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Frailty assessment instruments in heart failure: A systematic review
Julee McDonagh1, Lily Martin1, Caleb Ferguson1
11 Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology, Sydney, Australia.
European Journal of Cardiovascular Nursing
|May 5, 2017
Summary
Frailty assessment in heart failure lacks consensus. The Frailty Phenotype is most used, but no instrument is validated for heart failure patients, highlighting a critical research gap.
Area of Science:
- Gerontology
- Cardiology
- Clinical Medicine
Background:
- Frailty is a significant predictor of mortality in various conditions.
- Prevalence of frailty in heart failure patients varies widely (15%-74%).
- Lack of a standardized frailty assessment tool for heart failure complicates clinical practice.
Purpose of the Study:
- To systematically review frailty assessment methods in heart failure.
- To identify commonly used frailty instruments in heart failure research.
- To determine which frailty domains are most frequently evaluated.
Main Methods:
- Comprehensive literature search of major electronic databases (MEDLINE, COCHRANE Central, CINAHL).
- Inclusion of studies utilizing formal frailty instruments in heart failure populations.
- Analysis of identified studies to determine instrument usage and assessed frailty domains.
Main Results:
- Twenty studies (24 articles) were analyzed, identifying seven unique frailty instruments.
- The Frailty Phenotype was the most frequently used instrument (11 studies), often in modified forms (8 studies).
- Comprehensive Geriatric Assessment was the second most common instrument (4 studies).
Conclusions:
- Growing interest exists in frailty assessment within cardiology.
- Currently, no frailty instrument is specifically validated for the heart failure population.
- Further research is needed to establish a validated frailty assessment tool for heart failure.
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