PMID- 38422884 OWN - NLM STAT- MEDLINE DCOM- 20240311 LR - 20240311 IS - 1872-6976 (Electronic) IS - 0167-4943 (Linking) VI - 120 DP - 2024 May TI - Adverse outcomes of intrinsic capacity in older adults: A scoping review. PG - 105335 LID - S0167-4943(24)00011-6 [pii] LID - 10.1016/j.archger.2024.105335 [doi] AB - Background and Purpose Intrinsic capacity (IC) has been shown to have the greatest impact on an individual's health status and health trajectory and can independently predict adverse outcomes such as mortality and care dependency in older adults. However, the current understanding of adverse outcomes associated with IC is incomplete. Methods A scoping review of the literature from PubMed, Web of Science (WOS), The Cochrane Library, CINAHL, and Embase databases was conducted from January 2015 to March 2023 to identify articles related to the adverse outcomes associated with IC in older adults. Results 711 studies met screening criteria, and 25 studies met inclusion criteria. These studies reported a total of 17 adverse outcomes related to IC across four domains. (1) Adverse outcomes in the physiological function domains included frailty, pneumonia onset, memory impairment, polypharmacy, incontinence, and poor/fair self-rated health. (2) Clinical outcomes domains included IADL disability, ADL disability, mortality, falls, autonomy decline, and incident dependence. (3) The resource utilization domains included hospitalization, nursing home stays, polypharmacy healthcare costs, and emergency department visits. (4) The other domains mainly included poor quality of life. Conclusion It is evident that IC decline in older adults is associated with a broad spectrum of adverse outcomes spanning cognitive function, activity ability, sensory perception, physical and mental health and living standards. Future studies should further deepen the exploration of IC. CI - Copyright (c) 2024 Elsevier B.V. All rights reserved. FAU - Yang, Yiyi AU - Yang Y AD - Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China. Electronic address: 1044928133@qq.com. FAU - Ma, Guifen AU - Ma G AD - Gannan Tibetan Autonomous Prefecture health school, Gannan Tibetan Autonomous Prefecture, China. Electronic address: mgf19832005@126.com. FAU - Wei, Suhong AU - Wei S AD - Department of Endocrinology, Gansu Provincial People's Hospital, Lanzhou, China. Electronic address: gansu19820208@163.com. FAU - Wei, Xiaoqin AU - Wei X AD - Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China. Electronic address: weixq145@163.com. FAU - Yan, Bailing AU - Yan B AD - ICU, the First Hospital of Lanzhou University, Lanzhou, China. Electronic address: 2834631738@qq.com. FAU - Yuan, Yue AU - Yuan Y AD - Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China. Electronic address: 2980821526@qq.com. FAU - Chen, Yajing AU - Chen Y AD - Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China. Electronic address: 1144979085@qq.com. FAU - Qin, Jiangxia AU - Qin J AD - Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China. Electronic address: 1973924850@qq.com. FAU - Ma, Yuxia AU - Ma Y AD - Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China. Electronic address: yuxiama@lzu.edu.cn. LA - eng PT - Journal Article PT - Review DEP - 20240117 PL - Netherlands TA - Arch Gerontol Geriatr JT - Archives of gerontology and geriatrics JID - 8214379 SB - IM MH - Humans MH - Aged MH - Quality of Life MH - Health Status MH - *Frailty MH - *Disabled Persons MH - Polypharmacy OTO - NOTNLM OT - Adverse outcome OT - Disability OT - Healthy aging OT - Intrinsic capacity OT - Older adults COIS- Declaration of competing interest The Authors declare that there is no conflict of interest. EDAT- 2024/03/01 01:22 MHDA- 2024/03/11 06:44 CRDT- 2024/02/29 18:14 PHST- 2023/11/17 00:00 [received] PHST- 2024/01/13 00:00 [revised] PHST- 2024/01/15 00:00 [accepted] PHST- 2024/03/11 06:44 [medline] PHST- 2024/03/01 01:22 [pubmed] PHST- 2024/02/29 18:14 [entrez] AID - S0167-4943(24)00011-6 [pii] AID - 10.1016/j.archger.2024.105335 [doi] PST - ppublish SO - Arch Gerontol Geriatr. 2024 May;120:105335. doi: 10.1016/j.archger.2024.105335. Epub 2024 Jan 17.