Application status of frailty assessment tools in primary care

CHENG Lian; RUAN Jinting; LIANG Lei; HUANG Yanfei; LI Qiangxiang

doi:10.16766/j.cnki.issn.1674-4152.003432

Volume 22 Issue 3

Mar. 2024

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2024 > 22(3): 486-490

CHENG Lian, RUAN Jinting, LIANG Lei, HUANG Yanfei, LI Qiangxiang. Application status of frailty assessment tools in primary care[J]. Chinese Journal of General Practice, 2024, 22(3): 486-490. doi: 10.16766/j.cnki.issn.1674-4152.003432

Citation:

CHENG Lian, RUAN Jinting, LIANG Lei, HUANG Yanfei, LI Qiangxiang. Application status of frailty assessment tools in primary care[J]. Chinese Journal of General Practice, 2024, 22(3): 486-490. doi: 10.16766/j.cnki.issn.1674-4152.003432

Citation:

PDF( 478 KB)

Application status of frailty assessment tools in primary care

doi: 10.16766/j.cnki.issn.1674-4152.003432

CHENG Lian¹
, RUAN Jinting¹
, LIANG Lei¹
, HUANG Yanfei^{1, 2
,
,}
, LI Qiangxiang^{1, 2, 3}

1.
The Third Clinical Medical College of Ningxia Medical University, Ningxia Clinical Research Center for Geriatric Diseases, Yinchuan, Ningxia 750001, China

Funds:

2020RXTDLX04

Received Date: 2023-11-01
Available Online: 2024-05-27

Abstract

Abstract

Advances in medicine have led to an increase in human longevity, a year-on-year increase in the number of elderly people, and a gradual acceleration of the aging process. The physical functions of the elderly are gradually declining and their ability to cope with stress is decreasing. Therefore, the social medical burden required for old-age care is increasing. Frailty is a common geriatric syndrome, which is mainly characterized by the decline of the body ' s physiological reserve capacity and can lead to a variety of adverse outcomes, seriously affecting the quality of life of the elderly. With the rapid development of general medicine, primary healthcare organizations have gradually become the main battle field for elderly patients to enjoy health services, and the elderly are regarded as the key population to be managed by primary healthcare organizations. Early identification and timely intervention by general practitioners to actively improve the functional status of the elderly will reduce the occurrence of adverse events such as falls, infections, hospitalization, and even death as a result. As the mechanism of the occurrence and development of frailty is not yet clear and the related research is limited, the identification and prediction of frailty can often rely on frailty assessment tools to realize, so it is extremely important to choose the appropriate frailty assessment tools. At present, the research on frailty assessment tools in foreign countries is earlier and more comprehensive, while in China, the research on frailty assessment tools in primary care is in its initial stage, and a recognized unified "gold standard" for frailty assessment tools has not yet been formed. Therefore, this paper reviews the existing domestic and international literature on the application of frailty assessment tools in primary care, analyzes the characteristics and application scenarios of various types of frailty assessment tools, and aims to give full play to the advantages of primary care physicians as the gatekeepers of residents ' health, slow down the development of frailty, promote healthy aging, improve the quality of life of the elderly, reduce the burden of medical care, and achieve the goal of Healthy China by providing reference and basis.
- Frailty,
- Assessment,
- Tools,
- Primary healthcare

FullText(HTML)

References(39)

References

[1]	应巧燕, 刘华平, 郭欣颖, 等. 老年人衰弱筛查和评估的证据总结[J]. 护理学杂志, 2017, 32(1): 95-98. doi: 10.3870/j.issn.1001-4152.2017.01.095
[2]	RUIZ J G, DENT E, MORLEY J E, et al. Screening for and managing the person with frailty in primary care: ICFSR consensus guidelines[J]. J Nutr Health Aging, 2020, 24(9): 920-927. doi: 10.1007/s12603-020-1498-x
[3]	石婧, 于普林. 重视老年人衰弱与慢性病的管理[J]. 中华全科医师杂志, 2022, 21(6): 501-504. doi: 10.3760/cma.j.cn114798-20220318-00196
[4]	薛梦婷, 姜荣荣, 徐桂华, 等. 老年人衰弱的研究进展[J]. 中国老年学杂志, 2021, 41(8): 1761-1765. doi: 10.3969/j.issn.1005-9202.2021.08.056
[5]	董冰茹, 顾晓青, 顾杰, 等. 社区体检老年人衰弱状态转换及其进展影响因素的队列研究[J]. 中华全科医师杂志, 2021, 20(11): 1127-1133. doi: 10.3760/cma.j.cn114798-20210714-00540
[6]	陈长香, 郝习君, 安思琪, 等. 老年人孤独与衰弱状况、社会支持的相关性研究[J]. 中华行为医学与脑科学杂志, 2017, 26(12): 1117-1122. doi: 10.3760/cma.j.issn.1674-6554.2017.12.012
[7]	FRIED L P, TANGEN C M, WALSTON J, et al. Frailty in older adults: evidence for a phenotype[J]. J Gerontol A Biol Sci Med Sci, 2001, 56(3): M146-M156. doi: 10.1093/gerona/56.3.M146
[8]	中华医学会老年医学分会, 郝秋奎, 李峻, 等. 老年患者衰弱评估与干预中国专家共识[J]. 中华老年医学杂志, 2017, 36(3): 251-256. doi: 10.3760/cma.j.issn.0254-9026.2017.03.007
[9]	DENT E, MORLEY J E, CRUZ-JENTOFT A J, et al. Physical frailty: ICFSR international clinical practice guidelines for identification and management[J]. J Nutr Health Aging, 2019, 23(9): 771-787. doi: 10.1007/s12603-019-1273-z
[10]	孔建华, 张洁, 樊晓曦, 等. Fried表型衰弱量表及FRAIL量表在社区老人衰弱筛查中的应用[J]. 中国临床保健杂志, 2019, 22(5): 604-608. doi: 10.3969/J.issn.1672-6790.2019.05.008
[11]	樊俊宁, 孙至佳, 余灿清, 等. Fried表型和衰弱指数与死亡风险关联的比较分析[J]. 中华流行病学杂志, 2021, 42(7): 1179-1187. doi: 10.3760/cma.j.cn112338-20210310-00192
[12]	CHONG E, HO E, BALDEVARONA-LLEGO J, et al. Frailty and risk of adverse outcomes in hospitalized older adults: a comparison of different frailty measures[J]. J Am Med Dir Assoc, 2017, 18(7): 638. e7-638. e11. doi: 10.1016/j.jamda.2017.04.011
[13]	吴珍珍, 张瑞, 常艳, 等. 衰弱表型和衰弱筛查量表在老年住院患者中的应用比较[J]. 中华护理杂志, 2021, 56(5): 673-679. doi: 10.3761/j.issn.0254-1769.2021.05.005
[14]	卫尹, 曹艳佩, 杨晓莉, 等. 老年住院患者衰弱综合征现状及影响因素[J]. 复旦学报(医学版), 2018, 45(4): 496-502. doi: 10.3969/j.issn.1672-8467.2018.04.010
[15]	LIM Y J, NG Y S, SULTANA R, et al. Frailty assessment in community-dwelling older adults: a comparison of 3 diagnostic instruments[J]. J Nutr Health Aging, 2020, 24(6): 582-590. doi: 10.1007/s12603-020-1396-2
[16]	秦丽, 梁珍珍, 葛立宾, 等. 社区老年衰弱综合征的影响因素研究[J]. 中国全科医学, 2020, 23(5): 598-603. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202005056.htm
[17]	GOBBENS R J, VAN ASSEN M A, LUIJKX K G, et al. The Tilburg frailty indicator: psychometric properties[J]. J Am Med Dir Assoc, 2010, 11(5): 344-355. doi: 10.1016/j.jamda.2009.11.003
[18]	李菲, 刘慧松, 查龙肖, 等. 中文版老年人衰弱评估量表的修订和信效度评价[J]. 护理学杂志, 2017, 32(7): 18-20, 27. doi: 10.3870/j.issn.1001-4152.2017.07.018
[19]	GOBBENS R J J, VAN DER PLOEG T. The development of multidimensional frailty over seven years a longitudinal study among dutch community-dwelling older people using the Tilburg frailty indicator[J]. Arch Gerontol Geriatr, 2021, 95: 104393. DOI: 10.1016/j.archger.2021.104393.
[20]	GOBBENS R J J, VAN ASSEN MALM, GOUMANS M, et al. Prediction of mortality by the Tilburg frailty indicator (TFI)[J]. J Am Med Dir Assoc, 2021, 22(3): 607. e1-607. e6. doi: 10.1016/j.jamda.2020.07.033
[21]	ZAMORA-SÁNCHEZ J J, URPÍ-FERNÁNDEZ A M, SASTRE-RUS M, et al. The tilburg frailty indicator: a psychometric systematic review[J]. Ageing Res Rev, 2022, 76: 101588. DOI: 10.1016/j.arr.2022.101588.
[22]	汪晨晨, 谢晖, 蔡维维. 社区老年人衰弱及其影响因素分析[J]. 中华全科医学, 2021, 19(4): 625-627, 683. doi: 10.16766/j.cnki.issn.1674-4152.001878
[23]	MITNITSKI A B, MOGILNER A J, ROCKWOOD K. Accumulation of deficits as a proxy measure of aging[J]. Scientific World Journal, 2001, 1: 323-336. DOI: 10.1100/tsw.2001.58.
[24]	MA L, TANG Z, ZHANG L, et al. Prevalence of frailty and associated factors in the community-dwelling population of China[J]. J Am Geriatr Soc, 2018, 66(3): 559-564. doi: 10.1111/jgs.15214
[25]	石婧, 石冰, 陶永康, 等. 基于衰弱指数评估的老年人衰弱状况与死亡风险的相关性分析[J]. 中华流行病学杂志, 2020, 41(11): 1824-1830. doi: 10.3760/cma.j.cn112338-20200506-00691
[26]	白惠琼, 孙建萍, 吴红霞, 等. 老年社会衰弱指数的汉化及信效度检验[J]. 护理学杂志, 2022, 37(4): 88-91. doi: 10.3870/j.issn.1001-4152.2022.04.088
[27]	SEPEHRI K, BRALEY M S, CHINDA B, et al. A computerized frailty assessment tool at points-of-care: development of a standalone electronic comprehensive geriatric assessment/frailty index (eFI-CGA)[J]. Front Public Health, 2020, 8: 89. DOI: 10.3389/fpubh.2020.00089.
[28]	GIAMPAOLI S, FERRUCCI L, CECCHI F, et al. Handgrip strength predicts incident disability in non-disabled older men[J]. Age Ageing, 1999, 28(3): 283-288. doi: 10.1093/ageing/28.3.283
[29]	RANTANEN T, GURALNIK J M, FOLEY D, et al. Midlife hand grip strength as a predictor of old age disability[J]. JAMA, 1999, 281(6): 558-560. doi: 10.1001/jama.281.6.558
[30]	PODSIADLO D, RICHARDSON S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons[J]. J Am Geriatr Soc, 1991, 39(2): 142-148. doi: 10.1111/j.1532-5415.1991.tb01616.x
[31]	ROLFSON D B, MAJUMDAR S R, TSUYUKI R T, et al. Validity and reliability of the Edmonton frail scale[J]. Age Ageing, 2006, 35(5): 526-529. doi: 10.1093/ageing/afl041
[32]	杨柳, 鲍立华, 周全, 等. 中文版Edmonton虚弱评估量表的信效度研究[J]. 国际老年医学杂志, 2016, 37(3): 135-137. doi: 10.3969/j.issn.1674-7593.2016.03.012
[33]	朱莲莲, 许虹波, 董爱淑, 等. Edmonton衰弱量表和Groningen衰弱指标在养老机构老年人衰弱评估中应用的比较[J]. 中国护理管理, 2022, 22(1): 83-87. doi: 10.3969/j.issn.1672-1756.2022.01.018
[34]	韩君, 王君俏, 谢博钦, 等. Fried衰弱表型和FRAIL量表及埃德蒙顿衰弱评估量表在社区高龄老年人衰弱筛查中一致性和适用性的比较研究[J]. 中国全科医学, 2021, 24(21): 2669-2675. doi: 10.12114/j.issn.1007-9572.2021.00.451
[35]	MORLEY J E, MALMSTROM T K, MILLER D K. A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans[J]. J Nutr Health Aging, 2012, 16(7): 601-608. doi: 10.1007/s12603-012-0084-2
[36]	章妙玉, 罗科学, 高燕飞, 等. 高龄住院患者血清学指标与衰弱程度相关性分析[J]. 中华全科医学, 2021, 19(3): 358-361. doi: 10.16766/j.cnki.issn.1674-4152.001809
[37]	秦丽, 葛立宾, 梁珍珍, 等. 社区老年衰弱与血清因子的相关性研究[J]. 中华全科医学, 2021, 19(12): 2072-2076. doi: 10.16766/j.cnki.issn.1674-4152.002240
[38]	SHIMAZAKI Y, NONOYAMA T, TSUSHITA K, et al. Oral hypofunction and its association with frailty in community-dwelling older people[J]. Geriatr Gerontol Int, 2020, 20(10): 917-926. doi: 10.1111/ggi.14015
[39]	叶明, 李书国, 朱正庭, 等. 多组分运动处方对认知衰弱老年人的影响研究[J]. 中国全科医学, 2021, 24(4): 460-466. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202104010.htm

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(2)

Get Citation

PDF

XML

Article Metrics

Article views (105) PDF downloads(1)

Application status of frailty assessment tools in primary care

doi: 10.16766/j.cnki.issn.1674-4152.003432

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Application status of frailty assessment tools in primary care

doi: 10.16766/j.cnki.issn.1674-4152.003432

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content