Overview
The main objective is to update the diagnostic assessment of frailty by correlating several variables with the ultrasound image of the frail elderly patient.
Secondarily, the investigators intend to collect and analyze data on functional capacity and quality of life variables on the evolution of musculoskeletal symptoms, as well as on pain and psychological variables. Similarly, it is intended to make a record of different profiles and subtypes of frail older adult patients to be stored in Big Data in order to establish therapeutic intervention plans that allow both the evaluation and treatment of patients.
Description
The present cohort study will be conducted in 500 older adults diagnosed with frailty.
The correlation of the demographic variables, physical functionality tests and psychoemotional constructs that will be analyzed in this study with the ultrasound image obtained from the patients will improve the ultrasound diagnosis of frailty, providing new information that will facilitate the work of healthcare personnel in the diagnosis and management of frailty.
Similarly, the use of Big Data will allow institutions to extract data on different patient profiles, signs and symptoms of frailty and the different risk factors that affect frailty patients, which will improve treatments and favor the development of educational programs tailored to the patient's needs.
Eligibility
Inclusion Criteria:
A diagnosis of signs and symptoms of frailty by a geriatric physician in the research group
will be used as the primary inclusion criterion. Frailty will be assessed and diagnosed
using the frailty phenotype and the Clinical Frailty Scale.
Exclusion Criteria:
- Acute myocardial infarction in the last 3 months and/or unstable angina pectoris
- Uncontrolled arrhythmia, recent thromboembolism and terminal illness.
- Patients undergoing MMII unloading or MMSS/MMII fractures in the last three months.
- Patients with a functional gait index of 1 (Inability to walk)
- Severe pain (7/10 VAS)
- Previous neuromuscular pathology presenting with weakness
- Medication that does not allow the patient's actual muscle reaction to be assessed
- Severe cognitive impairment that would prevent collaboration and understanding of the
tests to be performed.
- Cardiovascularly unstable patients and uncontrolled arterial hypertension.