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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Impacto de la FRAgilidad y otros síndromes Geriátricos en el manejo clínico y pronóstico del paciente anciano ambulatorio con Insuficiencia Cardiaca (FRAGIC). Estudio prospectivo y multicéntrico
Pablo Díez-Villanueva,Jorge Salamanca,Albert Ariza-Solé,Francesc Formiga,Francisco Javier Martín-Sánchez,Clara Bonanad Lozano,María T. Vidán,Manuel Martínez-Sellés,Beatriz Terres,César Jiménez Méndez,Héctor Bueno,Fernando Alfonso +11 more
TL;DR: Nuestro trabajo es el primer estudio prospectivo que valorara la fragilidad y otros sindromes geriatricos de forma sistematica en el paciente anciano ambulatorio con IC in Espana seguido by cardiologia, contribuyendo a mejorar el conocimiento of su prevalencia e impacto in nuestros pacientes.
Journal ArticleDOI
Simplification of the Barthel scale for screening for frailty and severe dependency in polypathological patients
M. Bernabeu-Wittel,Jesús Díez-Manglano,D. Nieto-Martín,N. Ramírez-Duque,Manuel Ollero-Baturone,L. Abella-Vázquez,M. Aguayo-Canela,M. Albert-Coll,A. Alemán,J. Aligué,J. Barbé Gil-Ortega,Bosco Barón-Franco,C. de la Calle-Cabrera,M. Cassani-Garza,M. Castillo-Blasco,F. Díez,A. Escalera-Zalvide,L. Feliu-Mazaria,M. Francisco Fernández-Miera,A. Fernández-Moyano,Francesc Formiga,J. Forteza-Rey,A. Fuertes-Martín,Javier Galindo-Ocaña,P. Giner,M. Godoy,S. Gómez-Lesmes,H. Llorente-Cancho,C. Luque-Amado,J. Manuel Machín-Lázaro,M. Maiz-Jiménez,F. Martínez,T. Martínez,F. Martos,B. Massa,J. Medina,F. Medrano-González,M. Montero Pérez-Barquero,A. Mora-Rufete,C. Morales,Lourdes Moreno-Gaviño,A. Muela-Molinero,José Murcia-Zaragoza,M. Dolores Nieto-Martín,I. Novo Valeiro,B. Pinilla,C. Ramos-Cantos,M. Rincón-Gómez,M. Luisa Rodríguez-Benedito,V. Rodríguez-Martínez,M. Romero-Jiménez,S. Ruiz,Alberto Ruiz-Cantero,E. Sacanella,M. Sánchez-Ledesma,A. Sanjosé-Laporte,C. Sanromán,M. Ángeles Soria-López,A. Tejera-Concepción,P. Tenllado-Doblas,G. Ternavasio,E. Villegas-Bruguera +61 more
TL;DR: PPPs in hospital settings have a high rate of functional impairment and the combination of the measures for walking and going up and down stairs achieved the highest PPV and can therefore be employed to propose frailty screening for PPPs.
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Role of sarcopenia in the frailty transitions in older adults: a population‐based cohort study
Alejandro Alvarez-Bustos,Jose Antonio Carnicero-Carreño,Betty Davies,Francisco J. Garcia-Garcia,Fernando Rodríguez-Artalejo,Leocadio Rodríguez-Mañas,Cristina Alonso-Bouzón +6 more
TL;DR: The aim of this work is to assess the role of sarcopenia within the frailty transitions and mortality in older people.
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Management of frailty under COVID-19 pandemic in Japan
TL;DR: A new 15-item questionnaire has been newly developed to identify frailty and other health-related problems in older people of 75 years and above in Japan, and will enable providing the necessary support to frail individuals at any healthcare facility in local communities.
Journal ArticleDOI
Relationship between self-reported visual impairment and worsening frailty transition states in older people: a longitudinal study.
Jimmy M Gonzales-Turín,Ángel Rodríguez-Laso,José A. Carnicero,Francisco García-García,Leocadio Rodríguez-Mañas +4 more
TL;DR: In this article, the authors used multivariate logistic regression to assess the relationship between visual impairment (VI) and worsening of the frailty status and found that VI impairs several frailty items at the same time.
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
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Cardiovascular Health Study Collaborative Research Group : Frailty in older adults : evidence for a phenotype
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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.
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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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