Management of Frailty at Individual Level - Clinical Management: Systematic Literature Review.
| Autor: | Veninšek G; University Medical Center Ljubljana, Center for Geriatric Medicine, Zaloška 2, 1000, Ljubljana, Slovenia., Gabrovec B; National Institute of Public Health, Health Care Center, Trubarjeva 2, 1000, Ljubljana, Slovenia. |
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| Jazyk: | angličtina |
| Zdroj: | Zdravstveno varstvo [Zdr Varst] 2018 Apr 06; Vol. 57 (2), pp. 106-115. Date of Electronic Publication: 2018 Apr 06 (Print Publication: 2018). |
| DOI: | 10.2478/sjph-2018-0014 |
| Abstrakt: | Introduction: To deliver quality management of a frail individual, a clinician should understand the concept of frailty, be aware of its epidemiology and be able to screen for frailty and assess it when it is present, and, finally, to recommend successful interventions. Methodology: A systematic literature search was conducted in the following databases: PubMed, Cochrane, Embase, Cinahl and UpToDate. The criterion in selecting the literature was that articles were published in the period from 2002 to 2017. From 67432 initial hits, 27 publications were selected. Results: Useful interventions to address frailty are supplementation of vitamin D, proper nutrition, multicomponent training, home-based physiotherapy and comprehensive geriatric assessment, particularly when performed in geriatric wards. Conclusion: Comprehensive geriatric assessment is an effective way to decrease frailty status especially when performed in geriatric wards. Multicomponent physical training and multidimensional interventions (physical training, nutrition, vitamin D supplementation and cognitive training) are effective measures to reduce frailty. Competing Interests: Conflicts of interest: The authors declare that no conflicts of interest exist. |
| Databáze: | MEDLINE |
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