Frailty indexes, screening instruments and their application in Belgian primary care.

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Acta Clinica Belgica Pub Date : 2014-08-01 Epub Date: 2014-04-29 DOI:10.1179/2295333714Y.0000000027
E Sieliwonczyk, S Perkisas, M Vandewoude
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引用次数: 12

Abstract

Objectives: The complex and expensive medical care for a rising number of older patients presents a significant challenge to the health care system. Identifying cost-effective preventive interventions and systematically applying them in the elderly population could help address this challenge. Frailty assessments could prove to be valuable tools by identifying at-risk individuals to which these interventions would be offered. This review seeks to provide the reader with an overview of frailty and explain how frailty assessments could contribute to daily practice.

Methods: PubMed was searched for articles concerning frailty assessment (July 2013). Articles discussing prominent frailty models and articles primarily focused on comparing frailty assessments in the home-dwelling population were used for this article. Domus Medica was searched for guidelines concerning the use of frailty in Belgian primary care.

Results: Several notable models of frailty are summarized and discussed to provide the reader with an overview of available frailty assessments. Frailty screening modalities in primary care are discussed, as well as the current recommendations for the use of frailty assessments in Belgian primary care. The advantages of a systematic frailty assessment in primary care and other settings are highlighted.

Conclusion: This article recommends the assessment of frailty status as a screening tool for the evaluation of the older person in primary care. An overview of available frailty models is offered for this purpose. A consensus should be reached on which model is most appropriate. The screening for frailty promotes early intervention and timely involvement of specialists with the purpose of avoiding unfavourable outcomes, such as death or disability.

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衰弱指标、筛查仪器及其在比利时初级保健中的应用。
目的:越来越多的老年患者的复杂和昂贵的医疗保健对卫生保健系统提出了重大挑战。确定具有成本效益的预防性干预措施并在老年人口中系统地应用这些措施有助于应对这一挑战。体质评估可以证明是有价值的工具,因为它可以识别出需要采取这些干预措施的高危个体。这篇综述旨在为读者提供一个脆弱的概述,并解释脆弱评估如何有助于日常实践。方法:检索PubMed(2013年7月)有关衰弱评估的文章。本文使用了讨论著名脆弱性模型的文章和主要侧重于比较家庭居住人口脆弱性评估的文章。检索了Domus Medica关于在比利时初级保健中使用虚弱的指导方针。结果:几个显着的模型的脆弱性进行了总结和讨论,以提供现有的脆弱性评估的概述读者。讨论了初级保健中的虚弱筛查方式,以及目前在比利时初级保健中使用虚弱评估的建议。强调了在初级保健和其他环境中进行系统脆弱性评估的优势。结论:本文建议将衰弱状态评估作为初级保健中老年人评估的筛查工具。为此,提供了可用脆弱性模型的概述。应该就哪种模式最合适达成共识。虚弱的筛查促进了早期干预和专家的及时介入,目的是避免不利的结果,如死亡或残疾。
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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
0.00%
发文量
44
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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