PATIENT PATTERN: Frailty-Based Clinical Decision Support

Screening for Frailty in Canada’s Health Care System: A Time for Action

Excerpted from: https://www.cambridge.org/core/journals/canadian-journal-on-aging-la-revue-canadienne-du-vieillissement/article/screening-for-frailty-in-canadas-health-care-system-a-time-for-action/80D1AAA266264556C27CCAC991C41220 Screening for Frailty in Canada’s Health Care System: A Time for Action by John Muscedere et al.May 23, 2016 Summary Excerpt:As Canada’s population ages, frailty – with its increased risk of functional decline, deterioration in health status, and death – will become increasingly common. The physiology of frailty reflects its multisystem, multi-organ…

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Post-acute IT ‘getting interesting’ as attention turns to EHRs, analytics, and interoperability

Excerpted from: http://www.healthcareitnews.com/news/post-acute-it-getting-interesting-attention-turns-ehrs-analytics-interoperability Post-acute IT ‘getting interesting’ as attention turns to EHR’s, analytics, and interoperability by John AndrewsMay 12, 2016 Summary Excerpt:The move toward value-based care is seeing LTPACs ‘organize and have a stronger voice, with implications on the acute care side.’ Read the full article:  http://www.healthcareitnews.com/news/post-acute-it-getting-interesting-attention-turns-ehrs-analytics-interoperability Want to learn more about Frailty and its impact…

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Development and validation of an electronic frailty index using routine primary care electronic health record data

Excerpted from: https://academic.oup.com/ageing/article-lookup/doi/10.1093/ageing/afw039 Development and validation of an electronic frailty index using routine primary care electronic health record data by Andre Clegg et al.March 3, 2016 Summary:Frailty is an especially problematic expression of population ageing.  International guidelines recommend routine identification of frailty to provide evidence-based treatment, but currently available tools require additional resource. Read the full…

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Age-related frailty and its association with biological markers of ageing

Excerpted from: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-015-0400-x Age-related frailty and its association with biological markers of ageing by Arnold Mitnitski et al.July 13, 2015 Summary:The relationship between age-related frailty and the underlying processes that drive changes in health is currently unclear. Considered individually, most blood biomarkers show only weak relationships with frailty and ageing. Here, we examined whether a…

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The National Health Service: value for money, value for many

Excerpted from: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)60499-8/abstract The National Health Service: value for money, value for many by Rifat AtunPublished March 14, 2015 Summary Excerpt: The National Health System (NHS) is one of the proudest achievements of the UK. Established in 1948, the NHS has not only played an important part in improving the health of the nation, but…

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Superiority of Frailty Over Age in Predicting Outcomes Among Geriatric Trauma Patients: A Prospective Analysis

Excerpted from: http://jamanetwork.com/journals/jamasurgery/fullarticle/1879845 Superiority of Frailty Overr Age in Predicting Outcomes Among Geriatric Trauma Patients: A Prospective Analysis by Bellal Joseph et al.August 2014 Summary:The Frailty Index (FI) is a known predictor of adverse outcomes in geriatric patients. The usefulness of the FI as an outcome measure in geriatric trauma patients is unknown. Read the full…

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Identifying Common Characteristics of Frailty Across Seven Scales

Excerpted from: https://www.ncbi.nlm.nih.gov/pubmed/24697631 Identifying Common Characteristics of Frailty Across Seven Scales by Olga Theou et al.May 2014 Summary:On each frailty scale, frailty score increased nonlinearly with age, mortality risk increased with frailty score, and women had higher scores than men but demonstrated better survival. Each scale except the frailty phenotype demonstrated an upper limit to…

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Multiple Chronic Conditions Among US Adults: A 2012 Update

Exerpted from: https://www.cdc.gov/pcd/issues/2014/13_0389.htm Multiple Chronic Conditions Among US Adults: A 2012 Update by Brian W. Ward, Jeannine S. Schiller and Richard A. GoodmanPublished April 17, 2014 Summary Excerpt:The objective of this research was to update earlier estimates of prevalence rates of single chronic conditions and multiple (>2) chronic conditions (MCC) among the noninstitutionalized, civilian US…

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The risk of adverse outcomes in hospitalized older patients in relation to a frailty index based on a comprehensive geriatric assessment

Excerpted from: https://academic.oup.com/ageing/article-lookup/doi/10.1093/ageing/aft156 The risk of adverse outcomes in hospitalized older patients in relation to a frailty index based on a comprehensive geriatric assessment by Stephen J. EvansJanuary 1, 2014 Summary:Frailty, measured by the FI-CGA, was independently associated with a higher risk of death and other adverse outcomes in older people admitted to an acute…

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Patient frailty: the elephant in the operating room

Excerpted from: http://onlinelibrary.wiley.com/doi/10.1111/anae.12490/full Patient frailty: the elephant in the operating room &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp by R.E. Hubbard et al.December 5, 2013 Summary:For most surgeons and many anaesthetists, patient frailty is currently the ‘elephant in the (operating) room’: it is easy to spot, but is often ignored. In this paper, we discuss different…

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