.5 | 19.0 |
| 2 | Bowel incontinence | 57.5 | 46.6 | 57.0 | 67.9 |
| Loss of weight | |||||
| 0 | None | 97.0 | 96.9 | 97 | 97.1 |
| 1 | ≥5% past 3 mo./ ≥10% past 6 mo. | 3.0 | 3.2 | 3.0 | 2.9 |
| Nutritional approach | |||||
| 0 | Regular diet | 67.8 | 76.7 | 67.6 | 59.7 |
| 1 | Mechanically altered diet | 26.9 | 19.4 | 27.6 | 33.2 |
| 2 | Require feeding tube | 5.3 | 3.9 | 4.8 | 7.1 |
| Help with dressing | |||||
| 0 | Independent | 1.8 | 2.6 | 1.8 | 1.1 |
| 1 | Need help with set up only | 3.0 | 3.5 | 3.1 | 2.4 |
| 2 | Need physical help | 95.2 | 93.9 | 95.0 | 96.5 |
PHQ-9 Patient Health Questionnaire
aMeasures if the resident needs assistance to be transferred from one location to another
bMeasures if the resident can walk in a room