Department of Medicine (Divisions of Geriatric Medicine & Neurology), Dalhousie University, Halifax, NS, Canada Department of Geriatric Medicine & Institute of Brain, Behaviour and Neurosciences, University of Manchester, Manchester, UK.
Geriatric Medicine Research, Dalhousie University, Halifax, NS, Canada.
Age Ageing. 2015 Jul;44(4):545-7. doi: 10.1093/ageing/afv043. Epub 2015 Mar 29.
Frailty is measured to understand its nature and biology, to aid diagnosis and care planning, to measure outcomes and to stratify risk. Such goals oblige two types of frailty measures - for screening and for assessment - and recognition that not all measures will serve all purposes. When the goal is broad identification of people at risk, a dichotomised approach (frailty is present or absent ) is appropriate. If, however, the degree of risk varies, strategies to test grades of frailty will be required. Frailty measures should be implemented and evaluated in relation to the goal for their use.
衰弱是为了理解其性质和生物学,以帮助诊断和护理计划,衡量结果和分层风险。这些目标需要两种类型的衰弱措施 - 用于筛选和评估 - 并认识到并非所有措施都适用于所有目的。当目标是广泛识别有风险的人群时,二分法(衰弱存在或不存在)是合适的。然而,如果风险程度不同,则需要测试衰弱程度的策略。衰弱措施应根据其使用目的进行实施和评估。