Avances en el manejo de la fragilidad en personas mayoresImplicaciones para atención primaria

  1. José Antonio iglesias Guerra 1
  2. Inés Casado Verdejo 2
  3. Leticia Sánchez Valdeón 2
  4. Andrés Redondo Tébar 3
  5. Laura Muñoz Bermejo 4
  6. Salvador Postigo Mota 4456
  1. 1 Escuela Universitaria de Enfermería de Palencia (Universidad de Valladolid).
  2. 2 Departamento de Enfermería y Fisioterapia (Universidad de León).
  3. 3 Universidad de Castilla-La Mancha
    info

    Universidad de Castilla-La Mancha

    Ciudad Real, España

    ROR https://ror.org/05r78ng12

  4. 4 Universidad de Extremadura
    info

    Universidad de Extremadura

    Badajoz, España

    ROR https://ror.org/0174shg90

  5. 5 Sistema Extremeño de Ciencia, Tecnología e Innovación (SECTI).
  6. 6 Universidade Do Porto
    info

    Universidade Do Porto

    Oporto, Portugal

    ROR https://ror.org/043pwc612

Erakutsi afiliazioak +
Aldizkaria:
Revista ROL de enfermería

ISSN: 0210-5020

Argitalpen urtea: 2022

Alea: 45

Zenbakia: 7-8

Orrialdeak: 23-29

Mota: Artikulua

DOI: 10.55298/ROL2022.4559 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Revista ROL de enfermería

Garapen Iraunkorreko Helburuak

Laburpena

Although the theoretical concept of frailty is widely accepted, its practical application is somehow limited due to the existence of multiple tools related to its early detection and intervention proposals. In this brief review of the situation, the aim is to summarize the latest evidence regarding early detection and management of frailty in Primary Health Care. The screening is based on opportunistic case detection by active search from the age of 70, using a performance test and the FRAIL scale as tools. Confirmation using the Frailty Index is recommended. Its approach should be multidimensional and focusing on muscle strength training, protein supplementation and medication review. Frailty is preventable, and emphasis should be placed on early detection. Despite advances in recent years, more research is needed in order to find the most effective healthcare model.

Erreferentzia bibliografikoak

  • Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, et al. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013;14(6):392–7. doi: 10.1016/j.jamda.2013.03.022
  • Carlos Gil AM, Martínez Pecino F, Molina Linde J.M, Villegas Portero R, Aguilar García J, et al. Desarrollo de criterios, indicadores de complejidad y estrategias de manejo en fragilidad. Sevilla: Agencia de Evaluación de Tecnologías Sanitarias de Andalucía; 2010.
  • Hoogendijk EO, Afilalo J, Ensrud KE, Kowal P, Onder G, Fried LP. Frailty: implications for clinical practice and public health. Lancet. 2019;394(10206):1365-75. doi: 10.1016/S0140-6736(19)31786-6
  • Junius-Walker U, Onder G, Soleymani D, Wiese B, Albaina O, Bernabei R, et al. ADVANTAGE JA WP4 group. The essence of frailty: a systematic review and qualitative synthesis on frailty concepts and definitions. Eur J Intern Med. 2018;56:3-10. doi: 10.1016/j.ejim.2018.04.023
  • Subdirección General de Promoción de la Salud y Epidemiología. Dirección General de Salud Pública, Calidad e Innovación. Documento de consenso sobre prevención de fragilidad y caídas en la persona mayor Estrategia de Promoción de la Salud y Prevención en el SNS. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2014.
  • Rodríguez-Laso A, Caballero MA, García I, Rodríguez L, Bernabei R, Gabrovec B, et al. State of the art report on the prevention and management of frailty. Advantage Joint Action (JA); 2019. Disponible en: https://iisgetafe.es/wp-content/uploads/2018/06/ADVANTAGE-State-of-the-Art.pdf
  • Vetrano DL, Palmer K, Marengoni A, Marzetti E, Lattanzio F, Roller-Wirnsberger R, et al. Joint Action ADVANTAGE WP4 Group. Frailty and Multimorbidity: A Systematic Review and Meta-analysis. J Gerontol A Biol Sci Med Sci. 2019 23;74(5):659-66. doi: 10.1093/gerona/gly110
  • Herdman TH, Kamitsuru S, eds. NANDA diagnósticos enfermeros: definiciones y clasificación 2018-2020. 11ª ed. Barcelona: Elsevier España SLU; 2019.
  • Ramos Cordero P, coord. Guía de Buena Práctica Clínica en Geriatría. Fragilidad y nutrición en el anciano. Madrid: Sociedad Española de Geriatría y Gerontología; 2014.
  • O’Caoimh R, Galluzzo L, Rodríguez-Laso A, der Heyden JV, Ranhoff AH, Lamprini-Koula M, et al. Work Package 5 of the Joint Action ADVANTAGE. Prevalence of frailty at population level in European ADVANTAGE Joint Action Member States: a systematic review and meta-analysis. Ann Ist Super Sanità. 2018;54(3):226-38. doi: 10.4415/ANN_18_03_10
  • Sezgin D, Liew A, O’Donovan MR, O’Caoimh R. Pre-frailty as a multi-dimensional construct: A systematic review of definitions in the scientific literature. Geriatr Nurs. 2020;41(2):139-46. doi: 10.1016/j.gerinurse.2019.08.004
  • ADVANTAGE. Promoting Healthy Ageing through a frailty prevention approach. Advantage Joint Action (JA); 2019. Disponible en: http://www.advantageja.eu/images/FPA-Core-ADVANTAGE-doc.pdf
  • Benzinger P, Eidam A, Bauer JM. Clinical importance of the detection of frailty. Gerontol Geriatr. 2021;54(3):285-96. doi: 10.1007/s00391-021-01873-z
  • Martin FC, O’Halloran AM. Tools for Assessing Frailty in Older People: General Concepts. Adv Exp Med Biol. 2020;1216:9-19. doi: 10.1007/978-3-030-33330-0_2
  • Faller JW, Pereira D, de Souza S, Nampo FK, Orlandi FS, Matumoto S. Instruments for the detection of frailty syndrome in older adults: A systematic review. PLoS One. 2019;14(4):e0216166. doi: 10.1371/journal.pone.0216166
  • Ambagtsheer RC, Visvanathan R, Dent E, Yu S, Schultz TJ, Beilby J. Commonly Used Screening Instruments to Identify Frailty Among Community-Dwelling Older People in a General Practice (Primary Care) Setting: A Study of Diagnostic Test Accuracy. J Gerontol A Biol Sci Med Sci. 2020;75(6):1134-42. doi: 10.1093/gerona/glz260
  • Ambagtsheera RC, Beilbya JJ, Visvanathana R, Dent E, Yu S, Braunack-Mayer AJ. Should we screen for frailty in primary care settings? A fresh perspective on the frailty evidence base: A narrative review. Prev Med. 2019;119:63-9. doi: 10.1016/j.ypmed.2018.12.020
  • Reeves D, Pye S, Ashcroft DM, Clegg A, Kontopantelis E, Blakeman T, et al. The challenge of ageing populations and patient frailty: can primary care adapt?. BMJ 2018;362:k3349. doi: 10.1136/bmj.k3349
  • Smetcoren A, Dury S, De Donder L, Dierckx E, De Witte N, Engelborghs S, et al. Detection and prevention in later life: risk profiles for physical, psychological, social and environmental frailty. Gerontol Geriatr. 2018;49(1):1-11. doi: 10.1007/s12439-017-0241-5
  • Grupo de Trabajo de Prevención de la Fragilidad y Caídas de la Estrategia de Promoción de la Salud y Prevención en el Sistema Nacional de Salud. Recomendaciones para el abordaje de la Fragilidad en situación de crisis sanitaria generada por la COVID-19. Madrid: Ministerio de Sanidad; 2021.
  • Travers J, Romero-Ortuno R, Bailey J, Cooney MT. Delaying and reversing frailty: a systematic review of primary care interventions. Br J Gen Pract. 2019;69(678):e61-9. doi: 10.3399/bjgp18X700241
  • Walston JD. Frailty. En: Schmader KE, Givens J, eds. UpToDate; 2020. Disponible en: https://www.uptodate.com/contents/frailty
  • Liao CD, Chen HC, Huang SW, Liou TH. The Role of Muscle Mass Gain Following Protein Supplementation Plus Exercise Therapy in Older Adults with Sarcopenia and Frailty Risks: A Systematic Review and Meta-Regression Analysis of Randomized Trials. Nutrients. 2019;11(8):1713. doi: 10.3390/nu11081713
  • Kojima G, Avgerinou C, Iliffe S, Walters K. Adherence to Mediterranean Diet Reduces Incident Frailty Risk: Systematic Review and Meta-Analysis. J Am Geriatr Soc. 2018;66(4):783-8. doi: 10.1111/jgs.15251
  • Gutiérrez-Valencia M, Izquierdo M, Cesari M, Casas-Herrero A, Inzitari M, Martínez-Velilla N. The relationship between frailty and polypharmacy in older people: A systematic review. Br J Clin Pharmacol. 2018;84(7):1432-44. doi: 10.1111/bcp.13590
  • Martinot P, Landré B, Zins M, Goldberg M, Ankri J, Herr M. Association Between Potentially Inappropriate Medications and Frailty in the Early Old Age: A Longitudinal Study in the GAZEL Cohort. J Am Med Dir Assoc. 2018;19(11):967-73. doi: 10.1016/j.jamda.2018.07.008
  • Aloulou H, Mokhtari M, Abdulrazak B. Implementación en un sitio piloto de una solución de IoT para la detección temprana de cambios de comportamiento en adultos mayores. Sensors. 2020;20(7):1888. doi: https://doi.org/10.3390/s20071888
  • CORDIS. Ecosistema de tecnología integrada para una atención proactiva centrada en el paciente. Unión Europea; 2020. Disponible en: https://cordis.europa.eu/project/id/689996/es
  • ADVANTAGE. European Join Action tackling frailty of older people. Advantage Joint Action (JA); 2019. Disponible en: https://www.advantageja.eu/index.php/es/
  • ViviFrail. Programa de Promoción del Ejercicio Físico VIVIFRAIL. Unión Europea; 2021. Disponible en: http://vivifrail.com/es/inicio/
  • Dent E, Martin FC, Bergman H, Woo J, Romero-Ortuno R, Walston JD. Management of frailty: opportunities, challenges, and future directions. Lancet. 2019; 394(10206):1376-86. doi: 10.1016/S0140-6736(19)31785-4
Datuen iturria: Dialnet