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A greater proportion of women than men had 30 or more bedridden days either with or without suffering before death.
The increasing effects of frailty on suffering were primarily limited to those who experienced 30 or more bedridden days before death.
The results also showed that fewer than 30 bedridden days with no suffering before death were more common than 30 or more bedridden days with no suffering, whereas fewer than 30 bedridden days with suffering were more common than 30 or more bedridden days with suffering for each sex and age group.
35 36 Finally, we grouped the two assessments of the participants' last month of life to categorise the deaths as follows: less than 30 bedridden days with suffering, less than 30 bedridden days with no suffering, 30 or more bedridden days with suffering, or 30 or more bedridden days with no suffering.
Of those with the highest levels of frailty, men were most likely to experience 30 or more bedridden days with suffering before death (relative risk ratio 8.70, 95% confidence interval 6.31 to 12.00) and women 30 or more bedridden days with no suffering (11.53, 17.84 to 16.96).
Higher levels of frailty among men were associated with greater proportions of death with 30 or more bedridden days and with lesser proportions of death with fewer than 30 bedridden days for every age group.
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Analyses further indicated that the oldest men and women (≥90 years) were more likely to experience fewer bedridden days with no suffering before death than their younger counterparts.
People with greater frailty were more likely to experience a greater number of bedridden days before death than those with less frailty.
Men with the most frailty were more likely to suffer before death (17.9% with <30 bedridden days, and 15.7% with ≥30 bedridden days) compared with women, who were more likely to experience no suffering before death (25.4% with <30 bedridden days, and 21.1% with ≥30 bedridden days), especially after at least 30 bedridden days.
Regardless of frailty, centenarians and nonagenarians were most likely to experience fewer than 30 bedridden days with no suffering, whereas those aged 65-79 and 80-89 were more likely to experience fewer than 30 bedridden days with suffering.
Although migraine-related disability can be reflected by both bedridden days and restricted activities, the authors emphasized bedridden days because they can be more reliably reported and quantified.
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