Frailty and Age-Related Conditions Among World Trade Center General Responders

Details

• Personal Author:
  Ferreira K ; Hung W ; Ko F ; Lucchini R ; Ornstein K ; Park A ; Sabra A ; Thanik E
• Description:
  As WTC exposure may precipitate frailty, we examined patterns of frailty in the general responders cohort. We used two methods to assess frailty: a Clinical Frailty Index (FI) developed using a deficit accumulation approach utilizing clinical assessments performed during routine annual visits to a WTC clinical program in New York City; and a frailty questionnaire (5-point FRAIL scale) collected from a subsample of responders. Using a Clinical FI cutoff score of 0.25, over 25% of the 7,679 participants, median age 58.3 years (IQR 9.3), who had any visit to the WTC clinical program from 2017 to 2019, were frail. In a subsample of 100 participants with additional frailty assessment (FRAIL scale), we found that 27% were pre-frail, 5% were frail, 14% had recent falls, 9% had ADL dependencies; 34% had mild cognitive impairment. These data suggest that frailty and its related conditions are prevalent among the cohort despite younger age. [Description provided by NIOSH]
• Subjects:
  Aging Cohort Studies Emergency Responders Nervous System Occupational Health Safety September 11 Terrorist Attacks
• Keywords:
  Cognitive Function Cohort Studies First Responders World Trade Center WTC
• ISSN:
  2399-5300
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Abstract or Summary
• Place as Subject:
  Florida ; Maryland ; New York ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  47
• Volume:
  6
• NIOSHTIC Number:
  nn:20068357
• Citation:
  Innov Aging 2022 Nov; 6(Suppl 1):47
• Federal Fiscal Year:
  2023
• Performing Organization:
  Icahn School of Medicine at Mount Sinai, New York
• Peer Reviewed:
  False
• Start Date:
  20200701
• Source Full Name:
  Innovation in Aging
• Supplement:
  1
• End Date:
  20210630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:14ffa15cc0b0917d3d95a2ed67c2680d9277b990f572cbefb04198f0b391dac76402bdb1d78e6b599f9bbee9a53eaf5e06adaeeec03c724aca7cb4e10d4bd80a
• Download URL:
  https://stacks.cdc.gov/view/cdc/230521/cdc_230521_DS1.pdf
• File Type:
  [PDF - 81.56 KB ]