• Jan-Niklas Krohn and Katrin Singler.
• Schwerpunkt Geriatrie, Klinik für Innere Medizin 2, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität Nürnberg, Nürnberg.
• Dtsch. Med. Wochenschr. 2023 Nov 1; 148 (22): 142514301425-1430.

AbstractFrailty affects approximately one in two patients over 70 years of age in the emergency department. These are inadequately identified as high-risk patients using conventional triage tools. Frailty screening improves the identification of high-risk patients with increased hospitalisation and readmission rates, 30-day and one-year mortality. Unspecific complaints and geriatric syndromes should be recognised as red flags, and age-specific peculiarities of vital signs should be taken into account. A holistic evaluation should already be carried out in the emergency department, as focusing on individual problems is not target-oriented. All patients identified in the screening should be evaluated geriatrically in the course. For patients with frailty, the improvement of subjective well-being is in the foreground. Inpatient admission is partly avoidable, even if this is associated with health risks. This should be discussed with the patient within the framework of participatory decision-making. In advanced frailty, the needs correspond to those of palliative patients.Thieme. All rights reserved.

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