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Establishing a clinically applicable frailty phenotype screening tool for aging dogs
Katharine J Russell1, Alejandra Mondino1, Gilad Fefer1
1Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States.
Frontiers in Veterinary Science
|October 11, 2024
Summary
A new frailty screening tool accurately predicts short-term mortality in older dogs. This validated canine frailty phenotype aids early risk identification and clinical decision-making for veterinarians.
Area of Science:
- Gerontology
- Veterinary Medicine
- Canine Health
Background:
- Frailty is a clinical syndrome of accumulating impairments leading to increased vulnerability.
- Dogs share similarities with humans in aging and age-related diseases, making them valuable models for frailty research.
Purpose of the Study:
- To develop and validate a simple frailty phenotype screening tool for dogs.
- To assess the tool's predictive value for short-term mortality in a diverse canine population.
Main Methods:
- Phase 1: Retrospective analysis of 51 dogs to identify frailty measures across five domains.
- Development of a frailty phenotype using examination findings and owner-reported data.
- Phase 2: Prospective evaluation of the phenotype in 198 dogs (≥9 years old) across various veterinary services.
Main Results:
- The frailty phenotype independently predicted short-term (6-month) all-cause mortality (hazard ratio = 4.71).
- Purebred dogs showed higher mortality risk (1.85 times) compared to mixed breeds; age, sex, and weight were not significant predictors.
- The tool demonstrated consistent performance across different hospital services.
Conclusions:
- The developed frailty phenotype is a valuable clinical screening tool for early risk identification and intervention in dogs.
- This tool can assist owners and veterinarians in clinical decision-making and promote further frailty research in canines.

