University Hospital of Clermont-Ferrand, Hospital North, Pole of Gerontology, Cébazat, France.
Geriatr Gerontol Int. 2012 Apr;12(2):189-97. doi: 10.1111/j.1447-0594.2011.00797.x. Epub 2012 Jan 10.
Frailty is the loss of resources in several domains leading to the inability to respond to physical or psychological stress. The evaluation of frailty is generally carried out using the Comprehensive Geriatric Assessment. For this evolving and potentially reversible syndrome, screening and early intervention are a priority in primary health care, and general practitioners require a simple screening tool. The aim of the present work was to review the literature for validated screening instruments for frailty in primary health care setting. A search was carried out on PubMed and Cochrane Central in June 2011. A total of 10 instruments screening for frailty in primary health care were listed, analysed and compared. It is difficult to show which tool today is the best for screening for frailty in the elderly in primary care settings. Two instruments are potentially suitable - the Tilburg Frailty Indicator and the SHARE Frailty Index. In addition, these instruments require validation in larger studies in primary health care settings and with more quality criteria.
衰弱是指多个领域的资源流失，导致无法应对身体或心理压力。衰弱的评估通常使用综合老年评估进行。对于这种不断发展且可能可逆的综合征，在初级保健中，筛查和早期干预是优先事项，全科医生需要一个简单的筛查工具。本研究旨在回顾初级保健中用于衰弱筛查的已验证筛查工具的文献。2011 年 6 月，在 PubMed 和 Cochrane Central 上进行了搜索。共列出、分析和比较了 10 种用于初级保健中衰弱筛查的工具。目前很难说哪种工具是在初级保健环境中筛查老年人衰弱的最佳工具。有两种工具可能是合适的 - 蒂尔堡衰弱指标和 SHARE 衰弱指数。此外，这些工具需要在初级保健环境中进行更大规模的研究和更多质量标准的验证。
