Characterising frailty in the clinical setting--a comparison of different approaches

Hubbard, Ruth E.; O'Mahony, M Sinead; Woodhouse, Ken

doi:10.1093/ageing/afn252

Cited by 112 publications

(93 citation statements)

References 33 publications

(46 reference statements)

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“…Desse modo, acrescentam os autores, devido à não homogeneidade dos parâme-tros disponíveis para mensurar o fenômeno, as taxas de prevalência existentes correm o risco de não expressarem adequadamente a realidade (6,14) . Quanto aos fatores envolvidos na determinação da fragilidade, a literatura pesquisada evidencia que indivíduos com idade avançada estão mais propensos à velhice fragilizada (4,6,9,13) .…”

Section: Discussionunclassified

Prevalência e fatores sociodemográficos associados à fragilidade em mulheres idosas

et al. 2013

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ReSUmO Estudo transversal, que objetivou de estimar a prevalência de fragilidade em mulheres idosas, residentes no município de João Pessoa, Paraíba, Brasil; e identificar possíveis associações entre a fragilidade e as variáveis sociodemográficas. A amostra foi composta por 166 idosas, entrevistadas nos domicílios, entre abril e junho de 2011. Para a coleta dos dados, utilizou-se instrumento estruturado com questões relativas às variáveis sociodemográficas e à Edmonton Frail Scale. A análise descritiva dos dados, realizada pelo programa SPSS 15.0, mostrou que a maioria das idosas (60,8%) evidenciava algum grau de fragilidade. Entre elas, 21,7% eram aparentemente vulneráveis, 23,5%, com fragilidade leve, 7,8%, moderada, e 7,8%, e grave. Verificou-se associação do fenômeno com idade, escolaridade e renda, condições sobre as quais os enfermeiros devem atuar com vistas à prevenção do evento. descritores: Mulher; Idoso Fragilizado; Envelhecimento; Enfermagem.aBStRaCt Cross-sectional study that aimed to estimating the prevalence of frailty in older women living in the city of João Pessoa, Paraíba, Brazil; and to identify possible associations between frailty and socio-demographic variables. The sample included 166 elderly women were interviewed in their home between April and June 2011. For data was collected using a structure instrument to questions on socio-demographic variables and the Edmonton Frail Scale. The descriptive data analysis, performed by SPSS 15.0, showed that most elderly women 60.8% showed some degree of fragility. Among them, 21.7% were apparently vulnerable, 23.5% mild frailty, 7.8% moderate and 7.8% severe frailty. It was found an association of the phenomena with age, education and income, conditions under which nurses must act in order to prevent the event. Key words: Women; Frail Elderly; Aging; Nursing. ReSUmeNEstudio transversal que objetivó estimar la prevalencia de fragilidad en mujeres adultas mayores residentes en el municipio de João Pessoa, Paraíba, Brasil; y identificar posibles asociaciones entre fragilidad y variables socio-demográficas. La muestra comprendió 166 mujeres ancianas, entrevistadas en los domicilios entre abril a junio de 2011. Para la colecta de datos se utilizo un instrumento estructurado con preguntas relativas a las variables socio-demográficas y la Edmonton Frail Scale. El análisis descriptiva de los datos, realizado por el programa SPSS 15.0, mostro que la mayoría de las adultas mayores (60.8%) evidenciaban algún grado de fragilidad. Entre ellas, 21.7% eran aparentemente vulnerables, 23.5% evidenciaban fragilidad leve, 7.8% fragilidad moderada y 7.8% fragilidad grave. Se verifico asociación del fenómeno con la edad, escolaridad e ingresos mensuales, condiciones sobre las cuales los enfermeros deben actuar con vistas a la prevención del evento.

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Section: Discussionunclassified

Prevalência e fatores sociodemográficos associados à fragilidade em mulheres idosas

et al. 2013

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“…For example, a person who reported poor self-rated health, arthritis and trouble climbing stairs would have three deficits and an index score of 3/42 or 0.07. Defining relative fitness and frailty in this way has been validated in several samples, 2,5,[13][14][15][16][17][18][19] including the National Population Health Survey. 9,20 The Frailty Index typically shows a consistent increase with age (about 3% per year on a log scale), a high cor relation with the risk of death (typically r 2 > 0.95 for the correlation between mortality and mean Frailty Index scores) and a submaximal limit (i.e., < 1% of people have a Frailty Index above 0.67).…”

Section: Frailty Indexmentioning

confidence: 99%

Changes in relative fitness and frailty across the adult lifespan: evidence from the Canadian National Population Health Survey

Rockwood¹,

Song²,

Mitnitski³

2011

Canadian Medical Association Journal

455

369

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“…A shorter measure is an advantage of the frailty phenotype; however, flexibility and generalizability may be reduced due to the highly specified items [28]. It may also be difficult to measure performance measures in patients with illness or severe physical limitations [29,30], without special equipment (i.e., dynamometers; [27]), and these items are often not be available in population-based databases. The Frailty Index is highly generalizable, being derivable in any clinical or population-based dataset with a critical mass of relevant variables.…”

Section: Strengthsmentioning

confidence: 99%

A Frailty Index predicts 10-year fracture risk in adults age 25 years and older: results from the Canadian Multicentre Osteoporosis Study (CaMos)

et al. 2014

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Correspondence to: C. C. Kennedy. Our results indicated that at any age, frailty was an important independent risk factor for fracture over 10 years. Conflicts of interestIntroduction-In later life, frailty has been linked to fractures. It is likely that the antecedents of fracture are seen across the life course, in ways not entirely captured by traditional osteoporosis risk factors. Using data collected from the prospective, population-based Canadian Multicentre Osteoporosis Study (CaMos), we created the 30-item CaMos Frailty Index and examined whether it was associated with incident fractures over 10 years.

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Characterising frailty in the clinical setting--a comparison of different approaches

Abstract: Hypophosphataemia in old patients is associated with the refeeding syndrome and reduced survival.

Cited by 112 publications

References 33 publications

Prevalência e fatores sociodemográficos associados à fragilidade em mulheres idosas

Prevalência e fatores sociodemográficos associados à fragilidade em mulheres idosas

Changes in relative fitness and frailty across the adult lifespan: evidence from the Canadian National Population Health Survey

A Frailty Index predicts 10-year fracture risk in adults age 25 years and older: results from the Canadian Multicentre Osteoporosis Study (CaMos)

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