老年人衰弱评估工具及其应用

Frailty assessment tools for the elderly and their application

衰弱是由各种因素引起的储备和功能的下降,与跌倒、抑郁、残疾和死亡率等不良结局相关。目前衰弱没有金标准,但衰弱评估工具能够识别衰弱及预测患者健康结局,这些评估工具的适用范围很广,每种工具针对的人群存在差异。因此,在临床中进行衰弱评估可以为临床医师早期识别和管理疾病提供策略,从而有效地避免或延缓不良结局的发生。

Frailty is defined as a syndrome of reserve and function decline caused by various reasons,and is associated with adverse outcomes,such as falls,depression,disability,mortality,and so on.There is no gold standard for frailty yet,but frailty assessment tools can help to screen frailty and predict the health outcomes.The frailty tools have wide application,and each frailty tool is targeted to a specified population.Thus,assessment of frailty in clinical practice can provide physicians strategies for early screening and management of diseases,so as to avoid or delay the adverse outcomes.