Fragilidad en el anciano
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La fragilidad es un síndrome geriátrico muy importante por el impacto que tiene su presencia en la población anciana y por su íntima asociación con resultados adversos en la esfera de la salud. El diagnóstico es clínico (pérdida peso, cansancio, debilidad muscular, enlentecimiento de la marcha y poca actividad física); su tratamiento multifactorial y su abordaje en una etapa temprana permiten mejorar la calidad de vida de los pacientes y reducir los costos de su cuidado
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Clegg A, Young J, Iliffe S, et al. Frailty in elderly people. Lancet. 2013;381(9868):752-62. Errata en: Lancet. 2013;382(9901):1328. DOI: https://doi.org/10.1016/S0140-6736(12)62167-9
Campbell AJ, Buchner DM. Unstable disability and the fluctuations of frailty. Age Ageing. 1997;26(4):315-8. DOI: https://doi.org/10.1093/ageing/26.4.315
Bortz WM 2nd. The physics of frailty. J Am Geriatr Soc. 1993 Sep;41(9):1004-8. DOI: https://doi.org/10.1111/j.1532-5415.1993.tb06769.x
Hamerman D. Toward an understanding of frailty. Ann Intern Med. 1999;130(11):945-50. DOI: https://doi.org/10.7326/0003-4819-130-11-199906010-00022
United Nations. Department of Economic and Social Affairs. Population Division. The world at six billion [Internet]. New York: United Nations; 1999 October 12. [Consulta: noviembre 2014]. Disponible en: www.un.org/esa/population/publications/sixbillion/sixbilpart1.pdf
Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-56. DOI: https://doi.org/10.1093/gerona/56.3.M146
Morley JE, Vellas B, van Kan GA, et al. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013;14(6):392-7. DOI: https://doi.org/10.1016/j.jamda.2013.03.022
Ensrud KE, Ewing SK, Taylor BC, et al. Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Arch Intern Med. 2008;168(4):382-9. DOI: https://doi.org/10.1001/archinternmed.2007.113
Kiely DK, Cupples LA, Lipsitz LA. Validation and comparison of two frailty indexes: The MOBILIZE Boston Study. J Am Geriatr Soc. 2009;57(9):1532-9. DOI: https://doi.org/10.1111/j.1532-5415.2009.02394.x
Rockwood K, Abeysundera MJ, Mitnitski A. How should we grade frailty in nursing home patients? J Am Med Dir Assoc. 2007;8(9):595-603. DOI: https://doi.org/10.1016/j.jamda.2007.07.012
Rockwood K, Mitnitski A, Song X, et al. Long-term risks of death and institutionalization of elderly people in relation to deficit accumulation at age 70. J Am Geriatr Soc. 2006;54(6):975-9. DOI: https://doi.org/10.1111/j.1532-5415.2006.00738.x
Abellan van Kan G, Rolland YM, Morley JE, et al. Frailty: toward a clinical definition. J Am Med Dir Assoc. 2008;9(2):71-2. DOI: https://doi.org/10.1016/j.jamda.2007.11.005
Abellan van Kan G, Rolland Y, Bergman H, et al. The I.A.N.A Task Force on frailty assessment of older people in clinical practice. J Nutr Health Aging. 2008;12(1):29-37. DOI: https://doi.org/10.1007/BF02982161
Romero-Ortuno R. The Frailty Instrument of the Survey of Health, Ageing and Retirement in Europe (SHARE-FI) predicts mortality beyond age, comorbidities, disability, self-rated health, education and depression. Eur Geriatr Med. 2011;2(6):323-326. DOI: https://doi.org/10.1016/j.eurger.2011.08.005
Romero-Ortuno R, Walsh CD, Lawlor BA, et al. A frailty instrument for primary care: findings from the Survey of Health, Ageing and Retirement in Europe (SHARE). BMC Geriatr. 2010;10:57. DOI: https://doi.org/10.1186/1471-2318-10-57
Min LC, Elliott MN, Wenger NS, et al. Higher vulnerable elders survey scores predict death and functional decline in vulnerable older people. J Am Geriatr Soc. 2006;54(3):507-11. DOI: https://doi.org/10.1111/j.1532-5415.2005.00615.x
Min L, Yoon W, Mariano J, et al. The vulnerable elders-13 survey predicts 5-year functional decline and mortality outcomes in older ambulatory care patients. J Am Geriatr Soc. 2009;57(11):2070-6. DOI: https://doi.org/10.1111/j.1532-5415.2009.02497.x
Biganzoli L, Boni L, Becheri D, et al. Evaluation of the cardiovascular health study (CHS) instrument and the Vulnerable Elders Survey-13 (VES-13) in elderly cancer patients. Are we still missing the right screening tool? Ann Oncol. 2013;24(2):494-500. DOI: https://doi.org/10.1093/annonc/mds331
Gobbens RJ, van Assen MA, Luijkx KG, et al. The Tilburg Frailty Indicator: psychometric properties. J Am Med Dir Assoc. 2010;11(5):344-55. DOI: https://doi.org/10.1016/j.jamda.2009.11.003
Gobbens RJ, van Assen MA, Luijkx KG, et al. Determinants of frailty. J Am Med Dir Assoc. 2010;11(5):356-64. DOI: https://doi.org/10.1016/j.jamda.2009.11.008
Peters LL, Boter H, Buskens E, et al. Measurement properties of the Groningen Frailty Indicator in home-dwelling and institutionalized elderly people. J Am Med Dir Assoc. 2012;13(6):546-51. DOI: https://doi.org/10.1016/j.jamda.2012.04.007
Hoogendijk EO, van Hout HP. Investigating measurement properties of the Groningen Frailty Indicator: a more systematic approach is needed. J Am Med Dir Assoc. 2012;13(8):757; author reply 757-8 DOI: https://doi.org/10.1016/j.jamda.2012.06.008
Malmstrom TK, Miller DK, Morley JE. A comparison of four frailty models. J Am Geriatr Soc. 2014;62(4):721-6 DOI: https://doi.org/10.1111/jgs.12735
Montero-Odasso M, Schapira M, Soriano ER, et al. Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older. J Gerontol A Biol Sci Med Sci. 2005;60(10):1304-9. DOI: https://doi.org/10.1093/gerona/60.10.1304
Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005;173(5):489-95. DOI: https://doi.org/10.1503/cmaj.050051
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia in Older People. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412-23. DOI: https://doi.org/10.1093/ageing/afq034
Makary MA, Segev DL, Pronovost PJ, et al. Frailty as a predictor of surgical outcomes in older patients. J Am Coll Surg. 2010;210(6):901-8. DOI: https://doi.org/10.1016/j.jamcollsurg.2010.01.028
Boyle PA, Buchman AS, Wilson RS, et al. Physical frailty is associated with incident mild cognitive impairment in community-based older persons. J Am Geriatr Soc. 2010;58(2):248-55. DOI: https://doi.org/10.1111/j.1532-5415.2009.02671.x
Poudel A, Hubbard RE, Nissen L, et al. Frailty: a key indicator to minimize inappropriate medication in older people. QJM. 2013;106(10):969-75. DOI: https://doi.org/10.1093/qjmed/hct146
Theou O, Stathokostas L, Roland KP, et al. The effectiveness of exercise interventions for the management of frailty: a systematic review. J Aging Res. 2011;2011:569194. DOI: https://doi.org/10.4061/2011/569194
Cawood AL, Elia M, Stratton RJ. Systematic review and meta-analysis of the effects of high protein oral nutritional supplements. Ageing Res Rev. 2012;11(2):278-96. DOI: https://doi.org/10.1016/j.arr.2011.12.008
Muir SW, Montero-Odasso M. Effect of vitamin D supplementation on muscle strength, gait and balance in older adults: a systematic review and meta-analysis. J Am Geriatr Soc. 2011;59(12):2291-300. DOI: https://doi.org/10.1111/j.1532-5415.2011.03733.x
Pyszka LL, Seys Ranola TM, Milhans SM. Identification of inappropriate prescribing in geriatrics at a Veterans Affairs hospital using STOPP/START screening tools. Consult Pharm. 2010;25(6):365-73. DOI: https://doi.org/10.4140/TCP.n.2010.365
Resnick B, Pacala JT. 2012 Beers Criteria. J Am Geriatr Soc. 2012;60(4):612-3. DOI: https://doi.org/10.1111/j.1532-5415.2012.03921.x