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Views And Reviews Acute Perspective

David Oliver: Frailty in acute care

BMJ 2016; 354 doi: https://doi.org/10.1136/bmj.i5195 (Published 29 September 2016) Cite this as: BMJ 2016;354:i5195
  1. David Oliver, consultant in geriatrics and acute general medicine
  1. Berkshire
  1. davidoliver372{at}googlemail.com

The National Institute for Health and Care Excellence recently published guidelines on assessing and managing patients with multimorbidity.1 2 These placed distinct and welcome emphasis on frailty—adding momentum to several recent, professionally led good practice resources and guidelines explicitly highlighting the importance of frailty in community and acute care and showcasing services that work.3 4 5 6 7 8

Much nuanced research has been published on frailty as a clinical and physiological entity.9 10 11 It’s increasingly prevalent with older age but can affect people in their 50s. To oversimplify: two large schools of …

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