Frailty: Epidemiology, Risk Factors and Management

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 31 July 2024 | Viewed by 1021

Special Issue Editors


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Guest Editor
Department of Medicine and Health Sciences “Vincenzo Tiberio”, University of Molise, 86100 Campobasso, Italy
Interests: clinical medicine; nursing; frailty; elderly; malnutrition; physical performance; cognitive impairment; post-COVID-19 disability; frailty-gender differences
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Guest Editor
Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", 80145 Naples, Italy
Interests: COVID-19; interstitial lung diseases; metabolic dysfuntion in chronic respiratory disorders
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,  

Frailty is a geriatric syndrome, characterized by extreme vulnerability to acute stressors or exacerbation and decompensation of chronic conditions which result in extreme negative health outcomes. Clinical presentation of frailty is commonly characterized by fatigue, weight loss, impaired awareness, balance and gait impairment, frequent infections and fluctuating disability.

Although, the ''ideal'' diagnostic instrument for frailty has not been developed, different frailty evaluation models, and tools have been developed and validated with significant predictive impact.

The prevalence of frailty increases with age, is influenced by the presence of age-related comorbidities and depends on which instruments are used to detect frailty. Trajectories of frailty are heterogenous, and frailty management requires multicomponent interventions based on the patient’s health needs, physical activity, dietary interventions, structured medication reviews and strengthening social support.

The scope of this Special Issue includes articles related to advances in frailty epidemiology, risk factors, diagnostic tools, and management. Priority will be given to research results related to frailty screening, validation studies for frailty assessment, and management.

Dr. Klara Komici
Dr. Fabio Perrotta
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Published Papers (1 paper)

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Research

11 pages, 734 KiB  
Article
Fear of Falling Score Is a Predictor of Falls in Community-Dwelling Pre-Frail and Frail Older People
by Lucía Prieto-Contreras, Francisco M. Martínez-Arnau, David Sancho-Cantus, Laura Cubero-Plazas and Pilar Pérez-Ros
Healthcare 2023, 11(15), 2132; https://doi.org/10.3390/healthcare11152132 - 26 Jul 2023
Viewed by 756
Abstract
Identifying frail older people at risk of falling is a priority in order to apply preventive strategies. This cross-sectional study included community-dwelling pre-frail and frail people (Fried’s criteria) aged 70 years and older to assess the prevalence of falls and identify screening strategies [...] Read more.
Identifying frail older people at risk of falling is a priority in order to apply preventive strategies. This cross-sectional study included community-dwelling pre-frail and frail people (Fried’s criteria) aged 70 years and older to assess the prevalence of falls and identify screening strategies based on comprehensive geriatric assessments to detect an increased risk of falling and recurrent falling in community-dwelling frail and pre-frail old people. Of the 229 participants, 121 (54.9%) had fallen in the previous 12 months, and 20 of these (16.5%) were recurrent fallers (≥2 falls). A score of 20 points or more on the Falls Efficacy Scale International was predictive of falling (area under the receiver-operating characteristics curve 0.67, 95% confidence interval: 0.61–0.74, p < 0.001) with a sensitivity of 51.7% and a specificity of 73.9%. Polypharmacy, Short Physical Performance Battery score of 8 points or less, and Falls Efficacy Scale International score of 20 points or more show an area under the curve of 0.78 (95% confidence interval: 0.67–0.89, p < 0.001) for recurrent falling. Full article
(This article belongs to the Special Issue Frailty: Epidemiology, Risk Factors and Management)
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