Rodríguez-Laso Ángel, O'Caoimh Rónán, Galluzzo Lucia, Carcaillon-Bentata Laure, Beltzer Nathalie, Macijauskiene Jurate, Albaina Bacaicoa Olatz, Ciutan Marius, Hendry Anne, López-Samaniego Luz, Liew Aaron
Fundación para la Investigación Biomédica del Hospital Universitario de Getafe, Getafe, Spain.
Health Service Executive of Ireland (Social Care Division) and National University of Ireland (Discipline of Medicine), Galway, Ireland.
Ann Ist Super Sanita. 2018 Jul-Sep;54(3):253-262. doi: 10.4415/ANN_18_03_13.
Little is known about programmes or interventions for the screening, monitoring and surveillance of frailty at population level.
Three systematic searches and an opportunistic grey literature review from the countries participating in the ADVANTAGE Joint Action were performed.
Three studies reported local interventions to screen for frailty, two of them using a two-step screening and assessment method and one including monitoring activities. Another paper reviewed both providers' and participants' experiences of screening activities. Three on-going European projects and population-screening programmes in primary care await evaluation. An electronic Frailty Index for use with patients' primary care records has been recently validated. No study described systematic processes for the surveillance of frailty.
There is insufficient evidence for the effectiveness of population-level screening, monitoring and surveillance of frailty. Development and evaluation of community-based two-step programmes including those that incorporate electronic health records, particularly in primary care, are now needed.
关于在人群层面筛查、监测和监督衰弱的计划或干预措施，人们了解甚少。
开展了三项系统检索，并对参与“优势联合行动”国家的文献进行了机会性灰色文献综述。
三项研究报告了针对衰弱进行筛查的当地干预措施，其中两项采用两步筛查和评估方法，一项包括监测活动。另一篇论文回顾了提供者和参与者对筛查活动的体验。三项正在进行的欧洲项目和基层医疗中的人群筛查计划有待评估。一种用于患者基层医疗记录的电子衰弱指数最近已得到验证。没有研究描述衰弱监测的系统流程。
缺乏足够证据证明在人群层面筛查、监测和监督衰弱的有效性。现在需要开发和评估基于社区的两步计划，包括那些纳入电子健康记录的计划，特别是在基层医疗中。
