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Article

Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People

1
Department of Aging, Neurological, Orthopaedic and Head-Neck Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
2
Department of Geriatrics and Orthopaedics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
3
UOS Riabilitazione Post-Acuzie, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
4
Emergency Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
5
Department of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
*
Authors to whom correspondence should be addressed.
These authors contributed equally to this work.
Academic Editor: Martin Mueller
Diagnostics 2022, 12(5), 1228; https://doi.org/10.3390/diagnostics12051228 (registering DOI)
Received: 4 April 2022 / Revised: 10 May 2022 / Accepted: 12 May 2022 / Published: 13 May 2022
(This article belongs to the Special Issue Diagnosis and Management of Diseases in Fragile and Elderly Patients)
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. View Full-Text
Keywords: Frailty Unit; multidimensional evaluation; Emergency Department; older people; discharge plan Frailty Unit; multidimensional evaluation; Emergency Department; older people; discharge plan
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MDPI and ACS Style

Salini, S.; Giovannini, S.; Covino, M.; Barillaro, C.; Acampora, N.; Gravina, E.M.; Loreti, C.; Damiano, F.P.; Franceschi, F.; Russo, A. Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People. Diagnostics 2022, 12, 1228. https://doi.org/10.3390/diagnostics12051228

AMA Style

Salini S, Giovannini S, Covino M, Barillaro C, Acampora N, Gravina EM, Loreti C, Damiano FP, Franceschi F, Russo A. Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People. Diagnostics. 2022; 12(5):1228. https://doi.org/10.3390/diagnostics12051228

Chicago/Turabian Style

Salini, Sara, Silvia Giovannini, Marcello Covino, Christian Barillaro, Nicola Acampora, Ester M. Gravina, Claudia Loreti, Francesco P. Damiano, Francesco Franceschi, and Andrea Russo. 2022. "Frailty Network in an Acute Care Setting: The New Perspective for Frail Older People" Diagnostics 12, no. 5: 1228. https://doi.org/10.3390/diagnostics12051228

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