But the hospital's contract with Vanguard Healthcare was terminated only four days after 30 patients, most elderly and some frail, reported complications, including blurred vision, pain and swelling.
Puts and colleagues recently reported that among a smaller group of community-dwelling older adults, those who were frail reported worse health-related quality of life than those who were non-frail.
In addition, frail participants reported worse self-reported health, more chronic diseases, polypharmacy, more falls in the past 12 months, poor hearing, poor vision and reported not consuming alcohol compared to non-frail participants.
Among those with Zubrod Performance Status score of 0, 28% demonstrated disability, 58% were pre-frail, 15% were frail, 35% reported low physical function, and 55% reported low mental function.
Frail individuals reported poorer self-perceived health [ 6].
Similarly, frail people reporting low enjoyment of their home and neighbourhood were at an higher likelihood for mortality, discharge to higher level care and 1-month emergency rehospitalisation.
On the OECD disability questionnaire, 93.9 % of the frail participants reported at least one disability, compared to 49.0%% of the pre-frail and 12.0 % of the non-frail older people.
As far as the correlates of frailty were concerned, consistent with other studies we found that frail subjects reported a worse overall QOL than pre-frail and non-frail subjects [ 3, 8, 10- 14, 36].
The more frail people reported lower self-esteem and lower sense of control, which support assertions of the global importance of frailty and function on peoples' self-conceptualization [ 38].
Characteristics of participants who were frail by self-report, intermediate frail by self-report and non-frail were compared by Wilcoxon rank sum for continuous variables and chi square for categorical variables.
