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医学专科中的衰弱整合:Clin-STAR衰弱兴趣小组的当前证据与建议策略

Frailty integration in medical specialties: Current evidence and suggested strategies from the Clin-STAR frailty interest group.

作者信息

Singh Namrata, Faye Adam S, Abidi Maheen Z, Grant Shakira J, DuMontier Clark, Iyer Anand S, Jain Nelia, Kochar Bharati, Lieber Sarah B, Litke Rachel, Loewenthal Julia V, Masters Mary Clare, Nanna Michael G, Robison Raele Donetha, Sattui Sebastian E, Sheshadri Anoop, Shi Sandra M, Sherman Andrea N, Walston Jeremy D, Wysham Katherine D, Orkaby Ariela R

机构信息

Division of Rheumatology, University of Washington, Seattle, WA, USA.

Division of Gastroenterology, Department of Medicine, NYU Langone Medical Center, New York, New York, USA.

出版信息

J Am Geriatr Soc. 2025 Apr;73(4):1029-1040. doi: 10.1111/jgs.19268. Epub 2024 Nov 25.

Abstract

Frailty is a syndrome that can inform clinical treatments and interventions for older adults. Although implementation of frailty across medical subspecialties has the potential to improve care for the aging population, its uptake has been heterogenous. While frailty assessment is highly integrated into certain medical subspecialties, other subspecialties have only recently begun to consider frailty in the context of patient care. In order to advance the field of frailty-informed care, we aim to detail what is known about frailty within the subspecialties of internal medicine. In doing so, we highlight cross-disciplinary approaches that can enhance our understanding of frailty, focusing on ways to improve the implementation of frailty measures, as well as develop potential interventional strategies to mitigate frailty within these subspecialties. This has important implications for the clinical care of the aging population and can help guide future research.

摘要

衰弱是一种可为老年人临床治疗和干预提供依据的综合征。尽管在各个医学亚专业中应用衰弱概念有可能改善对老年人群的护理,但它的应用情况参差不齐。虽然衰弱评估已高度融入某些医学亚专业,但其他亚专业直到最近才开始在患者护理背景下考虑衰弱问题。为了推动基于衰弱的护理领域发展,我们旨在详细阐述在内科亚专业中关于衰弱的已知情况。在此过程中,我们强调跨学科方法,这些方法可以增进我们对衰弱的理解,重点关注改善衰弱测量方法实施的途径,以及制定潜在的干预策略以减轻这些亚专业中的衰弱状况。这对老年人群的临床护理具有重要意义,并有助于指导未来的研究。

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