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面对虚弱:你准备好了吗?

Facing frailty: Are you ready?

机构信息

Institute of Neurology, National Clinical Research Center for Infectious Diseases, the Third People's Hospital of Shenzhen, Shenzhen, Guangdong, China.

National Center for Global Health and Medicine, Tokyo, Japan.

出版信息

Biosci Trends. 2023 Sep 15;17(4):249-251. doi: 10.5582/bst.2023.01191. Epub 2023 Aug 23.

Abstract

By far, there is no general consensus concerning the definition of frailty even though it may be a global public health concern with aging of the population. It is regarded as a pathophysiological state before development of a severe illness that is associated with many adverse outcomes. Although previous studies attempted to verify its clinical value to prevent the development of serious illness, robust evidence is lacking. Based on previous studies of frailty, the current study analyzed the problems with existing investigations of frailty and it puts forward future strategies to improve those investigations. Finalizing the definition of frailty is the first step. Next, development of objective tools to identify/measure frailty based on the newest biological and computerized technologies is indispensable. Finally, well-designed clinical trials also need to be conducted to yield compelling evidence regarding the clinical value of medical interventions in frailty.

摘要

到目前为止,尽管衰弱可能是人口老龄化带来的一个全球公共卫生问题,但人们尚未就其定义达成共识。它被认为是一种严重疾病发生前的病理生理状态,与许多不良结局相关。尽管先前的研究试图验证其在预防严重疾病发展方面的临床价值,但缺乏有力的证据。基于先前对衰弱的研究,本研究分析了现有衰弱研究中存在的问题,并提出了未来改进这些研究的策略。确定衰弱的定义是第一步。其次,开发基于最新生物和计算机技术的识别/测量衰弱的客观工具是必不可少的。最后,还需要进行精心设计的临床试验,以提供关于医疗干预在衰弱中的临床价值的令人信服的证据。

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