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Relationship of frailty status with health resource use and healthcare costs in the population aged 65 and over in Catalonia

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dc.contributor.author Lavado, Àngel
dc.contributor.author Serra-Colomer, Júlia
dc.contributor.author Serra-Prat, Mateu
dc.contributor.author Burdoy, Emili
dc.contributor.author Cabré, Mateu
dc.date.accessioned 2024-03-04T07:17:45Z
dc.date.available 2024-03-04T07:17:45Z
dc.date.issued 2023
dc.identifier.citation Lavado À, Serra-Colomer J, Serra-Prat M, Burdoy E, Cabré M. Relationship of frailty status with health resource use and healthcare costs in the population aged 65 and over in Catalonia. Eur J Ageing. 2023 Jun 7;20(1):20. DOI: 10.1007/s10433-023-00769-8
dc.identifier.issn 1613-9372
dc.identifier.uri http://hdl.handle.net/10230/59311
dc.description.abstract Background: Frailty is a geriatric syndrome with repercussions on health, disability, and dependency. Objectives: To assess health resource use and costs attributable to frailty in the aged population. Methods: A population-based observational longitudinal study was performed, with follow-up from January 2018 to December 2019. Data were obtained retrospectively from computerized primary care and hospital medical records. The study population included all inhabitants aged ≥ 65 years ascribed to 3 primary care centres in Barcelona (Spain). Frailty status was established according to the Electronic Screening Index of Frailty. Health costs considered were hospitalizations, emergency visits, outpatient visits, day hospital sessions, and primary care visits. Cost analysis was performed from a public health financing perspective. Results: For 9315 included subjects (age 75.4 years, 56% women), frailty prevalence was 12.3%. Mean (SD) healthcare cost in the study period was €1420.19 for robust subjects, €2845.51 for pre-frail subjects, €4200.05 for frail subjects, and €5610.73 for very frail subjects. Independently of age and sex, frailty implies an additional healthcare cost of €1171 per person and year, i.e., 2.25-fold greater for frail compared to non-frail. Conclusions: Our findings underline the economic relevance of frailty in the aged population, with healthcare spending increasing as frailty increases.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartof Eur J Ageing. 2023 Jun 7;20(1):20
dc.rights © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Relationship of frailty status with health resource use and healthcare costs in the population aged 65 and over in Catalonia
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1007/s10433-023-00769-8
dc.subject.keyword Emergency visits
dc.subject.keyword Frailty
dc.subject.keyword Health resource use
dc.subject.keyword Healthcare costs
dc.subject.keyword Hospitalizations
dc.subject.keyword Outpatient visits
dc.subject.keyword Population ageing
dc.subject.keyword Primary care visits
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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