MỐI LIÊN QUAN GIỮA CÁC THÀNH TỐ CỦA ĐÁNH GIÁ LÃO KHOA TOÀN DIỆN VỚI NGÃ VÀ SỬ DỤNG DỊCH VỤ Y TẾ Ở NGƯỜI CAO TUỔI CÓ HỘI CHỨNG DỄ BỊ TỔN THƯƠNG

Abstract

Objective: To examine the associations between components of comprehensive geriatric assessment and fall history as well as healthcare utilization among older adults with frailty syndrome. Methods: A cross-sectional study was conducted among 450 older adults with frailty syndrome at E Hospital and the National Geriatric Hospital, Vietnam, during 2022–2024. Components of comprehensive geriatric assessment were compared according to fall history and healthcare utilization. Results: The mean age of participants was 75.0 ± 8.0 years, and 71.1% were female. The prevalence of falls during the previous 12 months was 15.8%, while the rates of outpatient, inpatient, and emergency service utilization were 96.0%, 41.6%, and 6.9%, respectively. After adjustment for demographic characteristics, malnutrition risk or malnutrition (aOR = 1.98; 95% CI: 1.05–3.74), visual impairment (aOR = 2.74; 95% CI: 1.30–5.78), and high fall risk (aOR = 3.56; 95% CI: 1.87–6.76) were associated with a history of falls. Polypharmacy (aOR = 5.16; 95% CI: 1.06–25.05), impairment in basic activities of daily living (aOR = 22.32; 95% CI: 1.29–386.29), and visual impairment (aOR = 14.26; 95% CI: 1.23–165.86) were associated with outpatient and inpatient healthcare utilization. Hearing impairment was inversely associated with both fall history (aOR = 0.16; 95% CI: 0.07–0.36) and emergency service utilization (aOR = 0.32; 95% CI: 0.10–0.97). Conclusion: Comprehensive geriatric assessment is valuable for identifying health problems associated with falls and healthcare utilization among vulnerable older adults with frailty syndrome.