Q. #frailty In it's purest form w/force issues aside. Should geriatricians see all ages? Or frail >75yrs as well as all non frail >90yrs?
@Trisha_the_doc I think we geriatricians should see all >75-80 yrs frail or not
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I agree. Many >80 year olds do well with us AIM consultants. Better CGA directed at frail. Also <65!
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and how can you detect frailty without doing a CGA?
@Sparklystar55@Trisha_the_doc -
Our nurses in MAU screen every patient over 65 for frailty at the point of admission.
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and which tool do you use? as till now there's no gold standard
@Sparklystar55@Trisha_the_doc
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Problem is that the NNT is then very high & we don't have the resource. My parents in that range, holiday abroad...
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but patients >80 are admitted to hospital no matter who see them, then better a geriatrician
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depends why they came in though? Robust 80y/o with MI should see a cardiologist?
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let's see what
@LynnGreigMiller@LabinjohC@EilidhPinkChic think...? -
Is that still the case?
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there was when I worked at FVRH but think times are a changing
@Sparklystar55 ? -
that's what prompted my original question. Some are keen for
#frailty in purest form...
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Also the intervention of Comprehensive Geriatric Assessment makes no significant diff to outcomes in that group.
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do you mean CGA is not effective in >80 ??
@Sparklystar55 -
As I understand it, there's only evidence for it when selected for frailty rather than age alone...
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I think CGA has evidence for all older adults and advanced age is a proxy of frailty
@Sparklystar55 -
The expert is
@GrahamEllis247 who has the studies & the NNT figures....
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There are some very fit 80 year olds out there, fitter than some in their 50s, but no medical need!
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I'm very hopeful of being one of those fit 80yr olds. Travelling the world, enjoying sport, theatre..
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