RAISING AWARENESS ON THE URGENT NEED TO IMPLEMENT FRAILTY INTO CLINICAL PRACTICE

被引：0

作者：

Morley, John E. ^{[1
]}

Vellas, Bruno ^{[2
]}

van Kan, Gabor Abellan ^{[3
]}

Anker, Stefan ^{[4
]}

Bauer, Juergen ^{[5
]}

Bernabei, Roberto ^{[6
]}

Cesari, Matteo ^{[2
]}

Chumlea, W. Cameron ^{[7
]}

Doehner, Wolfram ^{[4
]}

Evans, Jonathan

Fried, Linda P. ^{[8
,9
,10
]}

Guralnik, Jack ^{[11
]}

Katz, Paul R.

Malmstrom, Theodore K. ^{[12
,13
]}

McCarter, Roger J. ^{[14
]}

Gutierrez Robledo, Luis M. ^{[15
]}

Rockwood, Ken ^{[16
]}

von Haehling, Stephan ^{[4
]}

Vandewoude, Maurits F. ^{[17
]}

Walston, Jeremy ^{[18
,19
]}

机构：

[1] St Louis Univ, Sch Med, St Louis, MO USA

[2] Univ Toulouse III Paul Sabatier, INSERM, UMR 1027, CHU Toulouse, Toulouse, France

[3] CHU Toulouse, INSERM, UMR 1027, Toulouse, France

[4] Charite, Appl Cachexia Res, Dept Cardiol, Berlin, Germany

[5] Friedrich Alexander Univ, Dept Internal Med, Erlangen, Germany

[6] Univ Cattolica Sacro Cuore, Ctr Med Invecchiamento, Rome, Italy

[7] Wright State Univ, Dept Communtiy Hlth, Lifespan Hlth Res Ctr, Boonshoft Sch Med, Dayton, OH 45435 USA

[8] Columbia Univ, Joseph L Mailman Sch Publ Hlth, New York, NY USA

[9] Johns Hopkins Univ, Baltimore, MD USA

[10] NIA, NIH, Bethesda, MD 20892 USA

[11] Univ Maryland, Epidemiol & Publ Hlth, Baltimore, MD 21201 USA

[12] St Louis Univ, Sch Med, Div Geriatr Med, St Louis, MO 63104 USA

[13] St Louis Univ, Sch Med, Dept Neurol & Psychiat, St Louis, MO USA

[14] Penn State Univ, Biobehav Hlth, University Pk, PA 16802 USA

[15] Inst Geriatria, Mexico City, DF, Mexico

[16] Dalhousie Univ, Geriatr Med, Halifax, NS, Canada

[17] Univ Antwerp, Dept Geriatr, ZNA St Elizabeth Hosp, Antwerp, Belgium

[18] Johns Hopkins Univ, Div Geriatr Med, Baltimore, MD USA

[19] Johns Hopkins Univ, Sch Publ Hlth, Baltimore, MD USA

来源：

JOURNAL OF FRAILTY & AGING | 2013年 / 2卷 / 03期

关键词：

Frailty; prevention; primary care; public health; disability;

D O I：

暂无

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Frailty has been linked to longer hospital stays and increased mortality in hospitalized patients. Frailty was found at the most common condition leading to death, followed by organ failure, cancer, other causes, advanced dementia, and sudden death. Yet despite evidence linking frailty to poor outcomes, frailty is not implemented clinically in most countries. Since many people are not identified as frail, they frequently are treated inappropriately in health care settings. Participants in the international conference on frailty emphasized the importance of raising awareness about frailty among geriatricians, general practitioners, and other primary care providers in order to implement frailty in clinical practice. The following recommendations were agreed upon: 1. Prioritize the identification of frail older persons in community settings, hospitals, and specialty clinics in order to ensure that people with frailty are treated appropriately and have access to interventional studies; 2. Build frailty clinics as a means of providing optimal management of frail elders; 3. Develop intervention programs incorporating physical and cognitive exercise, social support, and nutrition for people in the earliest stages of frailty in order to slow or reverse frailty; 4. Build stronger basic and clinical research programs in order to better understand the underlying causes of frailty, identify therapeutic targets, and develop new treatment strategies.

引用

页码：121 / 124

页数：4

共 34 条

[21] Validation of the FRAIL Scale in a Cohort of Older Australian Women [J].