Journal of the American Medical Directors Association
Review ArticlePrevalence of Frailty in Nursing Homes: A Systematic Review and Meta-Analysis
Section snippets
Data Sources and Search Strategy
The author systematically searched the literature in January 2015 in Embase, MEDLINE, CINAHL Plus, PsycINFO, and Cochrane library for studies published from 1990 to 2014 with the following search terms: (nursing home*) OR (nursing home patients) OR (long term care*) OR (long-term care*) OR (home* for the aged) OR (home* for the elderly) OR (institutionalized) OR (institutionalised) AND (frailty) OR (frailty syndrome), using Medical Subject Heading (MeSH) Terms when applicable. The reference
Results
Of a total of 1792 studies identified by the extensive and comprehensive systematic literature search, 9 studies17, 18, 19, 20, 21, 22, 23, 24, 25 reporting prevalence of frailty among nursing home patients aged 60 years or older were included for this systematic review and meta-analysis.
Discussion
This systematic review identified 9 studies with a total of 1373 nursing home patients aged 60 years or older reporting prevalence of frailty. These studies included relatively small numbers of participants and have been published from seven different countries only recently since 2011. The pooled estimate of prevalence of frailty was markedly high at 52.3%, making a striking contrast with about 10% of community-dwelling older people.4 Meanwhile, prevalence of prefrailty (7 studies, 1163
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The author declares no conflicts of interest.