Informing patterns of health and social care utilisation in Irish older people according to the Clinical Frailty Scale

摘要: There is increasing policy interest in the consideration of frailty measures (rather than chronological age alone) to inform a more equitable allocation health and social care resources community. The Clinical Frailty Scale (CFS) has attracted for its simplicity multiple relevant geriatric dimensions. However, criticism CFS been possible subjectivity scoring, bringing danger lack scoring consistency across agencies. For that reason, authors published classification tree method assist with routine CFS. aim present study was apply data from adults aged 65 over Irish Longitudinal Study on Ageing (TILDA) correlate derived categories patterns utilisation older people assessed Wave 5 (year 2018). In addition, we explored how states changed 8 years TILDA between 1 (2010) 5. Results showed following prevalence 5: 6% very fit (CFS1), 36% (CFS2), 31% managing well (CFS3), 16% vulnerable (CFS4), mildly frail (CFS5), 4% moderately (CFS6) 1% severely (CFS7). No participants were or terminally ill. wave 5, had an association hospital community services, hours formal informal provision. transitions analyses suggested dynamic picture transitions, 2-year probability transitioning (CFS1-3) (CFS5+) at 34% 6%, respectively. Vulnerable 22% 17% reversal vulnerable, Our results suggest able stratify population into subgroups needs. could be used aid Ireland, but given frequency population, it recommended status individuals reviewed least every 2 years.