The Identification of Frailty: A Systematic Literature Review

Sternberg, S.; Schwartz, Andrea Wershof; Karunananthan, Sathya; Bergman, Howard; Clarfield, A. Mark

doi:10.1111/j.1532-5415.2011.03597.x

Cited by 592 publications

(515 citation statements)

References 48 publications

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“…There is a distinction between being frail and feeling frail (Grenier, 2006). There is no consensus yet about whether disability should be considered as a component or an outcome of frailty (Levers et al, 2006;Sternberg et al, 2011). The concept 'feeling frail' concerns emotional aspects related to impairment, traumatic events, fear and loss of functions.…”

Section: Discussionmentioning

confidence: 99%

Older patients' perception of their own capacity to regain pre-fracture function after hip fracture surgery – an explorative qualitative study

Gesar

Hommel

Hedin

et al. 2017

International Journal of Orthopaedic and Trauma Nursing

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Section: Discussionmentioning

confidence: 99%

Older patients' perception of their own capacity to regain pre-fracture function after hip fracture surgery – an explorative qualitative study

Gesar

Hommel

Hedin

et al. 2017

International Journal of Orthopaedic and Trauma Nursing

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“…31 Frailty and disability are increasingly common with advancing age, independent of comorbidities. 11 Validated measures of disability (Activities of Daily Living 32 ), frailty (Fried frailty criteria 11 ), and other functional measures that have been used to identify frailty (gait speed 33 ) were not available in our dataset. To the best of our knowledge, there is only one frailty index retrospectively derived from administrative data using a cohort of older adult outpatients in The Netherlands, and this index uses measures of comorbidity to predict adverse outcomes.…”

Section: Discussionmentioning

confidence: 99%

A Prognostic Model for 6-Month Mortality in Elderly Survivors of Critical Illness

Baldwin¹,

Narain²,

Lederer³

et al. 2011

Chest

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A dults older than 65 years of age now comprise more than one-half of all ICU admissions in the United States. 1 Approximately 1.4 million elderly (aged Ն 65 years) Medicare benefi ciaries are discharged each year after receiving intensive care. 2 With technological advances, many critically ill elderly adults now survive what were previously fatal illnesses, 3,4 but outcomes can be poor. Among the 33% of elderly ICU patients discharged to skilled-care facilities, nearly one-half are rehospitalized and 25% to 65% die within 6 months. 2,5 While predictive models exist for ICU survivors of prolonged mechanical ventilation and elders hospitalized without intensive care, 6,7 there are no existing clinical prediction tools to help predict outcome explicitly for elderly ICU survivors. A validated prediction model for postdischarge mortality in elderly ICU survivors could (1) risk-stratify patients for clinical trials of novel preventative, rehabilitative, and therapeutic interventions; (2) help determine appropriate levels of postacute care; and (3) aid providers in addressing expectations and end-of-life care with these patients and their families.We aimed to derive and externally validate a prediction model for 6-month mortality among elderly ICU survivors. We hypothesized that including markers of frailty and disability as well as patient preferences regarding resuscitation in our model would be important in predicting 6-month mortality. Withholding life-supporting therapies often indicates

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“…Nevertheless, the definition of frailty and adverse outcomes that best suits the unique needs of researchers, healthcare professionals (such as clinicians, nurses, physiotherapists and occupational therapists) and policymakers conducting the assessment of frailty determines the choice of the appropriate measure of frailty. 42 …”

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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The Identification of Frailty: A Systematic Literature Review

Cited by 592 publications

References 48 publications

Older patients' perception of their own capacity to regain pre-fracture function after hip fracture surgery – an explorative qualitative study

Older patients' perception of their own capacity to regain pre-fracture function after hip fracture surgery – an explorative qualitative study

A Prognostic Model for 6-Month Mortality in Elderly Survivors of Critical Illness

Hypertension and Frailty Syndrome in Old Age: Current Perspectives

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