Diagnosis of the frailty syndrome
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Introduction. The team fragility is a physiological reduction of reserves and resistance to stressors, which is associated with decreased function of many systems. The study emphasizes that more accurate measure of the fragility team is not the patient's age and the Frailty Index (FI).There are numerous rock useful in making a diagnosis of frailty. Goal. Identification and assessment of clinical and criteria as an aid in the diagnosis of frailty. Materials and Methods. Using the key of the frailty syndrome, frailty, frailty index, diagnosis, searched foreign bibliographic databases Medline, Medical Sciences, National Center for Biotechnology Information, Wiley Online Libraryz analyzed six clinical trials published between 1989-2011. Results and discussion. In many studies, the authors appear similar criteria useful in the diagnosis of any embrittlement. These are, among others. physical activity, physical fitness, depression, number of falls, cardiovascular endurance, cognitive impairment, unintentional weight loss, decreased muscle strength, the level of availability, speed of movement. The biochemical parameters for the cur lipoprotein cholesterol levels, glycosylated hemoglobin, urine cortisol, adrenaline in the urine, urine noradrenaline, albumin, interleukin-6, CRP, creatinine, DHEA-S and fibrinogen. Based on the criteria of patients may be eligible for a three subgroups: nonfrail, prefrail, frail. Conclusions. It can use multiple criteria for the syndrome of frailty. The creation of so many scales, taking into account the different characteristics, reflects the current uncertainty as to the definition of the fragility of the team and its members. Extract the precise diagnostic criteria is a necessary common objective in the planning of care.
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