Screening for Frailty With the FRAIL Scale: A Comparison With the Phenotype Criteria

Aprahamian, Ivan; Cezar, Natália Oiring de Castro; Izbicki, Rafael; Lin, Sumika Mori; Paulo, Débora Lee Vianna; Fattori, André; Biella, Marina Maria; Filho, Wilson Jacob; Yassuda, Mônica Sanches

doi:10.1016/j.jamda.2017.01.009

Cited by 109 publications

(78 citation statements)

References 29 publications

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“…difficult to put into practice in clinical or large epidemiological settings as they require objective measures implemented by trained staff and a clinical database with information regarding signs, symptoms and health problems, 37 alternative frailty measures -mostly self-reportedhave been recommended for use in clinical practice. 38 Examples of self-reported questionnaires assessing frailty are: the FRAIL scale, 39 the Groningen Frailty Indicator 40 and the Tilburg Frailty Indicator (TFI) 41 .…”

Section: Frailty Definitions and Measuresmentioning

confidence: 99%

Hypertension and Frailty Syndrome in Old Age: Current Perspectives

Uchmanowicz

Chudiak

Jankowska‐Polańska

et al. 2017

Cardiac Failure Review

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Hypertension is considered the most common disorder in the general population. It is both a health and a financial problem worldwide.The Writing Group of the American Society of Hypertension defines hypertension as a cardiovascular syndrome resulting from a number of interconnected factors. 1 Therefore, a comprehensive evaluation is required, involving both the cardiovascular system and other risk factors. In the global population, the prevalence of hypertension is 26.4 %, which is expected to increase to one-third of the population by 2025. 2 The elderly comprise a special group of hypertensive patients because of ageing-related processes. In accordance with data from the Framingham study, 58.9 % of people aged ≥65 and 70 % of those aged ≥80 years are hypertensive. 3 Most patients in the group have isolated systolic hypertension, with normal diastolic blood pressure (DBP) valuesbelow 90 mmHg. In the elderly population, systolic blood pressure (SBP) is a more significant risk factor for cardiovascular complications than DBP. Chronic high SBP leads to left ventricular hypertrophy, as decreased elasticity of large blood vessels -particularly the aortaputs extra strain on the heart. 4 The ageing process involves a number of changes contributing to the development of hypertension. Besides decreased blood vessel elasticity, these include increased collagen content in the extracellular matrix, decreased numbers of elastic fibres, increased vessel wall thickness, and decreased vessel lumen.In the elderly, the lower number of elastic fibres in the vessel wall contributes to increased SBP. AbstractHypertension is both a health problem and a financial one globally. It affects nearly 30 % of the general population. Elderly people, aged ≥65 years, are a special group of hypertensive patients. In this group, the overall prevalence of the disease reaches 60 %, rising to 70 % in those aged ≥80 years. In the elderly population, isolated systolic hypertension is quite common. High systolic blood pressure is associated with an increased risk of cardiovascular disease, cerebrovascular disease, peripheral artery disease, cognitive impairment and kidney disease. Considering the physiological changes resulting from ageing alongside multiple comorbidities, treatment of hypertension in elderly patients poses a significant challenge to treatment teams. Progressive disability with regard to the activities of daily life, more frequent hospitalisations and low quality of life are often seen in elderly patients. There is discussion in the literature regarding frailty syndrome associated with old age. Frailty is understood to involve decreased resistance to stressors, depleted adaptive and physiological reserves of a number of organs, endocrine dysregulation and immune dysfunction. The primary dilemma concerning frailty is whether it should only be defined on the basis of physical factors, or whether psychological and social factors should also be included. Proper nutrition and motor rehabilitation should be prioritised in care for frail pa...

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Section: Frailty Definitions and Measuresmentioning

confidence: 99%

Hypertension and Frailty Syndrome in Old Age: Current Perspectives

Uchmanowicz

Chudiak

Jankowska‐Polańska

et al. 2017

Cardiac Failure Review

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show abstract

“…As diferenças entre os grupos foram (APRAHAMIAN et al, 2017). As disparidades na prevalência de fragilidade podem ser justificadas por alguns fatores, incluindo a padronização metodológica.…”

Section: Procedimentos Estatísticosunclassified

Associação entre tabagismo e a síndrome da fragilidade

Silva¹

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20173 Autorizo a reprodução e divulgação total ou parcial deste trabalho, por qualquer meio convencional ou eletrônico, para fins de estudo e pesquisa, desde que citada a fonte. 4 DEDICATÓRIA À memória da minha avó, Luzia, exemplo e inspiração de vida, presente em meu coração e minha mente.Aos meus pais, Glória e Francisco, que sempre me incentivaram e dedicaram uma vida de amor e exemplo para mim. 5 AGRADECIMENTOS

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“…Dentre eles, o fenótipo de fragilidade de Fried e colaboradores (63) , também conhecido como Cardiovascular Health Study (CHS) index, e o Frailty Index (FI), de Mitinitski e colaboradores (64) , tiveram sua validade avaliada em mais de três amostras diferentes e constituem as duas estratégias para o diagnóstico de fragilidade mais utilizadas, sendo referidos em 69% e 12% dos estudos publicados, respectivamente (61) . No entanto, ambos são de difícil implementação na prática clínica em função da necessidade de medidas objetivas realizadas por equipe treinada ou banco de dados clínicos com informações sobre sinais, sintomas e problemas de saúde (65) . Considerando a realidade do ambiente de um serviço de PA, o uso de um instrumento simples para rastreamento de fragilidade seria mais adequado, enquanto instrumentos mais complexos poderiam ser reservados para serviços geriátricos especializados.…”

Section: Diagnóstico De Fragilidadeunclassified

“…Ela abrange componentes tanto do CHS como do FI e consiste em um questionário de rastreamento com cinco itens para os quais devem ser fornecidas respostas simples e dicotômicas, sim ou não, sem a necessidade de medidas objetivas (66)(67)(68) . A escala avalia a presença de fadiga, resistência muscular, capacidade aeróbia, carga de doenças e perda de peso, e é baseada na resposta do paciente ou de seu cuidador (65). A pontuação total varia de zero a cinco, com ponto de corte de três ou mais indicando fragilidade e uma pontuação de um a dois indicando pré-fragilidade (65) .…”

Section: Diagnóstico De Fragilidadeunclassified

“…A escala avalia a presença de fadiga, resistência muscular, capacidade aeróbia, carga de doenças e perda de peso, e é baseada na resposta do paciente ou de seu cuidador (65). A pontuação total varia de zero a cinco, com ponto de corte de três ou mais indicando fragilidade e uma pontuação de um a dois indicando pré-fragilidade (65) .…”

Section: Diagnóstico De Fragilidadeunclassified

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Prognóstico de idosos admitidos no serviço de pronto atendimento: desenvolvimento e acurácia de modelo para predição de desfechos intra-hospitalares

Curiati¹

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Screening for Frailty With the FRAIL Scale: A Comparison With the Phenotype Criteria

Cited by 109 publications

References 29 publications

Hypertension and Frailty Syndrome in Old Age: Current Perspectives

Hypertension and Frailty Syndrome in Old Age: Current Perspectives

Associação entre tabagismo e a síndrome da fragilidade

Prognóstico de idosos admitidos no serviço de pronto atendimento: desenvolvimento e acurácia de modelo para predição de desfechos intra-hospitalares

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