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Is Frailty Diagnosis Important in Patients with COPD? A Narrative Review of the Literature

Author

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  • Francisco José Tarazona-Santabalbina

    (Geriatric Medicine Department, Hospital Universitario de la Ribera, Carretera de Corbera km. 1, 46600 Alzira, Spain
    Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable (CIBERFES), 28029 Madrid, Spain
    Medical School, Universidad Católica de Valencia San Vicente Mártir, 46001 Valencia, Spain)

  • Elsa Naval

    (Department of Pneumology, Hospital Universitari la Ribera, 46600 Alzira, Spain)

  • Juan María De la Cámara-de las Heras

    (Library Service, Hospital Universitario la Ribera, 46600 Alzira, Spain)

  • Cristina Cunha-Pérez

    (School of Doctorate, Universidad Católica de Valencia San Vicente Mártir, 46001 Valencia, Spain)

  • José Viña

    (Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable (CIBERFES), 28029 Madrid, Spain
    Departament of Physiology, Universitat de Valencia, 46010 Valencia, Spain)

Abstract

Frailty is prevalent in older adults and is related to a worsening functionality, quality of life, and health outcomes. Though there is an increasing interest in this field, the relationship between frailty and worsening COPD outcomes remains unknown. A narrative review of the literature with studies published between 2018 and 2022 was carried out to address three questions: the prevalence of frailty and other geriatric syndromes in COPD patients, the link between frailty and worsening health outcomes in COPD patients, and the non-pharmacological interventions performed in order to reverse frailty in these patients. A total of 25 articles were selected. Frailty prevalence ranged from 6% and 85.9%, depending on the COPD severity and the frailty measurement tool used. Frailty in COPD patients was related to a high prevalence of geriatric syndromes and to a high incidence of adverse events such as exacerbations, admissions, readmissions, and mortality. One study showed improvements in functionality after physical intervention. In conclusion, the prevalence of frailty is associated with a high incidence of geriatric syndromes and adverse events in COPD patients. The use of frailty screenings and a comprehensive geriatric assessment of COPD patients is advisable in order to detect associated problems and to establish individualized approaches for better outcomes.

Suggested Citation

  • Francisco José Tarazona-Santabalbina & Elsa Naval & Juan María De la Cámara-de las Heras & Cristina Cunha-Pérez & José Viña, 2023. "Is Frailty Diagnosis Important in Patients with COPD? A Narrative Review of the Literature," IJERPH, MDPI, vol. 20(3), pages 1-18, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:1678-:d:1038502
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    References listed on IDEAS

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    1. Roberto Bernabeu-Mora & Silvana Loana Oliveira-Sousa & Mª Piedad Sánchez-Martínez & Jose Antonio García-Vidal & Mariano Gacto-Sánchez & Francesc Medina-Mirapeix, 2020. "Frailty transitions and associated clinical outcomes in patients with stable COPD: A longitudinal study," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-13, April.
    2. Lorenzo Lippi & Arianna Folli & Claudio Curci & Francesco D’Abrosca & Stefano Moalli & Kamal Mezian & Alessandro de Sire & Marco Invernizzi, 2022. "Osteosarcopenia in Patients with Chronic Obstructive Pulmonary Diseases: Which Pathophysiologic Implications for Rehabilitation?," IJERPH, MDPI, vol. 19(21), pages 1-18, November.
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