Frailty syndrome – Medicolegal considerations

Wandering Dementia—A Syndrome with Forensic Implications

“…Falls have been found to be more common in wanderers with double the risk of fractures and so fractures of the femoral head should be checked for an autopsy. This is also exemplified in those with frailty syndrome , although there were no apparent cases of frailty in the study group. Nonetheless, it might be expected that the study population could have a high incidence of frailty due to its association with dementia .…”

333 Slow gait speed and rapid renal function decline are risk factors for postoperative delirium after urological surgery

“…[11] Physical parameters, such as gait speed, are an indicator of functional capacity and frailty syndrome. [12,13] In recent years, there has been growing interest in measuring patients' gait speed at usual pace to screen for frailty. [14] This screening test is indeed quick, low-cost, and reproducible.…”

Forensic issues at the extremes of weight: From frailty syndrome through frail obesity to morbid obesity

“…1 While the manifestations of the "condition" are not infrequently seen, drawing them together by providing a cohesive aetiology is a major step in understanding underlying mechanisms. It also provides a very useful way of packaging what initially appear to be quite disparate signs and symptoms.…”

“…9 As noted in the recent review, frailty syndrome is also marked by low grade inflammation with increases in cytokine production and elevated levels of proinflammatory factors such as interleukin-6, tumour necrosis factor-alpha (TNF-a), and C-reactive protein. 1 It appears that deviation from the normal body mass index at either end is associated with considerable homeostatic disruption. Given that metabolic disturbances mark both extremes of weight it may also not be all that surprising to find an overlap group where there is both frailty and obesity, the so-called "frail obese" where significant sarcopaenia develops from their underlying metabolic disturbances.…”