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The evidence for assessing frailty and sarcopenia in an acute medical unit: a systematic review.

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BACKGROUND/OBJECTIVES A systematic review was conducted to assess if frailty and sarcopenia were associated with poorer outcomes in older adults admitted to an acute medical unit (AMU). METHODS Eligible studies… Click to show full abstract

BACKGROUND/OBJECTIVES A systematic review was conducted to assess if frailty and sarcopenia were associated with poorer outcomes in older adults admitted to an acute medical unit (AMU). METHODS Eligible studies included older adults with an unplanned admission to an AMU and included a measure of frailty or sarcopenia, completed within 72 hours of admission. Risk of bias was assessed. RESULTS Of 1659 identified articles, 16 were included (4 on sarcopenia and 12 on frailty). There was significant study heterogeneity. Overall, frailty and sarcopenia were associated with worse outcomes. Targeted interventions appeared to improve outcomes. CONCLUSION Current evidence suggests some benefit in screening older adults admitted to an AMU for frailty and sarcopenia. However, further studies are required before clinical adoption.

Keywords: frailty sarcopenia; acute medical; medical unit; systematic review; frailty; sarcopenia

Journal Title: Acute medicine
Year Published: 2021

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