Dr. Lina Ma, Department of Geriatrics, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, Beijing 100053, China. E-mail:
J Nutr Health Aging. 2019;23(1):111-118. doi: 10.1007/s12603-018-1123-4.
Frailty is a geriatric syndrome associated with adverse outcomes such as falls, disability, and mortality. Frailty is common and contributes to rising health care costs. Early screening and timely tailored intervention may effectively prevent or delay the adverse outcomes in older adults. Studies on frailty and its specific measurement tools are increasing in number, but the debate on the screening instruments remains. Currently, self-reported screening tools can identify frailty and predict the risk of adverse outcomes in older adults. Because they are easy to use and quickly provide information, self-reported frailty screening tools have significant implication in primary care settings and clinics. We reviewed the frailty screening instruments in older adults and proposed a two-step pathway for frailty identification, and to manage declines in intrinsic capacity as well as boost resilience.
衰弱是一种与不良后果相关的老年综合征，如跌倒、残疾和死亡。衰弱很常见，导致医疗保健成本上升。早期筛查和及时的个性化干预可能有效地预防或延迟老年人的不良后果。关于衰弱及其特定测量工具的研究越来越多，但关于筛查工具的争论仍在继续。目前，自我报告的筛查工具可以识别衰弱，并预测老年人不良后果的风险。由于它们易于使用且能快速提供信息，自我报告的衰弱筛查工具在初级保健机构和诊所中具有重要意义。我们回顾了老年人的衰弱筛查工具，并提出了两步法来识别衰弱，以管理内在能力的下降并增强韧性。
