Increasing use of cognitive measures in the operational definition of frailty - a systematic review.

Increasing use of cognitive measures in the operational definition of frailty - a systematic review.
Ageing Res Rev. 2018 Feb 02;:
Authors: Azzopardi RV, Beyer I, Vermeiren S, Petrovic M, Van Den Noortgate N, Bautmans I, Gorus E, Gerontopole Brussels Study group
Abstract
Ageing is associated both with frailty and cognitive decline. The quest for a unifying approach has led to a new concept: cognitive frailty. This systematic review explores the contribution of cognitive assessment in frailty operationalization. PubMed, Web of Knowledge and PsycINFO were searched until December 2016 using the keywords aged; frail elderly; aged, 80 and over; frailty; diagnosis; risk assessment and classification, yielding 2,863 hits. Seventy-nine articles were included, describing 94 frailty instruments. Two instruments were not sufficiently specified and excluded. 46% of the identified frailty instruments included cognition. Of these, 85% were published after 2010, with a significant difference for publication date (X2 = 8.45, p < 0.05), indicating increasing awareness of the contribution of cognitive deficits to functional decline. This review identified 7 methods of cognitive assessment: dementia as co-morbidity; objective cognitive-screening instruments; self-reported; specific signs and symptoms; delirium/clouding of consciousness; non-specific cognitive terms and mixed assessments. Although cognitive assessment has been increasingly inte...

Source: Ageing Research Reviews - February 2, 2018 Category: Genetics & Stem Cells Authors: Azzopardi RV, Beyer I, Vermeiren S, Petrovic M, Van Den Noortgate N, Bautmans I, Gorus E, Gerontopole Brussels Study group Tags: Ageing Res Rev Source Type: research