Frailty

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Authors: Ariela R. Orkaby, Andrea Wershof Schwartz, Kathryn E. Callahan
Cited by: 11
References: 91

Abstract

Frailty is a syndrome of decreased reserve across multiple physiologic systems that is associated with greater risk for hospitalizations, disability, institutionalization, and other adverse outcomes, including mortality. Patients with frailty, most of whom are older adults, may be more likely to experience adverse outcomes due to iatrogenic causes, such as higher-risk medications or procedures. Guidelines recommend frailty screening for both chronic disease management and in-hospital care, as identification of frailty allows for risk mitigation and alignment of care with patients' goals. In addition, some interventions may delay or reverse frailty, thus increasing physiologic reserve and improving day-to-day function. This article reviews frailty definitions, approaches to assessment in different care settings, and management.

Fields of Study & Subjects

Frailty in Older Adults Heart Failure Treatment and Management Nutrition and Health in Aging

Publication details

Journal / source
Annals of Internal Medicine
Publisher
American College of Physicians
Volume
179
Issue
2
Pages
ITC17–ITC32
Publication date
1 February 2026
Language
EN