B. Vellas, Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalier Universitaire de Toulouse, 170 avenue de Casselardit, 31300 Toulouse, France,
J Nutr Health Aging. 2015 Jun;19(6):673-80. doi: 10.1007/s12603-015-0505-0.
Despite its interest, frailty is not yet adequately implemented in the everyday clinical practice. Frailty is characterized by an initial functional loss which 1) still allows the individual to be independent in the daily life (although with some difficulties), and 2) may be reversed by targeted interventions. In the present article, we discuss: Why frailty is clinically relevant? Why frailty has not yet been implemented in daily clinical practice? How to implement frailty into clinical practice following the Gérontopôle experience? Intervention to be effective must be targeted, strong, and maintained.
尽管衰弱受到关注,但它在日常临床实践中尚未得到充分应用。衰弱的特点是最初出现功能性丧失,1)仍然允许个体在日常生活中保持独立(尽管存在一些困难),并且 2)可以通过有针对性的干预来逆转。在本文中,我们将讨论:为什么衰弱在临床上具有相关性?为什么衰弱尚未在日常临床实践中得到应用?如何根据 Gérontopôle 的经验将衰弱纳入临床实践?干预措施必须具有针对性、强度和可持续性,才能有效。