Dla świadczeniodawców usług zdrowotnych

Frailty predicts short-term survival even in older adults without multimorbidity

A. Zucchelli, D.L. Vetrano, A. Marengoni, et al.

Eur J Intern Med. 2018 Jun 24. pii: S0953-6205(18)30262-0. doi: 10.1016/j.ejim.2018.06.012. [Epub ahead of print]

Frailty and multimorbidity are both strongly associated with poor health-related outcomes, including mortality. Being multimorbidity one of the major determinants of frailty, we aimed to explore whether, and to what extent, frailty without multimorbidity plays an independent role in shortening life.

Validation of the sarcopenia index to assess muscle mass in the critically ill: A novel application of kidney function markers

E.F. Barreto, J.O. Poyant, H.H. Coville, et al.

Clin Nutr. 2018 Jun 8. pii: S0261-5614(18)30218-8. doi: 10.1016/j.clnu.2018.05.031. [Epub ahead of print]

Adverse outcomes for hospitalized patients with sarcopenia are well documented, and identification of patients at risk remains challenging. The sarcopenia index (SI), previously defined as (serum creatinine/serum cystatin C) × 100, could be an inexpensive, readily accessible, objective tool to predict muscle mass and risk for adverse clinical outcomes. The aim of this study was to assess the validity of the SI as a predictor of muscle mass

Orthostatic Hypotension in the Elderly: A Marker of Clinical Frailty?

I. Liguori, G. Russo, V. Coscia, et al.

J Am Med Dir Assoc. 2018 Jun 22. pii: S1525-8610(18)30235-4. doi: 10.1016/j.jamda.2018.04.018. [Epub ahead of print]

Orthostatic hypotension (OH) has high prevalence in frail older adults. However, its effect on mortality, disability, and hospitalization in frail older adults is poorly investigated. Thus, we assessed the relationship between the prevalence of OH and its effect on mortality, disability, and hospitalization in noninstitutionalized older adults stratified by frailty degree.

Self-reported exhaustion, physical activity, and grip strength predict frailty transitions in older outpatients with chronic diseases

Y.C. Pao, C.Y. Chen, C.I. Chang, et al.

Medicine (Baltimore). 2018;97(23):e10933

This study examined how transitions in frailty items over 1 year and the baseline components of a comprehensive geriatric assessment were associated with improvements in frailty at a 2-year follow-up in a sample of older patients.

Interventions to Mobilize Elderly Patients and Reduce Length of Hospital Stay

M.J. Surkan and W.Gibson

Can J Cardiol. 2018;34(7):881-888

In this article we review the evidence of the harm of unnecessary immobilization and discuss the innovations that have been developed to encourage a cultural shift away from pajama paralysis and toward early mobilization of older people in hospital.

Time Spent in Sedentary Behaviour as Discriminant Criterion for Frailty in Older Adults

V.D. da Silva, S. Tribess, J. Meneguci, et al.

Int J Environ Res Public Health. 2018;15(7). pii: E1336

This paper aims to analyse whether time spent in sedentary behaviour was a discriminant criterion for frailty in older adults.

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