Assessing frailty in the acute medical admission of elderly patients

Abstract

The prevalence of frailty is high in acute admissions of older patients and it is important that they are properly identified and assessed with a CGA in order to ensure effective multidisciplinary care.

New horizons in geriatric medicine education and training: The need for pan-European education and training standards

“…Acute Geriatrics: There has been progressive integration of geriatricians into acute hospital environments such as emergency departments [21], Acute Medical Units [22] and Acute Frailty Units [23]. The extent to which this model ('interface geriatrics') has developed varies across Europe -in many countries (e.g.…”

Fatores associados à fragilidade em idosos hospitalizados: uma revisão integrativa

“…Therefore, a higher proportion of frail elderly individuals 80 years of age or older (TAVARES ET AL., 2015) and severe type (STORTI ET AL., 2013) were found. In addition, patients older than 85 years were more likely to be fragile than patients aged between 75 to 85 years old (OO ET AL., 2013). Consequently, for Antunes et al (2015), advanced age is associated with a high rate of comorbidities and other deficits, which suggests that older patients score higher on the fragility scales.…”

“…Krishnan et al (2014) and Evans et al (2014) correlated the FI with another geriatric assessment instrument -the Comprehensive Geriatric Assessment, with the first study evaluating 51 deficits in different aspects of health, and the second calculating the FI from 55 variables that focused on cognition, function, mobility, balance, appetite and weight. Multidimensional Evaluation of the Elderly, another tool used in four studies to support the fragility criteria, is a multidimensional diagnostic process that encompasses five essential evaluation components to determine the medical, psychological, social, environmental and functional capacities of a fragile elderly person, in order to develop a coordinated and integrated plan for the treatment and follow-up of this individual (OO ET AL., 2013).…”

Practical Approaches to Managing Frail, Older People in Community

“…From the perspective of elderly care medicine these risks trigger as well as exacerbate recurrent secondary care admissions, falls and frailty [3]. According to the UK Care Homes Directory there are 26 nursing homes in Sandwell and the surrounding local areas [4].…”