Clinical and Functional Effectiveness Assessment of Personalized Management Programs for Patients With Frailty

Overview

All participants underwent comprehensive geriatric assessment (CGA) and cardiopulmonary exercise testing (CPET). A personalized management program was developed for each patient, including recommendations on physical exercise, nutrition, correction of geriatric syndromes, optimization of somatic status, and medication therapy adjustment. The program was delivered in a hospital setting over 3-5 days, with recommendations provided for continuation at the outpatient stage for 6 months. Upon completion of the 6-month program, CGA and CPET were repeated to evaluate the effectiveness of the programs.

All participants underwent comprehensive geriatric assessment (CGA) and cardiopulmonary exercise testing (CPET). After this the participants will undergo geriatric rehabilitation programs. The participation duration will not exceed 6.5 months including the screening period. The study comprises three periods: * screening (1-14 days) * a treatment course of 3-5 days * a follow-up period of 6 months On screening visit Study procedures will include * Informed consent signing * The Comprehensive Geriatric Assessment (CGA) * Cardiopulmonary exersize test (CPET) * The recommendations on a program of geriatric rehabilitation based on CGA and CPET The inpatient phase will last 3-5 days and will include: * Implementation of the comprehensive personalized management program * Issuance of recommendations for continuing the program at the outpatient stage Patients will be randomized into active follow-up and passive follow-up groups based on the number of scheduled telephone contacts using a specially designed structured questionnaire. Active follow-up group: short version of the telephone contact every 1 month during the first three months, with the full version at 3 months. Passive follow-up group: full version of the telephone contact at 3 months. The total duration of the outpatient follow-up phase will be 6 months. Final visit will be performed at the end of rehabilitation program. It will include: * The CGA and CPET * The evaluation of the results of 6 months geriatric rehabilitation program * The recommendations on a long-term geriatric rehabilitation