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Peer-reviewedCC BYThe Journal of frailty & aging

Frailty in relation to general and oral health-related quality of life among older adults in municipal acute care.

  • Leonor Roa Santervas1
  • Eva Skovlund2
  • Ingrid Beate Ringstad3
  • Espen Saxhaug Kristoffersen4
  • Katrine Gahre Fjeld5
  • Lene Hystad Hove5
  • Janicke Liaaen Jensen3
  • Torgeir Bruun Wyller6
  • Rita Romskaug7
7 affiliations
  1. 1Institute of Clinical Medicine, University of Oslo, Oslo, Norway; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway; City of Oslo Health Agency, Municipality of Oslo, Norway. Electronic address: [email protected].
  2. 2Department of Public Health and Nursing, The Norwegian University of Science and Technology, Trondheim, Norway.
  3. 3Department of Oral Surgery and Oral Medicine, University of Oslo, Oslo, Norway.
  4. 4Department of General Practice, Institute of Health and Society, University of Oslo, Norway; Department of Neurology, Akershus University Hospital, Lørenskog, Norway.
  5. 5Department of Cariology and Gerodontology, University of Oslo, Oslo, Norway.
  6. 6Institute of Clinical Medicine, University of Oslo, Oslo, Norway; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
  7. 7Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
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Abstract

Background

Frailty is associated with poorer health-related quality of life (HRQoL) in older adults, but studies rarely assess general and oral HRQoL concurrently in acute care populations.Objectives

To examine the associations between frailty and general as well as oral HRQoL among older adults admitted to a municipal in-patient acute care (MipAC) unit.Design

Cross-sectional study.Setting

Oslo MipAC unit, Norway.Participants

A total of 382 patients aged 70 years or older admitted to the MipAC unit between January and September 2023.Measurements

Frailty was assessed using the Clinical Frailty Scale (CFS). General HRQoL was measured with the 15D instrument and a single-item global life satisfaction question. Oral HRQoL was assessed using the Oral Health Impact Profile-14 (OHIP 14). Associations between frailty and HRQoL were analyzed using linear, ordinal logistic, and binary logistic regression. Exploratory analyses of 15D and OHIP-14 dimensions were performed using non-parametric trend tests.Results

Increasing frailty was significantly associated with lower 15D scores (adjusted B -0.053, 95% CI -0.061 to -0.045), higher odds of lower life satisfaction (adjusted OR 1.19, 95% CI 1.02 to 1.39), and higher odds of reporting oral health impacts on the OHIP-14 (adjusted OR 1.25, 95% CI 1.05 to 1.48). Most 15D dimensions declined with increasing frailty, except distress. For OHIP-14, significant associations were observed for functional limitation, physical pain, and psychological disability.Conclusions

Frailty assessed with the CFS was consistently associated with reduced general and oral HRQoL in older adults admitted to a MipAC unit. These findings support the clinical relevance of simple frailty assessment during acute admission and suggest that it may help identify patients at risk of poorer quality of life.

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Cite

BibTeXRIS
BibTeX
@article{santervas2026frailty,
  title = {{Frailty in relation to general and oral health-related quality of life among older adults in municipal acute care.}},
  author = {Leonor Roa Santervas and Eva Skovlund and Ingrid Beate Ringstad and Espen Saxhaug Kristoffersen and Katrine Gahre Fjeld and Lene Hystad Hove and Janicke Liaaen Jensen and Torgeir Bruun Wyller and Rita Romskaug},
  journal = {The Journal of frailty \& aging},
  year = {2026},
  month = oct,
  doi = {10.1016/j.tjfa.2026.100207},
  url = {https://europepmc.org/article/MED/42891948},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Frailty in relation to general and oral health-related quality of life among older adults in municipal acute care.
AU  - Leonor Roa Santervas
AU  - Eva Skovlund
AU  - Ingrid Beate Ringstad
AU  - Espen Saxhaug Kristoffersen
AU  - Katrine Gahre Fjeld
AU  - Lene Hystad Hove
AU  - Janicke Liaaen Jensen
AU  - Torgeir Bruun Wyller
AU  - Rita Romskaug
PY  - 2026
DA  - 2026/10/17
JO  - The Journal of frailty & aging
DO  - 10.1016/j.tjfa.2026.100207
UR  - https://europepmc.org/article/MED/42891948
AB  - Background  Frailty is associated with poorer health-related quality of life (HRQoL) in older adults, but studies rarely assess general and oral HRQoL concurrently in acute care populations.Objectives  To examine the associations between frailty and general as well as oral HRQoL among older adults admitted to a municipal in-patient acute care (MipAC) unit.Design  Cross-sectional study.Setting  Oslo MipAC unit, Norway.Participants  A total of 382 patients aged 70 years or older admitted to the MipAC unit between January and September 2023.Measurements  Frailty was assessed using the Clinical Frailty Scale (CFS). General HRQoL was measured with the 15D instrument and a single-item global life satisfaction question. Oral HRQoL was assessed using the Oral Health Impact Profile-14 (OHIP 14). Associations between frailty and HRQoL were analyzed using linear, ordinal logistic, and binary logistic regression. Exploratory analyses of 15D and OHIP-14 dimensions were performed using non-parametric trend tests.Results  Increasing frailty was significantly associated with lower 15D scores (adjusted B -0.053, 95% CI -0.061 to -0.045), higher odds of lower life satisfaction (adjusted OR 1.19, 95% CI 1.02 to 1.39), and higher odds of reporting oral health impacts on the OHIP-14 (adjusted OR 1.25, 95% CI 1.05 to 1.48). Most 15D dimensions declined with increasing frailty, except distress. For OHIP-14, significant associations were observed for functional limitation, physical pain, and psychological disability.Conclusions  Frailty assessed with the CFS was consistently associated with reduced general and oral HRQoL in older adults admitted to a MipAC unit. These findings support the clinical relevance of simple frailty assessment during acute admission and suggest that it may help identify patients at risk of poorer quality of life.
SN  - 2260-1341
SN  - 2273-4309
ER  -