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Frailty in older adults: detection and management in primary care. Fisterra clinical practice guideline
Iñaki Martin-Lesende1,2,3,4, Ana Gorroñogoitia-Iturbe5, Nuria Goñi-Ruiz6,7,8,9
1Indautxu-Dr. Areilza Primary Care Health Centre, Bilbao-Basurto Integrated Health Organisation (IHO), Osakidetza, Bilbao, Spain. inaki.martinlesende@osakidetza.eus.
Aim:
To provide an evidence-based, practical framework for the detection and management of frailty in community-dwelling older adults in primary care.
Finding:
Active opportunistic case finding in individuals aged ≥ 70 years using simple performance-based tools enables early identification of frailty. Multicomponent interventions integrating physical exercise, nutritional support, medication optimisation and psychosocial strategies are effective in preventing or reversing frailty.
Message:
Systematic frailty management in primary care is feasible and should be based on early detection and personalised, multidimensional care plans.
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