Frailty consensus: a call to action - PubMed (original) (raw)

doi: 10.1016/j.jamda.2013.03.022.

Bruno Vellas, G Abellan van Kan, Stefan D Anker, Juergen M Bauer, Roberto Bernabei, Matteo Cesari, W C Chumlea, Wolfram Doehner, Jonathan Evans, Linda P Fried, Jack M Guralnik, Paul R Katz, Theodore K Malmstrom, Roger J McCarter, Luis M Gutierrez Robledo, Ken Rockwood, Stephan von Haehling, Maurits F Vandewoude, Jeremy Walston

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Frailty consensus: a call to action

John E Morley et al. J Am Med Dir Assoc. 2013 Jun.

Abstract

Frailty is a clinical state in which there is an increase in an individual's vulnerability for developing increased dependency and/or mortality when exposed to a stressor. Frailty can occur as the result of a range of diseases and medical conditions. A consensus group consisting of delegates from 6 major international, European, and US societies created 4 major consensus points on a specific form of frailty: physical frailty. 1. Physical frailty is an important medical syndrome. The group defined physical frailty as "a medical syndrome with multiple causes and contributors that is characterized by diminished strength, endurance, and reduced physiologic function that increases an individual's vulnerability for developing increased dependency and/or death." 2. Physical frailty can potentially be prevented or treated with specific modalities, such as exercise, protein-calorie supplementation, vitamin D, and reduction of polypharmacy. 3. Simple, rapid screening tests have been developed and validated, such as the simple FRAIL scale, to allow physicians to objectively recognize frail persons. 4. For the purposes of optimally managing individuals with physical frailty, all persons older than 70 years and all individuals with significant weight loss (>5%) due to chronic disease should be screened for frailty.

Copyright © 2013 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Fig. 1

Fig. 1

Clinical Frailty Scale. Scoring is based on clinical judgment. Reprinted with permission from Rockwood et al.

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References

    1. Walston J, Hadley EC, Ferrucci L, et al. Research agenda for frailty in older adults: Toward a better understanding of physiology and etiology: Summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J Am Geriatr Soc. 2006;54:991–1001. - PubMed
    1. Cerreta F, Eichler HG, Rasi G. Drug policy for an aging population—the European Medicines Agency’s geriatric medicines strategy. N Engl J Med. 2012;367:1972–1974. - PubMed
    1. [Accessed April 22, 2013]; Available at: http://ec.europa.eu/economy_finance/publications/european_economy/2012/p....
    1. Rockwood K, Mitnitski A. Frailty defined by deficit accumulation and geriatric medicine defined by frailty. Clin Geriatr Med. 2011;27:17–26. - PubMed
    1. Fried LP, Ferrucci L, Darer J, et al. Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care. J Gerontol A Biol Sci Med Sci. 2004;59:255–263. - PubMed

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