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- Title
Frailty assessment instruments in heart failure: A systematic review.
- Authors
McDonagh, Julee; Martin, Lily; Ferguson, Caleb; Jha, Sunita R.; Macdonald, Peter S.; Davidson, Patricia M.; Newton, Phillip J.
- 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.
- Subjects
GERIATRIC assessment; CINAHL database; FRAIL elderly; CARDIAC patients; HEART failure; HOSPITALS; INFORMATION storage &; retrieval systems; MEDICAL databases; MEDLINE; SYSTEMATIC reviews
- Publication
European Journal of Cardiovascular Nursing, 2018, Vol 17, Issue 1, p23
- ISSN
1474-5151
- Publication type
Article
- DOI
10.1177/1474515117708888