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Frailty assessment in older adults with chronic obstructive respiratory diseases

Authors Guan C, Niu H

Received 6 May 2018

Accepted for publication 11 July 2018

Published 29 August 2018 Volume 2018:13 Pages 1513—1524

DOI https://doi.org/10.2147/CIA.S173239

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 2

Editor who approved publication: Dr Wu


Chunyan Guan, Huiyan Niu

Department of Geriatrics, Sheng Jing Hospital, China Medical University, Shenyang, People’s Republic of China

Abstract: The number of patients with chronic obstructive pulmonary disease (COPD) has been rising with continued exposure to environmental risk factors and aging of populations around the world. Frailty is a geriatric syndrome with a decline in physiological reserve and often coexists with chronic diseases such as COPD. Frailty is an independent risk factor for the development and progression of COPD, and COPD can lead to frailty; treating one might improve the other. Thus, there is an increasing interest in the assessment of frailty in patients with COPD. Furthermore, early identification and assessment of frailty in patients with COPD may affect the choice of intervention and improve its effectiveness. Based on the current literature, the intent of this review was to summarize and discuss frailty assessment tools used for COPD patients and the relevant clinical practices for predicting outcomes. We ascertain that using suitable frailty assessment tools could facilitate physicians to screen and stratify physically frail patients with COPD. Screening appropriately targeted population can achieve better intervention outcomes and pulmonary rehabilitation among frail COPD patients.

Keywords: frailty, COPD, elderly, assessment, intervention

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