Impact of Chronic Disease Control and Aging Psychology on Outcomes of Frailty-Sarcopenia Syndrome in Ambulatory Geriatric Patients
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Pursuant to our previous longitudinal study (ClinicalTrials.gov ID: NCT02073370) in geriatric outpatients cooperated with the Department of Family Medicine, Department of Geriatrics and Gerontology, National Taiwan University Hospital, this study will be conducted to examine the impacts of the specific co-morbidities and ageing psychology on the outcomes of frailty/sarcopenia syndrome. The thresholds of specific chronic disease will be reviewed after frailty being considered in the elderly with co-morbidity condition. In addition, the conceptual framework and corresponding measuring instrument of "mental frailty" will be expected developed.
Condition or disease
Ambulatory Geriatric Outpatients at High Risk of Frailty
Operation instrument of mental frailty for older adults [ Time Frame: Up to 2 years ]
The psychological adaptation to aging is a dynamic process. The dynamic process and the Selection-Optimization-Compensation process will have their effect on the actual coping actions in everyday life. The instruments will be set up to evaluate the aging psychology process
Secondary Outcome Measures :
Compare the well chronic disease control and inappropriate condition on the dynamic frail transitions in ambulatory geriatric outpatients [ Time Frame: up to 4 years ]
The records of chronic disease control status of the same ambulatory geriatric outpatients from previous study, "Clinical evaluation, biomarkers and metabolomics of sarcopenia in frail older adults at ambulatory clinics", will be linked to this study.
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Layout table for eligibility information
Ages Eligible for Study:
65 Years and older (Older Adult)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
Ambulatory geriatric outpatients aged 65 and over from NTUH
Inclusion criteria : compatible one of following conditions
functional decline in recent one year
cognitive function decline
fall in recent one year
eating or feeding problems/weight loss
tracking by different physician ≧3 in recent half year
polypharmacy≧8 in recent 3 months
hospitalization ≧1 in recent one year
emergency visits≧2 in recent one year
aged ≧ 80
non-ambulatory (bed-ridden) patients
long-term residents at nursing homes
patients with a life expectancy shorter than six months
impairment in vision, hearing, or communicative ability
making convenience of clinical evaluation during the study period impossible.