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A Scoping Review of Frailty and Acute Care in Middle-Aged and Older Individuals with Recommendations for Future Research

There is general agreement that frailty is a state of heightened vulnerability to stressors arising from impairments in multiple systems leading to declines in homeostatic reserve and resiliency, but unresolved issues persist about its detection, underlying pathophysiology, and relationship with agi...

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Autores principales: Hogan, David B., Maxwell, Colleen J., Afilalo, Jonathan, Arora, Rakesh C., Bagshaw, Sean M., Basran, Jenny, Bergman, Howard, Bronskill, Susan E., Carter, Caitlin A., Dixon, Elijah, Hemmelgarn, Brenda, Madden, Kenneth, Mitnitski, Arnold, Rolfson, Darryl, Stelfox, Henry T., Tam-Tham, Helen, Wunsch, Hannah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Geriatrics Society 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5383404/
https://www.ncbi.nlm.nih.gov/pubmed/28396706
http://dx.doi.org/10.5770/cgj.20.240
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author Hogan, David B.
Maxwell, Colleen J.
Afilalo, Jonathan
Arora, Rakesh C.
Bagshaw, Sean M.
Basran, Jenny
Bergman, Howard
Bronskill, Susan E.
Carter, Caitlin A.
Dixon, Elijah
Hemmelgarn, Brenda
Madden, Kenneth
Mitnitski, Arnold
Rolfson, Darryl
Stelfox, Henry T.
Tam-Tham, Helen
Wunsch, Hannah
author_facet Hogan, David B.
Maxwell, Colleen J.
Afilalo, Jonathan
Arora, Rakesh C.
Bagshaw, Sean M.
Basran, Jenny
Bergman, Howard
Bronskill, Susan E.
Carter, Caitlin A.
Dixon, Elijah
Hemmelgarn, Brenda
Madden, Kenneth
Mitnitski, Arnold
Rolfson, Darryl
Stelfox, Henry T.
Tam-Tham, Helen
Wunsch, Hannah
author_sort Hogan, David B.
collection PubMed
description There is general agreement that frailty is a state of heightened vulnerability to stressors arising from impairments in multiple systems leading to declines in homeostatic reserve and resiliency, but unresolved issues persist about its detection, underlying pathophysiology, and relationship with aging, disability, and multimorbidity. A particularly challenging area is the relationship between frailty and hospitalization. Based on the deliberations of a 2014 Canadian expert consultation meeting and a scoping review of the relevant literature between 2005 and 2015, this discussion paper presents a review of the current state of knowledge on frailty in the acute care setting, including its prevalence and ability to both predict the occurrence and outcomes of hospitalization. The examination of the available evidence highlighted a number of specific clinical and research topics requiring additional study. We conclude with a series of consensus recommendations regarding future research priorities in this important area.
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spelling pubmed-53834042017-04-10 A Scoping Review of Frailty and Acute Care in Middle-Aged and Older Individuals with Recommendations for Future Research Hogan, David B. Maxwell, Colleen J. Afilalo, Jonathan Arora, Rakesh C. Bagshaw, Sean M. Basran, Jenny Bergman, Howard Bronskill, Susan E. Carter, Caitlin A. Dixon, Elijah Hemmelgarn, Brenda Madden, Kenneth Mitnitski, Arnold Rolfson, Darryl Stelfox, Henry T. Tam-Tham, Helen Wunsch, Hannah Can Geriatr J Reviews There is general agreement that frailty is a state of heightened vulnerability to stressors arising from impairments in multiple systems leading to declines in homeostatic reserve and resiliency, but unresolved issues persist about its detection, underlying pathophysiology, and relationship with aging, disability, and multimorbidity. A particularly challenging area is the relationship between frailty and hospitalization. Based on the deliberations of a 2014 Canadian expert consultation meeting and a scoping review of the relevant literature between 2005 and 2015, this discussion paper presents a review of the current state of knowledge on frailty in the acute care setting, including its prevalence and ability to both predict the occurrence and outcomes of hospitalization. The examination of the available evidence highlighted a number of specific clinical and research topics requiring additional study. We conclude with a series of consensus recommendations regarding future research priorities in this important area. Canadian Geriatrics Society 2017-03-31 /pmc/articles/PMC5383404/ /pubmed/28396706 http://dx.doi.org/10.5770/cgj.20.240 Text en © 2017 Author(s). Published by the Canadian Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No-Derivative license (http://creativecommons.org/licenses/by-nc-nd/2.5/ca/), which permits unrestricted non-commercial use and distribution, provided the original work is properly cited.
spellingShingle Reviews
Hogan, David B.
Maxwell, Colleen J.
Afilalo, Jonathan
Arora, Rakesh C.
Bagshaw, Sean M.
Basran, Jenny
Bergman, Howard
Bronskill, Susan E.
Carter, Caitlin A.
Dixon, Elijah
Hemmelgarn, Brenda
Madden, Kenneth
Mitnitski, Arnold
Rolfson, Darryl
Stelfox, Henry T.
Tam-Tham, Helen
Wunsch, Hannah
A Scoping Review of Frailty and Acute Care in Middle-Aged and Older Individuals with Recommendations for Future Research
title A Scoping Review of Frailty and Acute Care in Middle-Aged and Older Individuals with Recommendations for Future Research
title_full A Scoping Review of Frailty and Acute Care in Middle-Aged and Older Individuals with Recommendations for Future Research
title_fullStr A Scoping Review of Frailty and Acute Care in Middle-Aged and Older Individuals with Recommendations for Future Research
title_full_unstemmed A Scoping Review of Frailty and Acute Care in Middle-Aged and Older Individuals with Recommendations for Future Research
title_short A Scoping Review of Frailty and Acute Care in Middle-Aged and Older Individuals with Recommendations for Future Research
title_sort scoping review of frailty and acute care in middle-aged and older individuals with recommendations for future research
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5383404/
https://www.ncbi.nlm.nih.gov/pubmed/28396706
http://dx.doi.org/10.5770/cgj.20.240
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