Individuals with frailty are at particular risk in emergencies. By definition, these
individuals are not resilient, meaning that they do not recover quickly from stressors.
1
Individuals with frailty, even in usual times, are at greater risk than nonfrail,
similarly aged adults of requiring hospital care or long-term care and of dying.
2
Emergency preparedness involves planning for the optimal direction of resources,
such as populations with the greatest needs or with the most difficulty accessing
resources in an emergency. The Pandemic and All Hands Preparedness Act of 2006 required
the US Department of Health and Human Services to integrate the needs of at-risk individuals
in all levels of emergency planning.
3
The challenge is knowing where these individuals are concentrated so that their needs
can be met.Pandemic and all-hazards preparedness Act, pub L No. 109-417, 120 stat 2831.
https://www.congress.gov/bill/109th-congress/senate-bill/3678
Date: 2006
Date accessed: September 24, 2020
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References
- Frailty consensus: A call to action.J Am Med Dir Assoc. 2013; 14: 392-397
- Frailty: An emerging public health priority.J Am Med Dir Assoc. 2016; 17: 188-192
- Pandemic and all-hazards preparedness Act, pub L No. 109-417, 120 stat 2831.(Available at:)https://www.congress.gov/bill/109th-congress/senate-bill/3678Date: 2006Date accessed: September 24, 2020
- External validation of the claims-based frailty index in the national health and aging trends study cohort.Am J Epidemiol. 2017; 186: 745-747
- Development of a claims-based frailty indicator anchored to a well-established frailty phenotype.Med Care. 2017; 55: 716-722
- CDC wonder.(Available at:)
- Measuring frailty using claims data for pharmacoepidemiologic studies of mortality in older adults: Evidence and recommendations.Pharmacoepidemiol Drug Saf. 2014; 23: 891-901
- Validation of a claims-based frailty index against physical performance and adverse health outcomes in the health and retirement study.J Gerontol A Biol Sci Med Sci. 2019; 74: 1271-1276
- Effectiveness and safety of apixaban, dabigatran, and rivaroxaban versus warfarin in frail patients with nonvalvular atrial fibrillation.J Am Heart Assoc. 2018; 7: e008643
- Effectiveness and safety of rivaroxaban versus warfarin in frail patients with venous thromboembolism.Am J Med. 2018; 131: 933-938.e931
Article info
Publication history
Published online: June 16, 2021
Footnotes
The authors declare no conflicts of interest.
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© 2021 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
