Selected tools for evaluation of geriatric fragility
Authors:
Mgr. Jitka Doležalová; prof. PhDr. Valérie Tóthová, Ph.D.
Authors‘ workplace:
Zdravotně sociální fakulta, Jihočeská univerzita v Českých Budějovicích
Published in:
Geriatrie a Gerontologie 2019, 8, č. 3: 125-129
Category:
Review Article
Overview
Introduction: The frailty assessment in the elderly represents a very important part of the elderly care. Frailty is a great problem of geriatric medicine and nursing, and its assessment should be a basic part of a complex nursing care. Several tools have been developed to assess frailty that now need to be implemented in practice.
Goal: The goal of the study is to present several selected tools assessing frailty in the elderly.
Methodology: 14 studies from PubMed, EBSCO, Web of Science, Scopus a Science Direct databases were included in the study. The studies from the above mentioned databases were performed between January 2013 and January 2019.
Results: Four assessment tools commonly used abroad to assess frailty were studied. The results show that the state of frailty can be evaluated using the selected tools alone, and also combined with other assessment tools.
Conclusion: Geriatric frailty represents a hot topic. The assessment tools are continuously modified so that they could accommodate current challenges developing in the elderly population. Czech nursing needs to adopt frailty assessment tools and make nurses acquainted with the topic.
Keywords:
geriatric frailty – measuring tools – nursing
Sources
1. Štěpánková H, Höschl C, Vidovicová L. Gerontologie: současné otázky z pohledu biomedicíny a společenských věd. 1. vyd. Praha: Karolinum 2014.
2. Pokorná A. Ošetřovatelství v geriatrii: hodnoticí nástroje. 1. vyd. Praha: Grada 2013.
3. Čeledová L, Kalvach Z, Čevela R. Úvod do gerontologie. 1. vyd. Praha: Karolinum 2016.
4. Tomeš I, Šámalová K. Sociální souvislosti aktivního stáří. 1. vyd. Praha: Karolinum 2017.
5. Uotinen V, Rantanen T, Sutama T, et al. Change in subjective age among older people over an eighty-year follow up: getting older and feeling younger?. Experimanteal Aging Research 2006; 32(4): 381-393.
6. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: Evidence for a phenotype. Journals of Gerontology 2001; Series A. 56(3): 146–156.
7. Conroy SP, Elliott A. The frailty syndrome. Medicine 2017; 45(1): 15-18.
8. Rockwoood K, Mitnitski A. Frailty defined by deficit accumulation and geriatric medicine defined by frailty. Clinical Geriatric Medicine 2011; 27(1): 17-26.
9. Tang Z, Wang C, Song X, et al. Co-occurrence of cardiometabolic diseases and frailty in older Chinese adults in the Beijing Longitudinal Study of Ageing. Age and Aging 2013; 42(3): 346-351.
10. Rockwood K. Conceptual models of frailty: accumulation of deficits. Canadian Journal of Cardiology 2016; 32(9): 1046-1050.
11. 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 of Aging Research Conference on Frailty in Older Adults. Journal of American Geriatrics Society 2006; 54(6): 991-1001.
12. Op het Veld LP, van Rossum E, Kempen GI, et al. Fried phenotype of frailty: cross-sectional comparison of three frailty stages on various health domains. BMC Geriatrics 2015; 15(77): 1-11.
13. Santos-Eggimann B, Cuenoud P, Spagnoli J, et al. Prevalence of Frailty in Middle-Aged and Older Community-Dwelling Europeans Living in 10 Countries. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 2009; 64(6), 675-681.
14. Bartali B, Frongillo EA, Bandinelli S, et al. Low nutrient intake is an essential component of frailty in older persons. J Gerontol A Biol Sci Med Sci 2006; 61(6): 589–593.
15. Bollwein J, Volkert R, Diekmann D, et al. Nutritional status according to the mini nutritional assessment (MNA®) and frailty in community dwelling older persons: A close relationship. The journal of nutrition, health & aging 2013; 17(4): 351-356.
16. Bieniek J, Wilczynski K, Szewieczek J. Fried frailty phenotype assessment components as applied to geriatric inpatients. Clinical Interventions in Aging 2016; 11(1): 453-459.
17. Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people. Canadian Clinical Association journal 2005; 173(5): 489–95.
18. Islam A, Muir-Hunter S, Speechley M, et al. Facilitating frailty identification: comparison of two methods among community-dwelling older adults. J Frailty Aging 2014; 3(4): 216–21.
19. Juma S, Taabazuing MM, Montero-Odasso M. Clinical Frailty Scale in an Acute Medicine Unit: a Simple Tool That Predicts Length of Stay. Canadian Geriatrics Journal 2016; 19(2): 34-39.
20. Muessig JM, Nia AM, Masyuk M, et al. Clinical Frailty Scale (CFS) reliably stratifies octogenarians in German ICUs: a multicentre prospective cohort study. BMC Geriatric 2018; 18(1): 162.
21. Basic D, Shanley C. Frailty in an Older Inpatient Population. Journal of Aging and Health 2014; 27(4): 670-685.
22. Gregorevic KJ, Hubbard RE, Katz B, et al. The clinical frailty scale predicts functional decline and mortality when used by junior medical staff: a prospective cohort study. BMC Geriatrics 2016; 16(1): 117.
23. Van Abellan KG, Rolland YM, Morley JE, et al. Frailty: Toward a clinical definition. J Am Med Dir Assoc 2008; 9 (1): 71-72.
24. Van Abellan KG, Rolland Y, Bergman H, et al. The I.A.N.A. Task Force on frailty assessment of older people in clinical practice. J Nutr Health Aging 2008; 12 (1): 29-37.
25. Morley JE. Rapid Geriatric Assessment. Clinics in Geriatric Medicine 2017; 33(3), 431-440.
26. Valdatta L, Perletti G, Maggiulli F, et al. FRAIL scale as a predictor of complications and mortality in older patients undergoing reconstructive surgery for nonmelanoma skin cancer. Oncology Letters 2018; 17(1): 263-269.
27. Sieliwonczyk E, Perkisas S, Vandewoude M. Frailty indexes, screening instruments and their application in Belgian primary care. Acta Clinica Belgica 2014; 69(4): 233-239.
28. Clegg A, Young J, Iliffe S, et al. Frailty in elderly people. Lancet 2013; 381(9868): 752-762.
29. Mitnitski AB, Graham JE, Mogilner AJ, et al. Frailty, fitness and late-life mortality in relation to chronological and biological age. BMC Geriatrics 2002; 2(1): 27.
30. Chaudhary M, Arokiasamy P. Patterns of Frailty and Quality of Life among Older Adults: Comparative Analysis Using SAGE States of India. Journal of Population Ageing 2019; 12(1): 1-23.
Labels
Geriatrics General practitioner for adults Orthopaedic prostheticsArticle was published in
Geriatrics and Gerontology
2019 Issue 3
Most read in this issue
- Selected tools for evaluation of geriatric fragility
- Geriatric scales and rehabilitation after proximal femur fractures.
- Virtual reality as a way of keeping seniors activ in retirement homes.
- Influence of reminiscence therapy on health condition and quality of life of seniors in long-term hospital care - preliminary results