OBJECTIVES To validate two established frailty indexes and compare their ability to predict adverse outcomes in a diverse, elderly, community-dwelling sample of men and women. DESIGN Prospective observational study. SETTING A diverse defined geographic area of Boston. PARTICIPANTS Seven hundred sixty-five community-dwelling participants in the Maintenance of Balance, Independent Living, I...

BACKGROUND Adaptive postural control can be impaired in the presence of frailty syndrome, given that this condition causes homeostatic dysregulation in physiological systems. OBJECTIVES To compare the center of pressure (CoP) displacements of non-frail, pre-frail, and frail elderly subjects in the standing position before and after postural transition of sitting and rising from a chair, using...

AIM to obtain the proportion of frailty and the incidence of 30-day major adverse cardiovascular events (MACE) as well as to review the impact of frailty on the prognosis of elderly patients with coronary heart disease who underwent elective PCI. METHODS this is a prospective cohort study to assess the frailty of elderly patients with coronary artery disease that underwent elective PCI in Cip...

Effective and safe swallowing is one of the basic needs for human survival. Dysphagia or disorders often occur in elderly increase with age. Patients do not complain dysphagia compensate by modifying texture food. Frailty associated an increased prevalence dysphagia. Difficulty chewing, formation positioning bolus are In addition, can cause weakness because there a disturbance due to decrease n...

BACKGROUND Circulating myeloid cells are important mediators of the inflammatory response, acting as a major source of resident tissue antigen presenting cells and serum cytokines. They represent a number of distinct subpopulations whose functional capacity and relative concentrations are known to change with age. Little is known of these changes in the very old and physically frail, a rapidly ...

OBJECTIVE To evaluate the impact of frailty on respiratory function in a community- dwelling elderly. METHOD 51 community-dwelling elderly were evaluated (mean age of 73±6 years), being 29 men (56.7%) and 22 women (43.3%). We collect the following variables: sociodemographic characteristics, frailty phenotype, pulmonary function test and assessment of the respiratory muscles using an analog m...

BACKGROUND Frailty and sarcopenia are frequent conditions in the elderly and are related to inactivity and functionality. However, little is known about the influence of the sarcopenia indicators on the frailty profile or their functional implications. OBJECTIVE To evaluate whether the indirect indicators of sarcopenia and functionality influence the frailty profile in elderly subjects. MET...

This randomized, controlled trial assessed the effectiveness of comprehensive geriatric assessment (CGA) and subsequent intervention in pre-frail and frail community-dwelling elderly based on the Fried Frailty Criteria (FFC) and the Barthel Index (BI) A total of 310 pre-frail or frail elderly from a single community were identified using the FFC. Of these, 152 were randomly assigned to the inte...

the specialist needs of frail patients gives geriatric day hospital a distinct edge over any other outpatient service. Our experience of establishing a heart failure service for elderly patients based in the day hospital is an example of an innovative use of this resource. Elderly patient with possible heart failure were referred to the outpatient clinic but the patients had to make three to fo...