Frailty as diagnostic screening in patients over 65 years of age hospitalized from august to october 2023

Abstract

Since the 1980s, geriatric evaluation focused on the frailty of the elderly as a state associated with aging, a decrease in physiological reserve and translates into an increased risk of disability. An observational, prospective and descriptive research was carried out, including patients over 65 years of age hospitalized at the La Trinidad Medical Teaching Center. The data were obtained through review of medical records and questioning the patient using Freid, FRAIL and Edmonton scales. They were organized in a Microsoft® Excel sheet with results described in absolute and relative frequencies. All of the patients studied did not have a diagnosis of frailty in their approaches, therefore they did not have an established therapeutic plan for this pathology. It is determined that the Freid, FRAIL and Edmonton scales are not used in the hospitalization area as a method to diagnose Frailty. According to the FRAIL scale, 33.33% Frail patients and 33.33% pre-frail patients. According to Edmonton, 23.33% of patients have mild frailty and 10% have moderate frailty. Finally, the Fried scale, 36.67% in pre-frailty and 26.67% with frailty of the elderly. At the moment, frailty syndrome is not frequently detected. The relevance of our results from the perspective of health systems allows us to highlight the absence of diagnosis in our environment and an organizational model of health care aimed at the elderly. The timely detection of frail older adults allows, among other things, to apply measures that limit or delay their functional deterioration.