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
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Intégrer le concept de fragilité dans la pratique clinique : l’expérience du Gérontopôle à travers la plateforme d’évaluation des fragilités et de prévention de la dépendance The integration of frailty into the clinical practice: preliminary results from the Gérontopôle of Toulouse, France
TL;DR: The Platform for Evaluation of Frailty and Prevention of Disability recently established within the Gerontopole of Toulouse in collaboration with the Department of General Medicine as mentioned in this paper has shown that the mean age of the population is 82.7 years, with a large majority aged ≥ 75 years.
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Mobility Identifies Acutely Ill Patients at Low Risk of In-Hospital Mortality: A Prospective Multicenter Study.
Christian H. Nickel,John Kellett,Ricardo Nieves Ortega,Le E. Lyngholm,Lucien Wasingya-Kasereka,Mikkel Brabrand +5 more
TL;DR: In this prospective multicenter study IMOP enhanced the risk categorization of acutely ill patients from very different clinical settings and identified a substantial proportion of patients in all cohorts with a low risk of dying while in hospital.
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Relationship between knee extension strength and gait styles in patients with dementia
TL;DR: There are threshold levels of strength that could predict gait with particular walking aid in people with dementia and the probability of independence evaluated from ordinal logistic modeling contributes to efficient rehabilitation intervention.
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Postal screening can identify frailty and predict poor outcomes in older adults: longitudinal data from INTER-FRAIL study
Enrico Mossello,Francesco Profili,Mauro Di Bari,Stefania Bandinelli,Matilde Razzanelli,Anna Salvioni,Carla Corridori,Teresa Di Fiandra,Paolo Francesconi +8 more
TL;DR: A simple questionnaire delivered by mail has good accuracy in detecting PFP in non-disabled older subjects and is able to predict HRAO.
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Development of skills-based competencies for forensic nurse examiners providing elder abuse care.
TL;DR: The skills-based competencies of importance to training forensic nurse examiners to respond to elder abuse in the context of a hospital-based intervention may have implications for violence and abuse treatment programmes with a forensic nursing component.
References
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Journal ArticleDOI
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.
Journal ArticleDOI
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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