Screening for and Managing the Person with Frailty in Primary Care: ICFSR Consensus Guidelines - Archive ouverte HAL
Article Dans Une Revue Journal of Nutrition, Health & Aging Année : 2020

Screening for and Managing the Person with Frailty in Primary Care: ICFSR Consensus Guidelines

1 UMMSM - University of Miami Leonard M. Miller School of Medicine
2 Torrens University
3 SLU - Saint Louis University
4 NUH - National University Hospital [Singapore]
5 University of New South Wales [Kensington]
6 University of Texas Health Science Center at San Antonio [San Antonio, Tx, USA]
7 The University of Florida College of Medicine
8 LEASP - Epidémiologie et analyses en santé publique : risques, maladies chroniques et handicaps
9 University of Groningen [Groningen]
10 Universidade Paulista [Jundiaí]
11 UQAM - Université du Québec à Montréal = University of Québec in Montréal
12 Universität Heidelberg [Heidelberg] = Heidelberg University
13 UNIMI - Università degli Studi di Milano = University of Milan
14 IRCCS Pavia - ICS Maugeri - Istituti Clinici Scientifici Maugeri [Pavia]
15 NYCU - National Yang Ming Chiao Tung University [Taipei]
16 Taipei Veterans General Hospital [Taiwan]
17 Hospital Universitario Ramón y Cajal [Madrid]
18 Gérontopôle
19 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
20 SCU - Sichuan University [Chengdu]
21 NIA - National Institute on Aging [Bethesda, USA]
22 Tufts University School of Medicine [Boston]
23 UWA - The University of Western Australia
24 PCMH - Perry County Memorial Hospital
25 KSU - King Saud University [Riyadh]
26 Université de Liège
27 Getafe University Hospital = Hospital Universitario de Getafe
28 Washington University School of Medicine [Saint Louis, MO]
29 King‘s College London
30 UCV - Universidad Catolica de Valencia San Vicente Mártir = Saint Vincent the Martyr Catholic University of Valencia
31 University of Otago [Dunedin, Nouvelle-Zélande]
32 KHU - Kyung Hee University
33 CUHK - The Chinese University of Hong Kong [Hong Kong]
E. Dent
  • Fonction : Auteur
John E Morley
  • Fonction : Auteur
  • PersonId : 1364776
J. Beilby
  • Fonction : Auteur
Yves Rolland
  • Fonction : Auteur
  • PersonId : 946609
C. Won Won
  • Fonction : Auteur

Résumé

Frailty is now a well-recognized and common syndrome among older persons. Frailty is a syndrome which increases the risk of an older person to develop disability or to die when exposed either to physical or psychosocial stressors . Although frailty, disability and multimorbidity often coexist and interact, they are distinct and separate concepts. Growing evidence suggests that each of these interrelated conditions is preventable and their associated complications manageable. However, early identification is imperative as once disability and multimorbidity occur, frailty in less likely to be prevented or reversed. As such it should be distinguished from persons with disability in their activities of daily living. The conditions leading to the frailty syndrome should have some degree of reversibility, thus distinguishing it from multimorbidity. Recently, the International Conference of Frailty and Sarcopenia Research (ICFSR) formulated evidence-based guidelines for the identification and management of physical frailty. Physical frailty was originally defined and validated by Fried et al. This definition included measurements of low activity level, slowness of walking, muscle weakness, exhaustion and weight loss. This approach differs from that of Rockwood and Mitnitski which used the number of “deficits” (signs, symptoms, clinical conditions) to determine a frailty index. Primary care represents the entry point into the health care system for many older adults who may be pre-frail and frail. A shortage of geriatricians and the higher frequency of frailty in community settings call for primary care clinicians (general practitioners, generalists, family physicians) to increasingly assess and manage older adults at risk for frailty or who are already frail. The purpose of this paper is to suggest practical frailty screening and management strategies in primary care settings. We will also discuss the characteristics of these instruments and their applicability to primary care. For the sake of consistency hereafter, we will refer to clinicians delivering primary care as primary care providers.

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hal-04539441 , version 1 (09-04-2024)

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J G Ruiz, E. Dent, John E Morley, R A Merchant, J. Beilby, et al.. Screening for and Managing the Person with Frailty in Primary Care: ICFSR Consensus Guidelines. Journal of Nutrition, Health & Aging, 2020, 24 (9), pp.920-927. ⟨10.1007/s12603-020-1492-3⟩. ⟨hal-04539441⟩
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