Frailty Screening and Interventions: Considerations for Clinical Practice

Jeremy Walston; Brian Buta; Qian-Li Xue

doi:10.1016/j.cger.2017.09.004

Frailty Screening and Interventions: Considerations for Clinical Practice

Clin Geriatr Med. 2018 Feb;34(1):25-38. doi: 10.1016/j.cger.2017.09.004.

Authors

Jeremy Walston¹, Brian Buta², Qian-Li Xue²

Affiliations

¹ Johns Hopkins University Older Americans Independence Center, Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Room 1A.62, Baltimore, MD 21224, USA. Electronic address: [email protected].
² Johns Hopkins University Older Americans Independence Center, Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Room 1A.62, Baltimore, MD 21224, USA.

Abstract

Frailty is recognized as a cornerstone of geriatric medicine. It increases the risk of geriatric syndromes and adverse health outcomes in older and vulnerable populations. Although multiple screening instruments have been developed and validated to improve feasibility in clinical practice, frequent lack of agreement between frailty instruments has slowed broad implementation of these tools. Despite this, interventions to improve frailty-related health outcomes developed to date include exercise, nutrition, multicomponent interventions, and individually tailored geriatric care models. Possible strategies to prevent frailty include lifestyle or behavioral interventions, proper nutrition, and increased activity levels and social engagement.

Keywords: Assessment; Clinical; Frailty; Intervention; Prevention; Screening.

Publication types

Review

MeSH terms

Aged
Early Medical Intervention* / methods
Early Medical Intervention* / organization & administration
Frailty* / diagnosis
Frailty* / prevention & control
Frailty* / therapy
Geriatric Assessment / methods
Healthy Lifestyle
Humans
Patient Care Planning

Grants and funding

P30 AG021334/AG/NIA NIH HHS/United States