Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA

 
Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
Rete Aging:
              Il ruolo del Geriatra
                     Fabrizia Lattanzio
              Direttore Scientifico IRCCS INRCA

Ministero della Salute
Roma, 12 luglio 2018
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Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
WHO - World report on ageing and health

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Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
Temi

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Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
Temi

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Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
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.
Rete Aging: Il ruolo del Geriatra - Fabrizia Lattanzio Direttore Scientifico IRCCS INRCA
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:

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Rete degli IRCCS per l’Invecchiamento

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Aree 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

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From 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 translation
Backup
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, 2014
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