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A brief clinical instrument to classify frailty in elderly people
Author(s)Kenneth Rockwood, Karen Stadnyk, Chris MacKnight
Journal titleThe Lancet, vol 353, no 9148, 16 January 1999
Pagespp 205-206
KeywordsMobility ; Self care capacity ; Health [elderly] ; Mental health [elderly] ; Indicators ; Canada.
AnnotationIncreasingly, the term frailty is used to describe combinations of ageing, disease and other factors that make some people vulnerable. There is no broadly accepted definition or standard system for classification of older people who are at risk for adverse health outcomes. In this short article, the authors report on assessing the criterion validity of a short candidate measure of frailty in prediction of death and institutionalisation. They selected 9008 community residents from Canadian provincial comprehensive sampling frames in 1991/92, stratified by age (65-74, 75-84, and over 85 years). Surviving members were contacted in 1996/97, also proxies for decedents to find out vital status and residential history since first contact. The frailty scale was based on the Geriatric Status Scale (GSS) classification, at four levels: those able to walk and perform everyday activities without help; bladder incontinence only; needing more assistance with mobility or ADLs, or with bladder and/or bowel incontinence; and totally dependent for ADLs and diagnosis of dementia. This definition of frailty extends classification beyond ADLs and mobility, drawing attention to complexities of underlying adverse outcomes in older people. (RH).
Accession NumberCPA-990121211 A
ClassmarkC4: CA: CC: D: 3RI: 7S *

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