Universität zu Köln

Pilotto, Alberto, Custodero, Carlo, Maggi, Stefania, Polidori, Maria Cristina, Veronese, Nicola and Ferrucci, Luigi (2020). A multidimensional approach to frailty in older people. Ageing Res. Rev., 60. CLARE: ELSEVIER IRELAND LTD. ISSN 1872-9649

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Abstract

Frailty is an important factor determining a higher risk of adverse health outcomes in older adults. Although scientific community in the last two decades put a lot of effort for its definition, to date no consensus was reached on its assessment. The mainstream thinking describes frailty as a loss of physical functions or as accumulation of multiple deficits. Recently, a novel conceptual model of frailty has emerged based on the loss of harmonic interaction between multiple domains (also referred as dimensions) including genetic, biological, functional, cognitive, psychological and socio-economic domain that ultimately lead to homeostatic instability. Therefore, the multidimensional aspects of frailty condition could be captured by the comprehensive geriatric assessment (CGA) and its derived Multidimensional Prognostic Index (MPI). This instrument has been applied in different clinical settings and in several cohorts of older adults with specific acute and chronic diseases, showing always excellent accuracy in stratifying population according the mortality risk and other negative health outcomes, i.e. hospitalization, institutionalization or admission to homecare services. This MPI plasticity provides a single numerical prognostic index which could be helpful in clinical decision making for the management of frail older adults.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Pilotto, Alberto UNSPECIFIED UNSPECIFIED UNSPECIFIED Custodero, Carlo UNSPECIFIED UNSPECIFIED UNSPECIFIED Maggi, Stefania UNSPECIFIED UNSPECIFIED UNSPECIFIED Polidori, Maria Cristina UNSPECIFIED UNSPECIFIED UNSPECIFIED Veronese, Nicola UNSPECIFIED UNSPECIFIED UNSPECIFIED Ferrucci, Luigi UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-328692
DOI:	10.1016/j.arr.2020.101047
Journal or Publication Title:	Ageing Res. Rev.
Volume:	60
Date:	2020
Publisher:	ELSEVIER IRELAND LTD
Place of Publication:	CLARE
ISSN:	1872-9649
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COMPREHENSIVE GERIATRIC ASSESSMENT; PROGNOSTIC INDEX MPI; COMMUNITY-ACQUIRED PNEUMONIA; LOW-GRADE INFLAMMATION; LONG-TERM MORTALITY; ALL-CAUSE MORTALITY; LENGTH-OF-STAY; ATRIAL-FIBRILLATION; CLINICAL-PRACTICE; ADULTS Multiple languages Cell Biology; Geriatrics & Gerontology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32869