Journal of frailty, sarcopenia and falls最新文献_第8页

Induced frailty and acute sarcopenia are overlapping consequences of hospitalisation in older adults. 诱发性虚弱和急性肌肉减少症是老年人住院治疗的重叠后果。

Journal of frailty, sarcopenia and falls Pub Date : 2022-09-01 DOI: 10.22540/JFSF-07-103

Carly Welch, Carolyn Greig, Zeinab Majid, Tahir Masud, Hannah Moorey, Thomas Pinkney, Thomas Jackson

{"title":"Induced frailty and acute sarcopenia are overlapping consequences of hospitalisation in older adults.","authors":"Carly Welch, Carolyn Greig, Zeinab Majid, Tahir Masud, Hannah Moorey, Thomas Pinkney, Thomas Jackson","doi":"10.22540/JFSF-07-103","DOIUrl":"https://doi.org/10.22540/JFSF-07-103","url":null,"abstract":"Objectives: To determine the effects of hospitalisation upon frailty and sarcopenia.Methods: Prospective cohort study at single UK hospital including adults ≥70 years-old admitted for elective colorectal surgery, emergency abdominal surgery, or acute infections. Serial assessments for frailty (Fried, Frailty Index, Clinical Frailty Scale [CFS]), and sarcopenia (handgrip strength, ultrasound quadriceps and/or bioelectrical impedance analysis, and gait speed and/or Short Physical Performance Battery) were conducted at baseline, 7 days post-admission/post-operatively, and 13 weeks post-admission/post-operatively.Results: Eighty participants were included (mean age 79.2, 38.8% females). Frailty prevalence by all criteria at baseline was higher among medical compared to surgical participants. Median and estimated marginal CFS values and Fried frailty prevalence increased after 7 days, with rates returning towards baseline at 13 weeks. Sarcopenia incidence amongst those who did not have sarcopenia at baseline was 20.0%. However, some participants demonstrated improvements in sarcopenia status, and overall sarcopenia prevalence did not change. There was significant overlap between diagnoses with 37.3% meeting criteria for all four diagnoses at 7 days.Conclusions: Induced frailty and acute sarcopenia are overlapping conditions affecting older adults during hospitalisation. Rates of frailty returned towards baseline at 13 weeks, suggesting that induced frailty is reversible.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 3","pages":"103-116"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/56/25/JFSF-7-103.PMC9433945.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9505138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Development and validation of a fall risk Questionnaire in Greek community-dwelling individuals over 60 years old. 希腊60岁以上社区居民跌倒风险问卷的开发和验证。

Journal of frailty, sarcopenia and falls Pub Date : 2022-09-01 DOI: 10.22540/JFSF-07-133

Chrysoula Argyrou, Yannis Dionyssiotis, Antonios Galanos, Ingka Kantaidou, John Vlamis, Ioannis K Triantafyllopoulos, George P Lyritis, Ismene A Dontas, Efstathios Chronopoulos

{"title":"Development and validation of a fall risk Questionnaire in Greek community-dwelling individuals over 60 years old.","authors":"Chrysoula Argyrou, Yannis Dionyssiotis, Antonios Galanos, Ingka Kantaidou, John Vlamis, Ioannis K Triantafyllopoulos, George P Lyritis, Ismene A Dontas, Efstathios Chronopoulos","doi":"10.22540/JFSF-07-133","DOIUrl":"https://doi.org/10.22540/JFSF-07-133","url":null,"abstract":"Objectives: The purpose of this study was to develop a questionnaire that can reliably recognize Greek individuals over the age of 60 with increased risk of falls.Methods: An 11-item self-reported Questionnaire (LRMS) was developed and delivered to 200 individuals. Collected data were compared to Timed Up and Go (TUG), Falls Efficacy Scale-International (FES-I), Tinetti Assessment Tool, Geriatric Depression Scale-15 (GDS-15) and Morse fall scale. The results were statistically analyzed.Results: Correlation between LRMS and the examined tools was high TUG (r=0.831), FES-I (r=-0.820), Tinetti balance (r=-0.812), Tinetti gait (r=-0.789), GDS-15 (r=-0.562), and Morse fall scale (r=0.795). Cronbach's alpha for LRMS total score was 0.807. ICC of the LRMS total score was 0.991. The area under the curve of LRMS was 0.930 (cut-off point 10.5, 95% C.I. 0.88 - 0.98, p<0.001, sensitivity=86%, specificity=98%) with TUG as gold standard, 0.919 (cut-off point 11.5, 95% C.I. 0.88 - 0.96, p<0.001, sensitivity=85%, specificity=89%) with FES-I and 0.947 (cut-off point 10.5, 95% C.I. 0.91 - 0.98, p<0.001, sensitivity=93%, specificity=91%) with Tinetti.Conclusions: The LRMS Questionnaire showed sufficient internal consistency, excellent test-retest reliability and high correlation with the already established tools for fall risk assessment. It is short and easy to use without assistance from specially trained personnel.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"133-146"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/20/JFSF-7-133.PMC9433940.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40365450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Outcomes of radical cystectomy in pT4 bladder cancer frail patients: Α high-volume single center study. pT4膀胱癌虚弱患者根治性膀胱切除术的结果:Α大容量单中心研究。

Journal of frailty, sarcopenia and falls Pub Date : 2022-09-01 DOI: 10.22540/JFSF-07-147

Panagiotis Velissarios Stamatakos, Dimitrios Moschotzopoulos, Ioannis Glykas, Charalampos Fragkoulis, Nikolaos Kostakopoulos, Georgios Papadopoulos, Georgios Stathouros, Odysseas Aristas, Athanasios Dellis, Athanasios Papatsoris, Konstantinos Ntoumas

{"title":"Outcomes of radical cystectomy in pT4 bladder cancer frail patients: Α high-volume single center study.","authors":"Panagiotis Velissarios Stamatakos, Dimitrios Moschotzopoulos, Ioannis Glykas, Charalampos Fragkoulis, Nikolaos Kostakopoulos, Georgios Papadopoulos, Georgios Stathouros, Odysseas Aristas, Athanasios Dellis, Athanasios Papatsoris, Konstantinos Ntoumas","doi":"10.22540/JFSF-07-147","DOIUrl":"https://doi.org/10.22540/JFSF-07-147","url":null,"abstract":"Objectives: This study aims to evaluate the effect of frailty in patients undergoing radical cystectomy (RC) for locally advanced bladder cancer.Methods: In this retrospective, single center study we evaluated 51 patients with pT4 bladder cancer treated with radical cystectomy between 2016-2020. Patient frailty was assessed with the Clinical Frailty Scale (CFS). Furthermore, six separate parameters (early mortality index within 30 days after surgery, death after one year, length of stay, respiratory complications, readmission index, total hospital charges) were also evaluated. The patients were categorized on three groups (Group 1, 2, 3) based on the CFS.Results: A total of 51 pT4 RC patients were included in the study. Mean age was 75.6 years. Early mortality rate at 30 days after surgery was low all the groups. One year mortality rate was higher in Group 2 (22%) and 3 (69%). The length of stay and the number of patients with respiratory complications were also higher in the frailer groups. 30 days readmission rate was 22% in Group 2 and 38% in Group 3.Conclusions: Preoperative frailty is associated with worse postoperative results after RC. CFS is an objective tool for patient risk stratification and can predict postoperative complications and mortality.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"147-150"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/94/e3/JFSF-7-147.PMC9433942.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40365451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Identifying the key characteristics of falls management programmes in UK care homes - A scoping review of grey literature. 确定英国护理院跌倒管理方案的关键特征-灰色文献的范围审查。

Journal of frailty, sarcopenia and falls Pub Date : 2022-09-01 DOI: 10.22540/JFSF-07-165

Katie R Robinson, Adam L Gordon, Pip A Logan, Stephen Timmons, Meri Westlake, Alison Cowley

{"title":"Identifying the key characteristics of falls management programmes in UK care homes - A scoping review of grey literature.","authors":"Katie R Robinson, Adam L Gordon, Pip A Logan, Stephen Timmons, Meri Westlake, Alison Cowley","doi":"10.22540/JFSF-07-165","DOIUrl":"10.22540/JFSF-07-165","url":null,"abstract":"Trial literature on falls management in care homes may provide limited detail on current practice and instead this information may be found in grey literature. This scoping review aimed to identify the key characteristics of current falls management programmes for UK care homes identified from the grey literature. A scoping review was conducted and evidence sources were included if they were targeted at UK care homes for older people and included any component of falls management (assessment, intervention, training). Search activities included searches of electronic databases, professional websites and contacting care homes for current examples. The principles of intervention component analysis were conducted to describe the features of falls management. Forty-eight evidence sources were included (17 online resources, 10 online articles, 9 policies and standards and 12 examples provided by individual care homes). 67 themes were identified under eight domains. The core domains detailed the characteristics of Assessment, Interventions and Training. The approach taken to managing falls was an overarching domain, with supporting domains including how to report and monitor falls, when to complete assessments and interventions, governance and accountability, and involvement of the wider healthcare system.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"165-174"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/f7/JFSF-7-165.PMC9433944.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40365453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Moderate to vigorous physical activity, leucine, and protein intake contributions to muscle health in middle age. 中等到剧烈的体力活动、亮氨酸和蛋白质的摄入有助于中年肌肉健康。

Journal of frailty, sarcopenia and falls Pub Date : 2022-09-01 DOI: 10.22540/JFSF-07-123

Kara A Stone, Allison M Barry, Christopher J Kotarsky, Nathan D Dicks, Sherri N Stastny, Wonwoo Byun, Steven Mitchell, Ryan McGrath, Kyle J Hackney

{"title":"Moderate to vigorous physical activity, leucine, and protein intake contributions to muscle health in middle age.","authors":"Kara A Stone, Allison M Barry, Christopher J Kotarsky, Nathan D Dicks, Sherri N Stastny, Wonwoo Byun, Steven Mitchell, Ryan McGrath, Kyle J Hackney","doi":"10.22540/JFSF-07-123","DOIUrl":"https://doi.org/10.22540/JFSF-07-123","url":null,"abstract":"Objective: Identify contributors to differences in the muscle size and strength of sedentary and active young and middle-aged adults.Methods: This cross-sectional study included 98 participants aged 20-65 years. Participants were categorized based on age and self-reported physical activity (PA) habits. Participants completed a strength assessment of knee extensors (KEPT), knee flexors (KFPT), plantar flexors (PFPT), and dorsiflexors (DFPT), a 3-day dietary intake log, 7-day accelerometry, and a magnetic resonance imaging (MRI) scan for muscle cross-sectional area analysis of the right quadriceps (CSAq).Results: There were significant age and activity-related group effects for relative protein intake (p<0.001), relative energy intake (p=0.04), KEPT (p=0.01), CSAq (p=0.002), PFPT (p=0.004) and DFPT (p=0.003). Moderate, moderate-to-vigorous, and vigorous PA were positively associated with CSAq (R2=0.69- 0.71; p<0.05), KEPT (R2=0.61-0.63; p<0.05), and PFPT (R2=0.31-0.36; p<0.05). Relative protein intake and daily leucine intake were significantly and positively associated with CSAq (R2=0.70 and 0.67 respectively; p<0.05), KEPT (R2=0.62 and 0.65 respectively; p<0.05), and PFPT (R2=0.29 and 0.28 respectively; p<0.05).Conclusion: Muscle size and strength were lower in middle age relative to younger age, but increased PA, protein intake, and leucine intake was associated with the preservation of muscle size and strength in larger muscle groups of the lower body.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"123-132"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/64/ae/JFSF-7-123.PMC9433941.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40365447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interventions and measurement instruments used for falls efficacy in community-dwelling older adults: A systematic review. 干预措施和测量工具用于社区居住的老年人跌倒疗效:系统回顾。

Journal of frailty, sarcopenia and falls Pub Date : 2022-09-01 DOI: 10.22540/JFSF-07-151

Shawn Leng-Hsien Soh, Judith Lane, Ashleigh Yoke-Hwee Lim, Mariana Shariq Mujtaba, Chee-Wee Tan

{"title":"Interventions and measurement instruments used for falls efficacy in community-dwelling older adults: A systematic review.","authors":"Shawn Leng-Hsien Soh, Judith Lane, Ashleigh Yoke-Hwee Lim, Mariana Shariq Mujtaba, Chee-Wee Tan","doi":"10.22540/JFSF-07-151","DOIUrl":"https://doi.org/10.22540/JFSF-07-151","url":null,"abstract":"Falls efficacy has been defined as perceived self-belief in the prevention and management of falls. In the case of community-dwelling older adults, it is essential that interventions should address the different aspects of falls efficacy in terms of balance confidence, balance recovery confidence, safe landing confidence and post-fall recovery confidence to improve their agency to deal with falls. This review aims to provide the current landscape of falls efficacy interventions and measurement instruments. A literature search of five electronic databases was conducted to extract relevant trials from January 2010 to September 2021, and the CASP tool for critical appraisal was applied to assess the quality and applicability of the studies. Eligibility criteria included randomised controlled trials evaluating falls efficacy as a primary or secondary outcome for community-dwelling older adults. A total of 302 full texts were reviewed, with 47 selected for inclusion involving 7,259 participants across 14 countries. A total of 63 interventions were identified, using exercise and other components to target different aspects of falls efficacy. The novel contribution of this article is to highlight that those interventions were applied to address the different fall-related self-efficacies across pre-fall, near-fall, fall landing and completed fall stages. Appropriate measurement instruments need to be used to support empirical evidence of clinical effectiveness.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"151-164"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/60/JFSF-7-151.PMC9433947.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40365452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain. 老年慢性腰痛患者椎旁腰椎放射学测量与骨骼肌减少症临床测量的关系。

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-052

Denys Gibbons, Jake M McDonnell, Daniel P Ahern, Gráinne Cunniffe, Rose-Anne Kenny, Roman Romero-Ortuno, Joseph S Butler

{"title":"The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain.","authors":"Denys Gibbons, Jake M McDonnell, Daniel P Ahern, Gráinne Cunniffe, Rose-Anne Kenny, Roman Romero-Ortuno, Joseph S Butler","doi":"10.22540/JFSF-07-052","DOIUrl":"https://doi.org/10.22540/JFSF-07-052","url":null,"abstract":"Objectives: Sarcopenia is postulated to be an influential factor in chronic low back pain. The aim of this study is to evaluate the relationship between traditional clinical measures of sarcopenia and novel radiographic methods which evaluate overall muscle status, such as adjusted psoas cross-sectional area (APCSA) and degree of fat infiltration (%FI) in paraspinal muscles, in patients with chronic low back pain.Methods: Prospective study performed at our institution from 01/01/19-01/04/19. Inclusion criteria were patients ≥65 years old not requiring surgical intervention presenting to a low back pain assessment clinic.Results: 25 patients were identified (mean age: 73 years, 62% male). On spearman's analyses, %FI shared a significant relationship with hand grip strength (r = -0.37; p=0.03), chair rise (r=0.38; p=0.03), SC (r=0.64; p<0.01), and visual analogue scale scores (r=-0.14; p=0.02). Comparably, a statistically significant correlation was evident between APCSA and %FI (r=-0.40; p=0.02) on analysis.Conclusion: The results of our study demonstrate a statistically significant relationship between APCSA and %FI in the multifidus and erector spinae muscles. Further significant associations of relatability were depicted with traditional clinical measures of sarcopenia. Thus, %FI may be a supplemental indicator of the sarcopenic status of patients presenting with chronic low back pain.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 2","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/fe/JFSF-7-052.PMC9175279.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10256531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Assessment of frailty syndrome with coexisting hypertension and depression among older individuals, aged >80 years of age. 评估年龄大于 80 岁、同时患有高血压和抑郁症的老年人的虚弱综合征。

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-072

Anugna Avvari, Bana Manishaa Reddy, Enakshi Ganguly, Pawan Kumar Sharma

{"title":"Assessment of frailty syndrome with coexisting hypertension and depression among older individuals, aged >80 years of age.","authors":"Anugna Avvari, Bana Manishaa Reddy, Enakshi Ganguly, Pawan Kumar Sharma","doi":"10.22540/JFSF-07-072","DOIUrl":"10.22540/JFSF-07-072","url":null,"abstract":"Objectives: The objective was to determine odds of frailty syndrome with coexistence of hypertension and depression among oldest-old adults.Methods: We analysed secondary data from 167 community-dwelling hypertensive participants aged 80 years and older from a cross-sectional study of frailty conducted in India. Data included sociodemographic, medical history, physical performance, functional limitations, mobility-disability, cognition, depression, sleep, frailty syndrome and chronic diseases. Odds of frailty syndrome was compared among individuals having only hypertension, and individuals having hypertension and depression. Chi-square test, t-test and logistic regression were performed to determine odds of frailty.Results: Frailty was significantly higher (OR: 4.93;95% CI: 1.89-12.84) among individuals having hypertension and coexisting depression, compared to individuals having only hypertension. Men (OR: 5.07;95% CI: 1.02-25.17) and women (OR: 4.58;95% CI: 1.36-15.40) with hypertension and depression showed a higher risk of frailty, compared with hypertension alone. Logistic regression models were adjusted for age, sex, cognitive impairment, chronic obstructive pulmonary disease, cardiovascular diseases, anaemia, diabetes, obesity, physical performance, activities of daily living and 4-meter walking speed.Conclusion: Coexistence of hypertension and depression increased risk of frailty syndrome among men and women above 80 years of age by almost 5 folds. Treating depression in hypertensive older individuals may reduce the risk of frailty among them.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 2","pages":"72-80"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/85/26/JFSF-7-072.PMC9175282.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10256535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience. 急诊科临床虚弱量表评分:家庭第一经验。

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-095

Owen Thorpe, Elva McCabe, Elena Marie Herrero, William Ormiston Doyle, Aoife Dillon, Lucinda Edge, Sinéad Flynn, Anna Mullen, Aisling Davis, Aoife Molamphy, Anna Kirwan, Robert Briggs, Amanda H Lavan, Darragh Shields, Geraldine McMahon, Arthur Hennessy, Una Kennedy, Paul Staunton, Emer Kidney, Sarah-Jane Yeung, Deirdre Glynn, Frances Horgan, Conal Cunningham, Roman Romero-Ortuno

{"title":"Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience.","authors":"Owen Thorpe, Elva McCabe, Elena Marie Herrero, William Ormiston Doyle, Aoife Dillon, Lucinda Edge, Sinéad Flynn, Anna Mullen, Aisling Davis, Aoife Molamphy, Anna Kirwan, Robert Briggs, Amanda H Lavan, Darragh Shields, Geraldine McMahon, Arthur Hennessy, Una Kennedy, Paul Staunton, Emer Kidney, Sarah-Jane Yeung, Deirdre Glynn, Frances Horgan, Conal Cunningham, Roman Romero-Ortuno","doi":"10.22540/JFSF-07-095","DOIUrl":"https://doi.org/10.22540/JFSF-07-095","url":null,"abstract":"We evaluated predictors of the Clinical Frailty Scale (CFS) scored by an interdisciplinary team (Home FIRsT) performing comprehensive geriatric assessment (CGA) in our Emergency Department (ED). This was a retrospective observational study (service evaluation) utilising ED-based CGA data routinely collected by Home FIRsT between January and October 2020. A linear regression model was computed to establish independent predictors of CFS. This was complemented by a classification and regression tree (CRT) to evaluate the main predictors. There were 799 Home FIRsT episodes, of which 740 were unique patients. The CFS was scored on 658 (89%) (median 4, range 1-8; mean age 81 years, 61% women). Independent predictors of higher CFS were older age (p<0.001), history of dementia (p<0.001), mobility (p≤0.007), disability (p<0.001), and higher acuity of illness (p=0.009). Disability and mobility were the main classifiers in the CRT. Results suggest appropriate CFS scoring informed by functional baseline.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"95-100"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/0f/JFSF-7-095.PMC9175280.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40461856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obituary Martin Runge (1949-2021) 马丁·龙格(1949-2021)

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/jfsf-07-101

R. Rawer, Jörn Rittweger, Yannis Dionyssiotis, E. Schönau

引用次数: 0