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衰弱与多病共存:老年医学的不同思考方式。

Frailty and Multimorbidity: Different Ways of Thinking About Geriatrics.

机构信息

Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France; Université de Toulouse III Paul Sabatier, Toulouse, France.

Clinical and Epidemiological Research Department, National Geriatric Institute, Mexico City, Mexico.

出版信息

J Am Med Dir Assoc. 2017 Apr 1;18(4):361-364. doi: 10.1016/j.jamda.2016.12.086. Epub 2017 Mar 6.

Abstract

The terms multimorbidity and frailty are increasingly used in the medical literature to measure the risk profile of an older individual in order to support clinical decisions and design ad hoc interventions. The construct of multimorbidity was initially developed and used in nongeriatric settings. It generates a monodimensional nosological risk profile, grounding its roots in the somewhat inadequate framework of disease. On the other hand, frailty is a geriatric concept that implies a more exhaustive and comprehensive assessment of the individual and his/her environment, facilitating the implementation of multidimensional and tailored interventions. This article aims to promote among geriatricians the use of terms that may better enhance their background and provide more value to their unrivaled expertise in caring for biologically aged persons.

摘要

术语多病共存和衰弱在医学文献中被越来越多地用于衡量老年人的风险状况,以支持临床决策和制定专门的干预措施。多病共存的概念最初是在非老年人群体中开发和使用的。它生成了一个单维的疾病风险概况,其根源在于疾病的框架有些不足。另一方面,衰弱是一个老年医学概念,它意味着对个体及其环境进行更全面和综合的评估,从而促进多维和定制化干预措施的实施。本文旨在促进老年医学专家使用更能增强其背景知识并为其在照顾生物学老年人方面的无与伦比的专业知识提供更多价值的术语。

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