Events & Resources

Meaningful Benefit at Minimal Risk — The Frailty Phenotype

Thanks go to Dr Linda Fried, Dean of Mailman School of Public Health and Vice-President, Columbia University, for the GNYGCC seminar, Meaningful Benefit at Minimal Risk — The Frailty Phenotype.

This seminar focused on the frailty syndrome which Dr. Fried and colleagues operationalized in the Cardiovascular Health Study as a useful means of evaluating older adults. She articulated the syndrome of frailty and the Unmet Needs of Frailty assessment and consideration in Cardiovascular care.

View the entire presentation, Meaningful Benefit at Minimal Risk — The Frailty Phenotype at this link.

The complete slide set is available here.

Take the Pre-Test.

Take the Post-Test.

Suggested Reading:

Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery. Circulation

Frailty as a predictor of surgical outcomes in older patients

Cardiovascular Health Study Research Group. Associations of subclinical cardiovascular disease with frailty

Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype

Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance

Learning Objectives:

1) Define the frailty phenotype
2) Distinguish frailty from disability and co-morbidity
3) Enumerate the methods available to define the frailty phenotype, the need for multi-dimensional assessment and whether the phenotype should include cognitive as well as physical assessments.
4) Enumerate how frailty assessment can be used to predict outcomes of older adults undergoing invasive procedures.
5) Delineate how assessment of frailty might be employed to manage risk for older adults with cardiovascular disease.
Recognize hazards of hospitalization and surgery for frail older adults and formulate appropriate prevention and treatment plans.
6) Enumerate at least three unmet needs in the area that are ripe for multicenter collaboration.