PDF(Pubmed)
Abstract：
UNASSIGNED: The increasing elderly population makes frailty an increasing concern in society with vulnerability to stress and functional decline. Unrecognised comorbidities are common among the elderly due to lack of mention by the patients. Physicians should be equipped with effective interviewing skills along with the use of screening tools to assess any impairments in activities of daily living, cognition and signs of depression.
UNASSIGNED: To measure the degree of independence or dependence using scales and stratify patients based on Clinical Frailty Scale (CFS) so as to recommend it as a routinely usable tool.
UNASSIGNED: In total, 191 elderly subjects above the age of 65 years were recruited for geriatric assessment. Tools that assess performance in daily living activities and cognition were used. The prevalidated CFS was used to score frailty to stratify patients into frail and non-frail groups, and the parameters were compared.
UNASSIGNED: Mean age of the study population was 69.54 years with 53.4% males and 46.6% females. Mean Katz index and mean Lawton score were >5. The mean Global Deterioration Scale (GDS) score was 1.5, and the mean clinical frailty score was 3.55. Significantly high number of male individuals were found in the frailty group. Hypertension was significantly higher in the frail group. The mean Katz scores were significantly lower, and mean GDS scores were significantly higher in the frailty group. Multivariable logistic regression has shown gender to be an important determinant of frailty with an odds ratio of 0.05 (CI-0.01-0.20). The higher Lawton score and GDS scores were significantly associated with frailty with an odds ratio of 0.33 (CI: 0.21-0.52) and 2.62 (CI: 1.14-6.02), respectively.
UNASSIGNED: Men are more frail than women and co-morbidities like hypertension and coronary artery disease contribute to frailty with cognitive decline and decreased autonomy. A comprehensive assessment to identify frailty will provide a holistic view of well being among the elderly.
UNASSIGNED: To measure the degree of independence or dependence using scales and stratify patients based on Clinical Frailty Scale (CFS) so as to recommend it as a routinely usable tool.
UNASSIGNED: In total, 191 elderly subjects above the age of 65 years were recruited for geriatric assessment. Tools that assess performance in daily living activities and cognition were used. The prevalidated CFS was used to score frailty to stratify patients into frail and non-frail groups, and the parameters were compared.
UNASSIGNED: Mean age of the study population was 69.54 years with 53.4% males and 46.6% females. Mean Katz index and mean Lawton score were >5. The mean Global Deterioration Scale (GDS) score was 1.5, and the mean clinical frailty score was 3.55. Significantly high number of male individuals were found in the frailty group. Hypertension was significantly higher in the frail group. The mean Katz scores were significantly lower, and mean GDS scores were significantly higher in the frailty group. Multivariable logistic regression has shown gender to be an important determinant of frailty with an odds ratio of 0.05 (CI-0.01-0.20). The higher Lawton score and GDS scores were significantly associated with frailty with an odds ratio of 0.33 (CI: 0.21-0.52) and 2.62 (CI: 1.14-6.02), respectively.
UNASSIGNED: Men are more frail than women and co-morbidities like hypertension and coronary artery disease contribute to frailty with cognitive decline and decreased autonomy. A comprehensive assessment to identify frailty will provide a holistic view of well being among the elderly.
摘要：
■老年人口的增加使虚弱成为社会越来越关注的问题，容易受到压力和功能下降的影响。由于患者没有提及，无法识别的合并症在老年人中很常见。医师应配备有效的面试技巧以及使用筛查工具来评估日常生活活动中的任何障碍，认知和抑郁症的迹象。
■使用量表测量独立性或依赖性的程度，并根据临床虚弱量表（CFS）对患者进行分层，以推荐其作为常规使用的工具。
■总共，招募了191名65岁以上的老年受试者进行老年评估。使用了评估日常生活活动和认知表现的工具。预先验证的CFS用于对虚弱进行评分，以将患者分为虚弱组和非虚弱组，并对参数进行了比较。
■研究人群的平均年龄为69.54岁，其中男性占53.4%，女性占46.6%。平均Katz指数和平均Lawton评分>5。平均全球恶化量表（GDS）评分为1.5，平均临床脆弱评分为3.55。在脆弱组中发现了大量的男性个体。虚弱组的高血压明显更高。平均Katz得分明显较低，虚弱组的平均GDS评分明显较高。多变量逻辑回归显示性别是虚弱的重要决定因素，比值比为0.05（CI-0.01-0.20）。较高的Lawton评分和GDS评分与虚弱显着相关，比值比为0.33（CI：0.21-0.52）和2.62（CI：1.14-6.02），分别。
男性比女性更虚弱，高血压和冠状动脉疾病等合并症会导致认知功能下降和自主性下降。全面评估以确定脆弱状况将提供老年人福祉的整体观点。
■使用量表测量独立性或依赖性的程度，并根据临床虚弱量表（CFS）对患者进行分层，以推荐其作为常规使用的工具。
■总共，招募了191名65岁以上的老年受试者进行老年评估。使用了评估日常生活活动和认知表现的工具。预先验证的CFS用于对虚弱进行评分，以将患者分为虚弱组和非虚弱组，并对参数进行了比较。
■研究人群的平均年龄为69.54岁，其中男性占53.4%，女性占46.6%。平均Katz指数和平均Lawton评分>5。平均全球恶化量表（GDS）评分为1.5，平均临床脆弱评分为3.55。在脆弱组中发现了大量的男性个体。虚弱组的高血压明显更高。平均Katz得分明显较低，虚弱组的平均GDS评分明显较高。多变量逻辑回归显示性别是虚弱的重要决定因素，比值比为0.05（CI-0.01-0.20）。较高的Lawton评分和GDS评分与虚弱显着相关，比值比为0.33（CI：0.21-0.52）和2.62（CI：1.14-6.02），分别。
男性比女性更虚弱，高血压和冠状动脉疾病等合并症会导致认知功能下降和自主性下降。全面评估以确定脆弱状况将提供老年人福祉的整体观点。
