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.
Original language | English (US) |
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Pages (from-to) | 23-35 |
Number of pages | 13 |
Journal | European Journal of Cardiovascular Nursing |
Volume | 17 |
Issue number | 1 |
DOIs | |
State | Published - Jan 1 2018 |
Keywords
- Frailty
- assessment
- heart failure
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Medical–Surgical
- Advanced and Specialized Nursing