TY - JOUR
T1 - Frailty assessment instruments in heart failure : a systematic review
AU - McDonagh, Julee
AU - Martin, Lily
AU - Ferguson, Caleb
AU - Jha, Sunita R.
AU - Macdonald, Peter S.
AU - Davidson, Patricia M.
AU - Newton, Phillip J.
PY - 2018
Y1 - 2018
N2 - 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 Fried’s Frailty Phenotype (n= 11), with the majority of studies using a modified version of the Fried 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.
AB - 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 Fried’s Frailty Phenotype (n= 11), with the majority of studies using a modified version of the Fried 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.
KW - fragility (psychology)
KW - heart failure
UR - http://handle.westernsydney.edu.au:8081/1959.7/uws:42410
U2 - 10.1177/1474515117708888
DO - 10.1177/1474515117708888
M3 - Article
SN - 1873-1953
SN - 1474-5151
VL - 17
SP - 23
EP - 35
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
IS - 1
ER -