Searching for an Operational Definition of Frailty: A Delphi Method Based Consensus Statement. The Frailty Operative Definition-Consensus Conference Project
Leocadio Rodríguez-Mañas,Catherine Féart,Catherine Féart,Giovanni E. Mann,Jose Viña,Somnath Chatterji,Wojtek Chodzko-Zajko,Magali Gonzalez-Colaço Harmand,Howard Bergman,Laure Carcaillon,Caroline Nicholson,Angelo Scuteri,Alan J. Sinclair,Martha Peláez,Tischa J. M. van der Cammen,François Béland,Jerome Bickenbach,Paul Delamarche,Luigi Ferrucci,Linda P. Fried,Luis Miguel Gutiérrez-Robledo,Kenneth Rockwood,Fernando Rodríguez Artalejo,Gaetano Serviddio,Enrique Vega +24 more
TLDR
There is agreement on the usefulness of defining frailty in clinical settings as well as on its main dimensions, however, additional research is needed before an operative definition of frailty can be established.Abstract:
BACKGROUND: There is no consensus regarding the definition of frailty for clinical uses. METHODS: A modified Delphi process was used to attempt to achieve consensus definition. Experts were selected from different fields and organized into five Focus Groups. A questionnaire was developed and sent to experts in the area of frailty. Responses and comments were analyzed using a pre-established strategy. Statements with an agreement more than or equal to 80% were accepted. RESULTS: Overall, 44% of the statements regarding the concept of frailty and 18% of the statements regarding diagnostic criteria were accepted. There was consensus on the value of screening for frailty and about the identification of six domains of frailty for inclusion in a clinical definition, but no agreement was reached concerning a specific set of clinical/laboratory biomarkers useful for diagnosis. CONCLUSIONS: There is agreement on the usefulness of defining frailty in clinical settings as well as on its main dimensions. However, additional research is needed before an operative definition of frailty can be established.read more
Citations
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Older adults with a higher frailty index tend to have electrolyte imbalances
Chisato Fujisawa,Hiroyuki Umegaki,Taiki Sugimoto,Chi Hsien Huang,Haruki Fujisawa,Yoshihisa Sugimura,Masafumi Kuzuya,Kenji Toma,Takashi Sakurai +8 more
TL;DR: In this paper , the authors used a multiple regression model to explore the relationship of electrolyte imbalances with the Frailty Index and to determine which frailty domains are correlated with electrolyte imbalance.
Journal ArticleDOI
Care of frail and older adults: A content analysis of paramedic operational clinical practice guidelines.
TL;DR: In this paper, the authors investigated how CPGs support paramedics' care of frail and older adults in the care of older adults, and found evidence-based content relating to older adults was sparse compared to paediatric content.
Journal ArticleDOI
A critical evaluation of 42, large‐scale, science and technology foresight Delphi surveys
TL;DR: In this article , the authors evaluate the quality of 42 large-scale Delphi surveys on technology foresight and conclude that there are some problematic issues within these surveys, to do with data quality in both the numerical summarizing of participant's between-round feedback and in the reporting of final round numerical responses.
Heart Failure and Problems with Frailty Syndrome: Why it is Time to Care About Frailty Syndrome in Heart Failure
Izabella Uchmanowicz,Agnieszka Mlynarska,Magdalena Lisiak,Marta Kałużna-Oleksy,Marta Wleklik,Anna Chudiak,Magdalena Dudek,Jacek Migaj,Lynne Hinterbuchner,Robbert J. J. Gobbens +9 more
TL;DR: In this article, Frailty syndrome (FS) is an independent predictor of mortality in cardiovascular disease and is found in 15-74% of patients with heart failure (HF) and contributes to adverse outcomes.
The Impact of Age and Frailty on the Fischer-344 Rat Heart
TL;DR: The isolated working rat heart is used as a model for in vivo cardiac structure and function with echocardiography in humans and animals to study frailty and cardiovascular care.
References
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Frailty in Older Adults Evidence for a Phenotype
Linda P. Fried,Catherine M. Tangen,Jeremy D. Walston,Anne B. Newman,Calvin H. Hirsch,John S. Gottdiener,Teresa E. Seeman,Russell P. Tracy,Willem J. Kop,B Gregory Burke,Mary Ann McBurnie +10 more
TL;DR: This study provides a potential standardized definition for frailty in community-dwelling older adults and offers concurrent and predictive validity for the definition, and finds that there is an intermediate stage identifying those at high risk of frailty.
Journal Article
Cardiovascular Health Study Collaborative Research Group : Frailty in older adults : evidence for a phenotype
Book
the delphi method: techniques and applications
Harold A. Linstone,Murray Turoff +1 more
TL;DR: The present model clarifies some of the conceptual problems associated with cross-impact analysis, and supplies a relatively sound basis for revising probability estimates in the limited case where interactions can be approximated by relative probabilities.
Journal ArticleDOI
The Delphi Technique: Making Sense of Consensus
Chia-Chien Hsu,Brian A. Sandford +1 more
TL;DR: The Delphi technique is well suited as a method for consensus-building by using a series of questionnaires delivered using multiple iterations to collect data from a panel of selected subjects.
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Classificação Internacional de Funcionalidade (CIF)
TL;DR: The present article has the objective of updating rehabilitation health professionals on the International Classification of Functioning Disability and Health (ICF) developed by the World Health Organization.
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