[The frail elderly. Detection and management in Primary Care].

Atencion primaria
Iñaki Martín LesendePedro Abizanda Soler

Abstract

In this article the current state in the detection and management directives of the frail elderly from Primary Care are reviewed. These include the recommendations of the 2009 Preventive Activities Program and Health Promotion of the Spanish Society of Family and Community Medicine (PAPPS-semFYC) and define future lines worthy of review. The lack of defined limits between frailty and good functionality, and with disability and dependency, makes it difficult to diagnose. The two currently most widely methods for detecting the frail elderly are: screening based on risk factors with a sound prediction of suffering adverse events and functional loss (advanced age, hospitalisation, falls, changes in movement and balance, muscle weakness and little exercise, comorbidity, adverse social conditions, multiple medications, etc.) or based on the loss of incipient functionality or early loss if there is still no ostensible degree of incapacity or dependence, and with the possibilities of reversing or modifying it with suitable interventions. Other detection methods, although less used or in the experimental phase include, detection of a phenotype (geriatric syndrome) according to clinical criteria established by Fried, or by biological mar...Continue Reading

References

Feb 1, 1991·Journal of the American Geriatrics Society·D Podsiadlo, S Richardson
May 3, 1995·JAMA : the Journal of the American Medical Association·M E TinettiJ T Doucette
Mar 17, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·L P FriedUNKNOWN Cardiovascular Health Study Collaborative Research Group
Feb 15, 2002·Journal of the American Geriatrics Society·D SalibaN S Wenger
Apr 7, 2004·Journal of the American Geriatrics Society·Luigi FerrucciUNKNOWN Interventions on Frailty Working Group
Apr 8, 2004·JAMA : the Journal of the American Medical Association·Susan E Hardy, Thomas M Gill
Mar 23, 2006·Journal of the American Geriatrics Society·Lillian C MinDebra Saliba
Jul 20, 2007·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Heather E WhitsonHarvey J Cohen
Jan 1, 2008·The Journal of Nutrition, Health & Aging·G Abellan van KanB Vellas
Oct 25, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·José Alberto Avila-FunesJean-François Dartigues
Dec 31, 2008·Medical Care Research and Review : MCRR·Dianne V LiebelBethel A Powers

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Citations

Aug 12, 2014·Archives of Gerontology and Geriatrics·Patricia Navarro-GilUNKNOWN Spanish Research Group on Quality of Life and Ageing
Sep 29, 2011·Revista española de geriatría y gerontología·Ángel OteroM Canto de Hoyos
Mar 8, 2011·Atencion primaria·Assumpta FerrerUNKNOWN Grupo de Estudio Octabaix
Feb 22, 2011·Atencion primaria·Cesáreo FernándezFrancisco Javier Martín-Sánchez
Jan 21, 2014·Atencion primaria·Iñaki Martín Lesende
Jul 15, 2017·BMC Geriatrics·Francisco Antonio Vega-RamírezDavid Padilla-Góngora
Dec 19, 2020·Therapeutic Advances in Urology·María-Fernanda Lorenzo-GómezMaría-Begoña García-Cenador

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