Background sarcopenia and frailty are associated with increased risk of falls and fractures. This study evaluated the feasibility of assessing sarcopenia and frailty among older people attending fracture clinics. Methods patients aged 65+ years with an arm fracture attending fracture clinics in one UK city were recruited. Sarcopenia was assessed using gait speed, grip strength, skeletal muscle mass index SMI, SARC-F questionnaire and the European Working Group on Sarcopenia in Older People (EWGSOP) I and II criteria. Frailty was assessed using Fried Frailty Phenotype (FFP), FRAIL scale, PRISMA-7, electronic Frailty Index (e-FI), Clinical Frailty Score (CFS) and Study of Osteoporotic Fracture. The sensitivity and specificity of each tool was calculated against the EWGSOP II criteria (sarcopenia) and FFP (frailty). Patients identified to have either condition were referred for Comprehensive Geriatric Assessment (CGA). Interviews with 13 patients and nine staff explored the acceptability of this process. Results hundred patients (Mean age 75 years) were recruited. Most sarcopenia and frailty assessments were quick with complete data collection and were acceptable to patients and staff. Sarcopenia was identified among 4–39% participants depending on the tool and frailty among 9–25%. Both conditions were more common among men than women with all tools. The SARC-F and PRISMA-7 had the best sensitivity (100 and 93%, respectively) and specificity (96 and 87%). CGA among 80% of referred participants led to three interventions per participant (e.g. medication changes and investigations). Conclusion SARC-F and PRISMA-7 are recommended for use in fracture clinics to screen for sarcopenia and frailty.

中文翻译：

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上肢骨折老年人肌肉减少症和虚弱评估和管理的可行性和可接受性

背景 肌肉减少症和虚弱与跌倒和骨折风险增加有关。本研究评估了在骨折诊所就诊的老年人中评估肌肉减少症和虚弱的可行性。方法 招募了在英国一个城市的骨折诊所就诊的 65 岁以上的手臂骨折患者。使用步态速度、握力、骨骼肌质量指数 SMI、SARC-F 问卷和欧洲老年人肌肉减少症工作组 (EWGSOP) I 和 II 标准评估肌肉减少症。使用油炸衰弱表型 (FFP)、FRAIL 量表、PRISMA-7、电子衰弱指数 (e-FI)、临床衰弱评分 (CFS) 和骨质疏松性骨折研究评估衰弱。根据 EWGSOP II 标准（肌肉减少症）和 FFP（虚弱）计算每种工具的敏感性和特异性。确定患有任何一种疾病的患者都被转诊进行综合老年评估（CGA）。对 13 名患者和 9 名工作人员的采访探讨了这一过程的可接受性。结果 招募了一百名患者（平均年龄 75 岁）。大多数肌肉减少症和虚弱评估都可以快速完成数据收集，并且患者和工作人员可以接受。根据工具和 9-25% 的身体虚弱，4-39% 的参与者发现肌肉减少症。这两种情况在男性中比使用所有工具的女性更常见。SARC-F 和 PRISMA-7 具有最好的灵敏度（分别为 100% 和 93%）和特异性（96% 和 87%）。80% 的转介参与者中的 CGA 导致每位参与者进行了三项干预措施（例如药物更换和调查）。