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Management of Frailty at Individual Level – Clinical Management: Systematic Literature Review

INTRODUCTION: To deliver quality management of a frail individual, a clinician should understand the concept of frailty, be aware of its epidemiology and be able to screen for frailty and assess it when it is present, and, finally, to recommend successful interventions. METHODOLOGY: A systematic lit...

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Detalles Bibliográficos
Autores principales: Veninšek, Gregor, Gabrovec, Branko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: De Gruyter Open 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894465/
https://www.ncbi.nlm.nih.gov/pubmed/29651322
http://dx.doi.org/10.2478/sjph-2018-0014
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author Veninšek, Gregor
Gabrovec, Branko
author_facet Veninšek, Gregor
Gabrovec, Branko
author_sort Veninšek, Gregor
collection PubMed
description INTRODUCTION: To deliver quality management of a frail individual, a clinician should understand the concept of frailty, be aware of its epidemiology and be able to screen for frailty and assess it when it is present, and, finally, to recommend successful interventions. METHODOLOGY: A systematic literature search was conducted in the following databases: PubMed, Cochrane, Embase, Cinahl and UpToDate. The criterion in selecting the literature was that articles were published in the period from 2002 to 2017. From 67432 initial hits, 27 publications were selected. RESULTS: Useful interventions to address frailty are supplementation of vitamin D, proper nutrition, multicomponent training, home-based physiotherapy and comprehensive geriatric assessment, particularly when performed in geriatric wards. CONCLUSION: Comprehensive geriatric assessment is an effective way to decrease frailty status especially when performed in geriatric wards. Multicomponent physical training and multidimensional interventions (physical training, nutrition, vitamin D supplementation and cognitive training) are effective measures to reduce frailty.
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spelling pubmed-58944652018-04-12 Management of Frailty at Individual Level – Clinical Management: Systematic Literature Review Veninšek, Gregor Gabrovec, Branko Zdr Varst Review Article INTRODUCTION: To deliver quality management of a frail individual, a clinician should understand the concept of frailty, be aware of its epidemiology and be able to screen for frailty and assess it when it is present, and, finally, to recommend successful interventions. METHODOLOGY: A systematic literature search was conducted in the following databases: PubMed, Cochrane, Embase, Cinahl and UpToDate. The criterion in selecting the literature was that articles were published in the period from 2002 to 2017. From 67432 initial hits, 27 publications were selected. RESULTS: Useful interventions to address frailty are supplementation of vitamin D, proper nutrition, multicomponent training, home-based physiotherapy and comprehensive geriatric assessment, particularly when performed in geriatric wards. CONCLUSION: Comprehensive geriatric assessment is an effective way to decrease frailty status especially when performed in geriatric wards. Multicomponent physical training and multidimensional interventions (physical training, nutrition, vitamin D supplementation and cognitive training) are effective measures to reduce frailty. De Gruyter Open 2018-04-06 /pmc/articles/PMC5894465/ /pubmed/29651322 http://dx.doi.org/10.2478/sjph-2018-0014 Text en © 2018 National Institute of Public Health, Slovenia http://creativecommons.org/licenses/by-nc-nd/3.0 This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
spellingShingle Review Article
Veninšek, Gregor
Gabrovec, Branko
Management of Frailty at Individual Level – Clinical Management: Systematic Literature Review
title Management of Frailty at Individual Level – Clinical Management: Systematic Literature Review
title_full Management of Frailty at Individual Level – Clinical Management: Systematic Literature Review
title_fullStr Management of Frailty at Individual Level – Clinical Management: Systematic Literature Review
title_full_unstemmed Management of Frailty at Individual Level – Clinical Management: Systematic Literature Review
title_short Management of Frailty at Individual Level – Clinical Management: Systematic Literature Review
title_sort management of frailty at individual level – clinical management: systematic literature review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894465/
https://www.ncbi.nlm.nih.gov/pubmed/29651322
http://dx.doi.org/10.2478/sjph-2018-0014
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