Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People
The incidence of elderly patients who come to the emergency room is progressively increasing. The specialization of the physician units might not be adequate for the evaluation of this complexity. The present study aimed to present a standard procedure, called ‘The Geriatric Frailty Network’, operat...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-05-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/5/1228 |
| _version_ | 1797500416727973888 |
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| author | Sara Salini Silvia Giovannini Marcello Covino Christian Barillaro Nicola Acampora Ester Manes Gravina Claudia Loreti Francesco Paolo Damiano Francesco Franceschi Andrea Russo |
| author_facet | Sara Salini Silvia Giovannini Marcello Covino Christian Barillaro Nicola Acampora Ester Manes Gravina Claudia Loreti Francesco Paolo Damiano Francesco Franceschi Andrea Russo |
| author_sort | Sara Salini |
| collection | DOAJ |
| description | The incidence of elderly patients who come to the emergency room is progressively increasing. The specialization of the physician units might not be adequate for the evaluation of this complexity. The present study aimed to present a standard procedure, called ‘The Geriatric Frailty Network’, operating at the Policlinico Gemelli IRCCS Foundation, which is configured specifically for the level II assessment of frail elderly patients. This was a retrospective study in 1191 patients aged over 65, who were evaluated by the Geriatric Frailty Unit directly after emergency department admission for one year. All patients underwent multidimensional geriatric evaluation. Data were collected on demographics, co-morbidity, disease severity, and Clinical Frailty Scale. Among all patients, 723 were discharged directly from the emergency room with early identification of continuity of care path. Globally, 468 patients were hospitalized with an early assessment of frailty that facilitated the discharge process. The geriatric frailty network model aims to assist the emergency room and ward doctor in the prevention of the most common geriatric syndromes and reduce the number of incongruous hospitalizations. |
| first_indexed | 2024-03-10T03:01:35Z |
| format | Article |
| id | doaj.art-15f4222430c04b9599275de7541f031b |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T03:01:35Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-15f4222430c04b9599275de7541f031b2023-11-23T10:41:11ZengMDPI AGDiagnostics2075-44182022-05-01125122810.3390/diagnostics12051228Frailty Network in an Acute Care Setting: The New Perspective for Frail Older PeopleSara Salini0Silvia Giovannini1Marcello Covino2Christian Barillaro3Nicola Acampora4Ester Manes Gravina5Claudia Loreti6Francesco Paolo Damiano7Francesco Franceschi8Andrea Russo9Department of Aging, Neurological, Orthopaedic and Head-Neck Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDepartment of Geriatrics and Orthopaedics, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyEmergency Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDepartment of Aging, Neurological, Orthopaedic and Head-Neck Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDepartment of Aging, Neurological, Orthopaedic and Head-Neck Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDepartment of Aging, Neurological, Orthopaedic and Head-Neck Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDepartment of Aging, Neurological, Orthopaedic and Head-Neck Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDepartment of Geriatrics and Orthopaedics, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyEmergency Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDepartment of Aging, Neurological, Orthopaedic and Head-Neck Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyThe incidence of elderly patients who come to the emergency room is progressively increasing. The specialization of the physician units might not be adequate for the evaluation of this complexity. The present study aimed to present a standard procedure, called ‘The Geriatric Frailty Network’, operating at the Policlinico Gemelli IRCCS Foundation, which is configured specifically for the level II assessment of frail elderly patients. This was a retrospective study in 1191 patients aged over 65, who were evaluated by the Geriatric Frailty Unit directly after emergency department admission for one year. All patients underwent multidimensional geriatric evaluation. Data were collected on demographics, co-morbidity, disease severity, and Clinical Frailty Scale. Among all patients, 723 were discharged directly from the emergency room with early identification of continuity of care path. Globally, 468 patients were hospitalized with an early assessment of frailty that facilitated the discharge process. The geriatric frailty network model aims to assist the emergency room and ward doctor in the prevention of the most common geriatric syndromes and reduce the number of incongruous hospitalizations.https://www.mdpi.com/2075-4418/12/5/1228Frailty Unitmultidimensional evaluationEmergency Departmentolder peopledischarge plan |
| spellingShingle | Sara Salini Silvia Giovannini Marcello Covino Christian Barillaro Nicola Acampora Ester Manes Gravina Claudia Loreti Francesco Paolo Damiano Francesco Franceschi Andrea Russo Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People Diagnostics Frailty Unit multidimensional evaluation Emergency Department older people discharge plan |
| title | Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People |
| title_full | Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People |
| title_fullStr | Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People |
| title_full_unstemmed | Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People |
| title_short | Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People |
| title_sort | frailty network in an acute care setting the new perspective for frail older people |
| topic | Frailty Unit multidimensional evaluation Emergency Department older people discharge plan |
| url | https://www.mdpi.com/2075-4418/12/5/1228 |
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