Introduction: To deliver quality management of a frail individual, a clinician should understand the concept of frailty, be aware of its epidemiology and be able to screen for frailty and assess it when it is present, and, finally, to recommend successful interventions.
Methodology: A systematic literature search was conducted in the following databases: PubMed, Cochrane, Embase, Cinahl and UpToDate. The criterion in selecting the literature was that articles were published in the period from 2002 to 2017. From 67432 initial hits, 27 publications were selected.
Results: Useful interventions to address frailty are supplementation of vitamin D, proper nutrition, multicomponent training, home-based physiotherapy and comprehensive geriatric assessment, particularly when performed in geriatric wards.
Conclusion: Comprehensive geriatric assessment is an effective way to decrease frailty status especially when performed in geriatric wards. Multicomponent physical training and multidimensional interventions (physical training, nutrition, vitamin D supplementation and cognitive training) are effective measures to reduce frailty.
Uvod: Za kakovostno upravljanje krhkega posameznika mora klinik razumeti koncept krhkosti ter prepoznavanje in priporočanje uspešnih intervencij.
Metode: Za to raziskavo je bil izveden sistematičen pregled literature v naslednjih bazah: PubMed, Cochrane, Embase, Cinahl in UpToDate. Vključitveni kriterij je bil izbor literature, objavljene v zadnjih 15 letih, od leta 2002 do leta 2017. Od 67.432 zadetkov je bilo izbranih 27 publikacij.
Rezultati: Koristne intervencije za obravnavo krhkosti so dodajanje vitamina D, pravilna prehrana, večkomponentna telesna vadba, fizioterapija na domu in obsežna geriatrična ocena, ki se uporablja na geriatričnih oddelkih.
Zaključki: Če se celovita geriatricna ocena na geriatričnih oddelkih izvaja, ta povečuje možnost pacientovega preživetja in kognicije. Večkomponentna fizična vadba in večdimenzionalne intervencije, ki temeljijo na celoviti geriatrični oceni, so ucinkovite pri zmanjševanju krhkosti.
Keywords: Joint Action ADVANTAGE; comprehensive geriatric assessment; frailty; geriatric.