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Frailty in Clinical Practice

机译:临床实践中的脆弱

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Frailty is a geriatric syndrome characterized by reduced homeostatic reserves, exposing the organism to extreme vulnerability to endogenous and exogenous stressors. Since disability is considered as an almost irreversible condition at advanced age, frailty has been indicated as a promising target for specific interventions in order to prevent disability. From a theoretical viewpoint, the concept of frailty has been well established, but its op-erationalization is still subjecttocontroversy. This impedimentleadsto the postponement of the integration of frailty in the clinical setting. In the present article, we discuss the main issues regarding the frailty syndrome in the clinical setting, describe possible solutions (especially on the basis of our experience derived from the frailty clinic we have set up in Toulouse, France), and present the most relevant research perspectives in the field.
机译:脆弱是一种老年人综合征,其特征在于稳定储备,使生物体暴露于对内源和外源压力源的极端脆弱性。由于残疾被认为是高龄年龄的几乎不可逆转的条件,因此脆弱的是针对特定干预措施的有希望的目标,以防止残疾。从理论上的观点来看,脆弱的概念已经很好地成立,但其运算术仍然是对客观的。这种阻碍了临床环境中脆弱的延伸。在本文中,我们讨论了有关临床环境中脆弱综合征的主要问题,描述了可能的解决方案(特别是我们在我们在法国图卢兹的脆弱诊所获得的经验),并呈现最相关的解决方案该领域的研究观点。

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