Frailty consensus: a call to action.

Frailty consensus: a call to action.
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脆弱共识:行动呼吁。

DOI:
10.1016/j.jamda.2013.03.022
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发表时间:
2013-06
影响因子:
7.6
通讯作者:
Walston J
Walston J
中科院分区:
医学1区
文献类型:
--
作者:
Morley JE;Vellas B;van Kan GA;Anker SD;Bauer JM;Bernabei R;Cesari M;Chumlea WC;Doehner W;Evans J;Fried LP;Guralnik JM;Katz PR;Malmstrom TK;McCarter RJ;Gutierrez Robledo LM;Rockwood K;von Haehling S;Vandewoude MF;Walston J

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体虚是一种重要的医学证候。该小组将身体虚弱定义为“一种具有多种原因和贡献者的医学综合征,其特征是力量,耐力和生理功能降低,增加了个体发展依赖性和/或死亡的脆弱性。身体虚弱可以通过特定的方式来预防或治疗,例如运动,蛋白质-卡路里补充剂,维生素D和减少多种药物。已经开发并验证了简单、快速的筛查测试,例如简单的FRAIL量表,以使医生能够客观地识别虚弱的人。为了对身体虚弱的个体进行最佳管理,所有70岁以上的人和所有因慢性疾病而体重显著减轻(≥5%)的人都应进行虚弱筛查。虚弱是一种临床状态,其中当暴露于压力源时,个体的依赖性和/或死亡率增加。虚弱可能是一系列疾病和医疗条件的结果。一个由来自6个主要国际、欧洲和美国学会的代表组成的共识小组就一种特定形式的脆弱性(身体脆弱)建立了4个主要共识点。
Physical frailty is an important medical syndrome. The group defined physical frailty as “a medical syndrome with multiple causes and contributors that is characterized by diminished strength, endurance, and reduced physiologic function that increases an individual’s vulnerability for developing increased dependency and/or death.” Physical frailty can potentially be prevented or treated with specific modalities, such as exercise, protein-calorie supplementation, vitamin D, and reduction of polypharmacy. Simple, rapid screening tests have been developed and validated, such as the simple FRAIL scale, to allow physicians to objectively recognize frail persons. For the purposes of optimally managing individuals with physical frailty, all persons older than 70 years and all individuals with significant weight loss (≥5%) due to chronic disease should be screened for frailty. Frailty is a clinical state in which there is an increase in an individual’s vulnerability for developing increased dependency and/or mortality when exposed to a stressor. Frailty can occur as the result of a range of diseases and medical conditions. A consensus group consisting of delegates from 6 major international, European, and US societies created 4 major consensus points on a specific form of frailty: physical frailty.
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