Ľubomír Skladaný, Silvia Kassová, Juraj Šváč
Frailty syndrome as a state of increased vulnerability resulting from decline of biologic reserve of the organism was
described in geriatrics for the first time. It is characterised by the risk of dramatic deterioration of somatic and mental
status after minimal impairment of usual balance. Frailty may not be noticeable at the first sight. The importance
of this concept for internal medicine is, that this syndrome untill then undetected, often uncovers its real nature on
the basis of internal department after admission for banal disease, whereby the serious consequences take place:
long-term up to permanent decrease of performance status of so-far self sufficient person, increased risk of death,
prolongation of hospitalization, rehospitalizations, increased cost of healthcare, complaints and litigations. The aim
of identification of frail patients on hospital admission is in holistic personalized approach to the patient, in communication
with patient and his relatives, in communication with the hospital management, with social and ambulance
care. The aim of working group engaging in frailty syndrome in our clinic is to apply the concept of frailty syndrome
from Geriatrics to real practice in Internal medicine.