Frailty and the Prediction of Negative Health Outcomes: A Meta-Analysis

Vermeiren, Sofie; Vella-Azzopardi, Roberta; Beckwée, David; Habbig, Ann-Katrin; Scafoglieri, Aldo; Jansen, Bart; Bautmans, Ivan; Verté, Dominque; Beyer, Ingo; Petrovic, Mirko; Donder, Liesbeth De; Kardol, Tinie; Rossi, Gina; Clarys, Peter; Cattrysse, Eric; Hert, Paul De

doi:10.1016/j.jamda.2016.09.010

Cited by 721 publications

(577 citation statements)

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“…Embora a fragilidade seja uma condição fisiológica, ela agrava-se na presença e número de doenças associadas. Essa condição aumenta o risco de comprometimento da capacidade físico-funcional, de complicações de doenças, ocorrência de quedas, institucionalização, hospitalização e morte (FRIED ET AL., 2004;VERMEIREN ET AL., 2016).…”

Section: Introductionunclassified

Prevalência de fragilidade em uma população de longevos na região Sul do Brasil

et al. 2017

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RESUMOObjetiva investigar a prevalência de fragilidade em uma população de longevos. Estudo observacional e transversal com idosos acima de 80 anos de um município da região Sul do Brasil. A síndrome da fragilidade foi identificada de acordo com Fried et al. (2001). Entre os 69 idosos, 58% eram frágeis e 42% pré-frágeis, com maior frequência de diminuição de velocidade da marcha, perda de peso e fadiga. É evidente que a fragilidade está instalada em idosos longevos, assim, avaliar e classificar os idosos de acordo com a fragilidade possibilita a organização das prioridades de assistência, com o objetivo de prevenir, manter e/ou restaurar a capacidade funcional.PALAVRAS-CHAVE Idoso de 80 anos ou mais. Idoso fragilizado. Envelhecimento. Fried et al. (2001) ABSTRACT It aims to investigate the prevalence of frailty in a long-lived population. Observational and cross-sectional study with elderly people over 80 years old in a municipality of the Southern region of Brazil. Frailty syndrome was identified according to

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Section: Introductionunclassified

Prevalência de fragilidade em uma população de longevos na região Sul do Brasil

et al. 2017

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“…There is a growing body of evidence that frailty is associated with an increased risk of adverse health outcomes – including mortality, loss of activities of daily living, and hospitalization [3] – particularly in surgical settings [4–7]. …”

Section: Introductionmentioning

confidence: 99%

Surgical frailty assessment: a missed opportunity

et al. 2017

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BackgroundPreoperative frailty predicts adverse postoperative outcomes. Despite the advantages of incorporating frailty assessment into surgical settings, there is limited research on surgical healthcare professionals’ use of frailty assessment for perioperative care.MethodsHealthcare professionals caring for patients enrolled at a Canadian teaching hospital were surveyed to assess their perceptions of frailty, as well as attitudes towards and practices for frail patients. The survey contained open-ended and 5-point Likert scale questions. Responses were compared across professions using independent sample t-tests and correlations between survey items were analyzed.ResultsNurses and allied health professionals were more likely than surgeons to think frailty should play a role in planning a patient’s care (nurses vs. surgeons p = 0.008, allied health vs. surgeons p = 0.014). Very few respondents (17.5%) reported that they ‘always used’ a frailty assessment tool. Results from qualitative data analysis identified four main barriers to frailty assessment: institutional, healthcare system, professional knowledge, and patient/family barriers.ConclusionAcross all disciplines, the lack of knowledge about frailty issues was a prominent barrier to the use of frailty assessments in practice, despite clinicians’ understanding that frailty affects their patients’ outcomes. Confidence in frailty assessment tool use through education and addressing barriers to implementation may increase use and improve patient care. Healthcare professionals agree that frailty assessments should play a role in perioperative care. However, few perform them in practice. Lack of knowledge about frailty is a key barrier in the use of frailty assessments and the majority of respondents agreed that they would benefit from further training.Electronic supplementary materialThe online version of this article (doi:10.1186/s12871-017-0390-7) contains supplementary material, which is available to authorized users.

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“…Accordingly, geriatricians have underscored the importance of assessing frailty as part of geriatric care. 57 Frailty is also reported to increase the likelihood of dementia. In such cases, the influence is two-way, and the issue might accelerate the downward spiral.…”

Section: Explanationmentioning

confidence: 99%