Using prefrailty to detect early disability
| Autor: | Ignacio Sevilla-Machuca, Miguel A Acosta-Benito |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Population ageing Frailty syndrome Psychological intervention frailty Primary care elderly primary care 03 medical and health sciences 0302 clinical medicine Weight loss medicine In patient 030212 general & internal medicine Disability business.industry lcsh:Public aspects of medicine Public Health Environmental and Occupational Health lcsh:RA1-1270 medicine.disease Comorbidity Original Article Observational study medicine.symptom Family Practice business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Family and Community Medicine, Vol 23, Iss 3, Pp 140-144 (2016) Journal of Family & Community Medicine |
| ISSN: | 2230-8229 |
| Popis: | Introduction: In an aging population, new strategies are required to identify individuals at risk of adverse health outcomes. Frailty syndrome is related to negative health events. This increased risk may be used to identify individuals in which interventions can delay the onset of physical and functional complications. The aim of the study was to determine the relationship between the onset of frailty and the beginning of functional disability. Materials and Methods: This was a cross-sectional observational study with consecutive sampling to analyze 146 patients aged seventy and older who come to the primary care center. The level of frailty was registered according to fatigue, resistance, ambulation, illnesses, and loss of weight scale. Disability for Instrumental Activities of Daily Live dependency, comorbidity, and social risk factors was registered too. Results: The prevalence of frailty and prefrailty was 17.8% and 39%, respectively, and were associated with age, level of disability, and the presence of gastrointestinal disease. Prefrail patients had initial levels of dependency, while those who were not frail were mostly independent. Conclusion: Frailty syndrome is easily detectable. The intermediate stage known as prefrailty is related to the start of the functional disability. The syndrome screening identifies individuals at risk in whom we can potentially intervene to delay the onset of the syndrome and delay functional disability. Control of comorbidity in frail patients must be studied. Screening age could be set in patients between 75 and 81 years old. |
| Databáze: | OpenAIRE |
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