J Frailty Aging. 2013 Sep;2(3):121-124.
Frailty has been linked to longer hospital stays and increased mortality in hospitalized patients. Frailty was found at the most common condition leading to death, followed by organ failure, cancer, other causes, advanced dementia, and sudden death. Yet despite evidence linking frailty to poor outcomes, frailty is not implemented clinically in most countries. Since many people are not identified as frail, they frequently are treated inappropriately in health care settings. Participants in the international conference on frailty emphasized the importance of raising awareness about frailty among geriatricians, general practitioners, and other primary care providers in order to implement frailty in clinical practice. The following recommendations were agreed upon: 1. Prioritize the identification of frail older persons in community settings, hospitals, and specialty clinics in order to ensure that people with frailty are treated appropriately and have access to interventional studies; 2. Build frailty clinics as a means of providing optimal management of frail elders; 3. Develop intervention programs incorporating physical and cognitive exercise, social support, and nutrition for people in the earliest stages of frailty in order to slow or reverse frailty; 4. Build stronger basic and clinical research programs in order to better understand the underlying causes of frailty, identify therapeutic targets, and develop new treatment strategies.
衰弱与住院患者住院时间延长和死亡率增加有关。研究发现，衰弱是导致死亡的最常见情况，其次是器官衰竭、癌症、其他原因、晚期痴呆和猝死。然而，尽管有证据表明衰弱与不良预后有关，但在大多数国家，衰弱在临床上并未得到应用。由于许多人未被认定为衰弱，他们在医疗环境中经常接受不恰当的治疗。衰弱问题国际会议的与会者强调，提高老年病医生、全科医生和其他初级保健提供者对衰弱的认识，以便在临床实践中应用衰弱评估的重要性。会议达成了以下建议：1. 优先在社区、医院和专科诊所识别衰弱的老年人，以确保衰弱患者得到适当治疗并能参与干预性研究；2. 建立衰弱诊所，作为为衰弱老年人提供最佳管理的一种方式；3. 为处于衰弱最早期阶段的人群制定包含体育锻炼、认知训练、社会支持和营养的干预计划，以减缓或逆转衰弱；4. 建立更强大的基础和临床研究项目，以便更好地了解衰弱的潜在原因，确定治疗靶点，并开发新的治疗策略。
