To determine the prognostic value of frailty and comorbidity for outdoor mobility loss and mortality in the elderly. The retrospective study was conducted among outpatients aged ≥60 years. Patients with ≥3 chronic illnesses were treated by doctors who had undergone a 72-hour geriatric training. The outdoor low-mobility group comprised patients who failed to visit a doctor because of decreased outdoor mobility during the 3-year follow-up period. The outdoor high-mobility group comprised participants with no outdoor mobility loss. 5678 patients with a mean age of 71.0 ± 0.1 years were included in the study. The risk of outdoor mobility loss rose by 4% per year with men developing it 30% more than women. The effect of frailty was of particular importance because it increased the risk of developing outdoor mobility loss by 70%. Comorbidity was not associated with a higher risk of outdoor mobility loss, but the investigators did not take into account all possible illnesses, or the severity of disease. The loss of outdoor mobility was associated with increase in mortality. Early detection of frailty can help predict outdoor mobility loss and could reduce mortality among older people.

中文翻译：

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莫斯科 60 岁及以上社区居民的合并症、虚弱和户外活动能力丧失之间的关联

确定虚弱和合并症对老年人户外活动能力丧失和死亡率的预后价值。回顾性研究在≥60岁的门诊患者中进行。≥3 种慢性病患者由接受过 72 小时老年医学培训的医生进行治疗。户外低活动性组包括在 3 年随访期间因户外活动减少而未能就医的患者。户外高移动性组由没有户外移动性损失的参与者组成。5678 名平均年龄为 71.0 ± 0.1 岁的患者被纳入研究。户外活动能力丧失的风险每年增加 4%，男性比女性多 30%。虚弱的影响特别重要，因为它使户外活动能力丧失的风险增加了 70%。合并症与户外活动能力丧失的较高风险无关，但研究人员并未考虑所有可能的疾病或疾病的严重程度。户外活动的丧失与死亡率的增加有关。早期发现虚弱有助于预测户外活动的丧失，并可以降低老年人的死亡率。