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衰弱指数及其在老年患者中的重要性:一篇综述

Frailty Indices and Their Importance in Elderly Patients: A Perspective Review.

作者信息

Valvani Rachna, Javed Nismat, Vittorio Timothy, Mohyeldin Moiud

机构信息

Internist Geriatrician, Associate Program Director Internal Medicine Residency Program, North Alabama Medical Center, Florence, AL, USA.

Resident Physician, Department of Internal Medicine, BronxCare Health System, Bronx, NY, USA.

出版信息

J Community Hosp Intern Med Perspect. 2024 Jul 2;14(4):25-33. doi: 10.55729/2000-9666.1344. eCollection 2024.


DOI:10.55729/2000-9666.1344
PMID:39391119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11464054/
Abstract

The aging demographic landscape of the United States highlights a concomitant rise in chronic conditions and infectious diseases. Older adults face a heightened susceptibility to infections, particularly pneumonia and urinary tract infections, and comorbidities such as cancer, cardiovascular disease, and dementia. Frailty, defined by a set of phenotypic criteria, emerges as a crucial predictor of adverse outcomes in infections, affecting hospitalization and post-care interventions. In the context of cancer, various frailty indices demonstrate their utility in predicting complications, mortality, and long-term outcomes. Cardiovascular diseases, including acute coronary syndrome and myocardial infarctions, exhibit varied associations with frailty, influencing both short-term and long-term prognosis. Frailty's impact extends to valvular heart disease, necessitating risk assessment and tailored care. In dementia patients, frailty is linked to cognitive decline, mortality, depression, and reduced daily living activities, emphasizing the need for holistic assessment and intervention. This review explores the role of frailty indices in predicting outcomes across diverse health conditions, with a focus on infections, cancer, cardiovascular disease, and dementia. Future interventions should address the role of frailty in predicting poor prognostic outcomes, including mortality, readmission rates, and complications across diverse health conditions.

摘要

美国人口老龄化的格局凸显了慢性病和传染病的同步增加。老年人更容易受到感染,尤其是肺炎和尿路感染,以及癌症、心血管疾病和痴呆症等合并症的影响。由一组表型标准定义的虚弱,成为感染不良后果的关键预测因素,影响住院治疗和出院后干预措施。在癌症方面,各种虚弱指数显示出它们在预测并发症、死亡率和长期结果方面的效用。心血管疾病,包括急性冠状动脉综合征和心肌梗死,与虚弱表现出不同的关联,影响短期和长期预后。虚弱的影响延伸到心脏瓣膜病,需要进行风险评估和个性化护理。在痴呆症患者中,虚弱与认知能力下降、死亡率、抑郁症和日常生活活动减少有关,强调了全面评估和干预的必要性。本综述探讨了虚弱指数在预测各种健康状况结局中的作用,重点关注感染、癌症、心血管疾病和痴呆症。未来的干预措施应解决虚弱在预测不良预后结局中的作用,包括不同健康状况下的死亡率、再入院率和并发症。

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Frailty Indices and Their Importance in Elderly Patients: A Perspective Review.

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引用本文的文献

[1]
Association of frailty with outcomes in patients with large vessel occlusion stroke undergoing mechanical thrombectomy.

Neuroradiology. 2025-4

本文引用的文献

[1]
Claims-Based Frailty Index as a Measure of Dementia Severity in Medicare Claims Data.

J Gerontol A Biol Sci Med Sci. 2023-10-28

[2]
Frailty in randomised controlled trials for dementia or mild cognitive impairment measured via the frailty index: prevalence and prediction of serious adverse events and attrition.

Alzheimers Res Ther. 2023-6-13

[3]
Impact of frailty on outcomes in acute ST-elevated myocardial infarctions undergoing percutaneous coronary intervention.

Catheter Cardiovasc Interv. 2023-3

[4]
The modified 5-item frailty index determines the length of hospital stay and accompanies with mortality rate in patients with bone and implant-associated infections after trauma and orthopedic surgery.

Injury. 2023-4

[5]
Association between PD-1 inhibitor-related adverse events and frailty assessed by frailty index in lung cancer patients.

Cancer Med. 2023-4

[6]
The Association between Frailty and Dementia-Free and Physical Disability-Free Survival in Community-Dwelling Older Adults.

Gerontology. 2023

[7]
Impact of frailty on disease-specific health status in cardiovascular disease.

Heart. 2023-6-14

[8]
Two Years with COVID-19: The Electronic Frailty Index Identifies High-Risk Patients in the Stockholm GeroCovid Study.

Gerontology. 2023

[9]
Frailty and postoperative urinary tract infection.

BMC Geriatr. 2022-10-28

[10]
Impact of preoperative laboratory frailty index on mortality and clinical outcomes in older surgical patients with cancer.

Sci Rep. 2022-6-2

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