Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Age Ageing. 2014 Jan;43(1):10-2. doi: 10.1093/ageing/aft160. Epub 2013 Oct 16.
The integration of frailty measures in clinical practice is crucial for the development of interventions against disabling conditions in older persons. The frailty phenotype (proposed and validated by Fried and colleagues in the Cardiovascular Health Study) and the Frailty Index (proposed and validated by Rockwood and colleagues in the Canadian Study of Health and Aging) represent the most known operational definitions of frailty in older persons. Unfortunately, they are often wrongly considered as alternatives and/or substitutables. These two instruments are indeed very different and should rather be considered as complementary. In the present paper, we discuss about the designs and rationals of the two instruments, proposing the correct ways for having them implemented in the clinical setting.
在临床实践中整合虚弱指标对于制定干预措施以预防老年人失能至关重要。虚弱表型（由 Fried 及其同事在心血管健康研究中提出并验证）和虚弱指数（由 Rockwood 及其同事在加拿大健康老龄化研究中提出并验证）是老年人中最常见的虚弱操作性定义。遗憾的是，它们经常被错误地视为替代品。这两种工具实际上非常不同，而应该被视为互补的。在本文中，我们讨论了这两种工具的设计和原理，并提出了在临床环境中正确使用它们的方法。
