Julee McDonagh1, Lily Martin1, Caleb Ferguson1, Sunita R Jha1, Peter S Macdonald2,3, Patricia M Davidson4, Phillip J Newton1. 1. 1 Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology, Sydney, Australia. 2. 2 Heart and Lung Transplant Clinic, St Vincent's Hospital, Sydney, Australia. 3. 3 Victor Chang Cardiac Research Institute, Sydney, Australia. 4. 4 Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, USA.
Abstract
BACKGROUND: Frailty is an independent predictor of mortality across many conditions. Reported rates of frailty in heart failure range from 15% to 74%. There are several instruments available to assess frailty; however, to date there has been no consensus on the most appropriate instrument for use in individuals with heart failure. AIMS: To identify how frailty is assessed in individuals with heart failure and to elucidate which domains of frailty are most frequently assessed. METHODS: Key electronic databases were searched (MEDLINE, COCHRANE Central and CINAHL) to identify studies that assessed frailty in individuals with heart failure using a formal frailty instrument. RESULTS: Twenty studies published in 24 articles were included, for which a total of seven unique frailty instruments were identified. The most commonly used instrument was the Frailty Phenotype ( n= 11), with the majority of studies using a modified version of the Frailty Phenotype ( n= 8). The second most commonly used instrument identified was the Comprehensive Geriatric Assessment ( n= 4). CONCLUSION: There is an increasing interest in the assessment of frailty, but, to date, there is no frailty instrument validated specifically in the heart failure population.
BACKGROUND: Frailty is an independent predictor of mortality across many conditions. Reported rates of frailty in heart failure range from 15% to 74%. There are several instruments available to assess frailty; however, to date there has been no consensus on the most appropriate instrument for use in individuals with heart failure. AIMS: To identify how frailty is assessed in individuals with heart failure and to elucidate which domains of frailty are most frequently assessed. METHODS: Key electronic databases were searched (MEDLINE, COCHRANE Central and CINAHL) to identify studies that assessed frailty in individuals with heart failure using a formal frailty instrument. RESULTS: Twenty studies published in 24 articles were included, for which a total of seven unique frailty instruments were identified. The most commonly used instrument was the Frailty Phenotype ( n= 11), with the majority of studies using a modified version of the Frailty Phenotype ( n= 8). The second most commonly used instrument identified was the Comprehensive Geriatric Assessment ( n= 4). CONCLUSION: There is an increasing interest in the assessment of frailty, but, to date, there is no frailty instrument validated specifically in the heart failure population.
Authors: Xiaobo Yang; Josep Lupón; Maria T Vidán; Caleb Ferguson; Paloma Gastelurrutia; Phillip J Newton; Peter S Macdonald; Héctor Bueno; Antoni Bayés-Genís; Jean Woo; Erik Fung Journal: J Am Heart Assoc Date: 2018-12-04 Impact factor: 5.501
Authors: Paloma Gastelurrutia; Josep Lupón; Pedro Moliner; Xiaobo Yang; German Cediel; Marta de Antonio; Mar Domingo; Salvador Altimir; Beatriz González; Margarita Rodríguez; Carmen Rivas; Violeta Díaz; Erik Fung; Elisabet Zamora; Javier Santesmases; Julio Núñez; Jean Woo; Antoni Bayes-Genis Journal: Mayo Clin Proc Innov Qual Outcomes Date: 2018-04-19