Frailty integration in medical specialties: Current evidence and suggested strategies from the Clin-STAR frailty interest group.

Namrata Singh, Adam S Faye, Maheen Z Abidi, Shakira J Grant, Clark DuMontier, Anand S Iyer, Nelia Jain, Bharati Kochar, Sarah B Lieber, Rachel Litke, Julia V Loewenthal, Mary Clare Masters, Michael G Nanna, Raele Donetha Robison, Sebastian E Sattui, Anoop Sheshadri, Sandra M Shi, Andrea N Sherman, Jeremy D Walston, Katherine D Wysham, Ariela R Orkaby
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Abstract

Frailty is a syndrome that can inform clinical treatments and interventions for older adults. Although implementation of frailty across medical subspecialties has the potential to improve care for the aging population, its uptake has been heterogenous. While frailty assessment is highly integrated into certain medical subspecialties, other subspecialties have only recently begun to consider frailty in the context of patient care. In order to advance the field of frailty-informed care, we aim to detail what is known about frailty within the subspecialties of internal medicine. In doing so, we highlight cross-disciplinary approaches that can enhance our understanding of frailty, focusing on ways to improve the implementation of frailty measures, as well as develop potential interventional strategies to mitigate frailty within these subspecialties. This has important implications for the clinical care of the aging population and can help guide future research.

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医学专科中的虚弱整合:来自 Clin-STAR 脆弱性兴趣小组的当前证据和建议策略。
虚弱是一种综合征,可为老年人的临床治疗和干预提供依据。虽然在各医学亚专科中实施虚弱综合征有可能改善对老龄人口的护理,但对它的接受程度却参差不齐。虽然虚弱评估已高度融入某些医学亚专科,但其他亚专科直到最近才开始在病人护理中考虑虚弱问题。为了推动虚弱知情护理领域的发展,我们旨在详细介绍内科各亚专科对虚弱的认识。在此过程中,我们将重点介绍可提高我们对虚弱的认识的跨学科方法,重点关注如何改进虚弱措施的实施,以及在这些亚专科内制定潜在的干预策略以减轻虚弱。这对老龄人口的临床护理具有重要意义,并有助于指导未来的研究。
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