Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
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Rete Aging:
Il ruolo del Geriatra
Fabrizia Lattanzio
Direttore Scientifico IRCCS INRCA
Ministero della Salute
Roma, 12 luglio 2018
1
WHO - World report on ageing and health
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Temi
6
Temi
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Identifying an at-risk older population:
FRAILTY
• Frailty is a common geriatric syndrome associated with aging
• Around 10% of people aged over 65 years have frailty, rising to
between a quarter and half of those aged over 85 years.
Frailty is defined as a state of increased vulnerability resulting from
aging and often disease associated decline in reserve and function
across multiple physiologic systems such that the ability to cope with
acute stressors is reduced
Frailty is associated with increased risk of adverse health outcomes
such as: functional decline, disability, repeated falls, reduction of the
quality of life, repeated hospitalizations, nursing home admission
9 and death.
Multimorbidity: definitions • Co-occurrence 2 or more chronic diseases • Coexistence of two or more chronic conditions, where each must be a non- communicable disease, a mental health disorder or an infectious disease of long duration (WHO 2016) • Presence of 2 or more long-term health conditions, which can include: • defined physical and mental health conditions such as diabetes or schizophrenia • ongoing conditions such as learning disability • symptom complexes such as frailty or chronic pain • sensory impairment such as sight or hearing loss • alcohol and substance misuse (NICE 2016)
Italia Longeva
Rete nazionale di ricerca
sull’invecchiamento e la longevità attiva
Associazione istituita da Ministero della Salute, Regione Marche e IRCCS INRCA, che
dal 2012 opera per:
§ consolidare la centralità degli anziani nelle politiche di sviluppo
§ fronteggiare le crescenti esigenze di protezione della terza età
§ porre l’anziano come protagonista della vita sociale
§ guidare la Rete degli IRCCS per l’Invecchiamento per coordinare e
promuovere la ricerca sull’ invecchiamento in Italia e in Europa
§Soci Fondatori:
15Rete degli IRCCS per l’Invecchiamento
16Aree di interesse e sinergie
AREE DI INTERESSE
MODELLI ASSISTENZIALI
INVECCHIAMENTO IN
ASSESSMENT
BIOGERONTOLOGIA
TECNOASSISTENZA
MULTIMORBIDITA’
INTERVENTI
TEMI GENERALI
FRAGILITA’
SALUTE
ARMONIZZAZIONE PROCEDURE
LINEE GUIDA
ETICA / END of LIFE
BIG DATA
BIOBANCHE
17From bench to bedside
The IRCCS Network roadmap
Network infrastructure
Cutting-edge Measuring Translating Exploiting
research
New findings Older population Clinical studies Disseminating
knowledge
Genetics Epidemiology Assessment Exchange of knowledge
Proteomics Harmonization Clinical application Guidelines
Metabolomics Outcomes Innovative interventions Capacity building
Biomarkers Real-world population Strong evidence
New technologies Ethics Reverse translationBackup
Frailty models
-The phenotype model
-The cumulative deficit model
-Prisma 7 questionnaire
-Timed up and go test (TUGT)
-Self-Reported Health
-GP assessment
-Comprehensive geriatric assessment
-The Groningen frailty indicator questionnaire
-Short Physical Performance Battery (SPPB)
-Walking speed (gait speed)….
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Young J., British Geriatric Society, 2014You can also read
