TY - JOUR
T1 - Frailty Assessment in Heart Failure and Ventricular Assist Device Populations
T2 - A Review from the United States
AU - Schroeder, Sarah E.
AU - Pozehl, Bunny J.
AU - Alonso, Windy W.
N1 - Funding Information:
This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors. No disclosures to report in association with this manuscript for all authors involved. Kim Harp, University of Nebraska Medical Center Librarian
Publisher Copyright:
© 2021 Elsevier Inc.
PY - 2021/11/1
Y1 - 2021/11/1
N2 - Importance: Post-operative risk is increased with frail individuals undergoing cardiac surgery. Yet, there is no consensus for frailty assessment prior to durable left ventricular assist device (dLVAD) evaluation. Objective: The objectives of this integrative review were to describe frailty measures, examine psychometrics of measures used, and identify variables related to frailty in heart failure with reduced ejection fraction (HFrEF) and dLVAD populations. Design, Setting, Participants: PubMed, CINAHL, and Embase databases were searched for terms related to frailty, HFrEF and dLVAD that met inclusion criteria. Results: Fourteen articles met inclusion criteria. Frailty was inconsistently defined. The Fried Phenotype Criteria was the most widely used approach to measurement. Validity was reported in all articles. Variables related to frailty included readmissions, higher mortality and increased adverse events. Conclusion: There was variability in frailty definition and frailty measurement across studies. Further research in HFrEF and dLVAD populations is needed for frailty evaluation.
AB - Importance: Post-operative risk is increased with frail individuals undergoing cardiac surgery. Yet, there is no consensus for frailty assessment prior to durable left ventricular assist device (dLVAD) evaluation. Objective: The objectives of this integrative review were to describe frailty measures, examine psychometrics of measures used, and identify variables related to frailty in heart failure with reduced ejection fraction (HFrEF) and dLVAD populations. Design, Setting, Participants: PubMed, CINAHL, and Embase databases were searched for terms related to frailty, HFrEF and dLVAD that met inclusion criteria. Results: Fourteen articles met inclusion criteria. Frailty was inconsistently defined. The Fried Phenotype Criteria was the most widely used approach to measurement. Validity was reported in all articles. Variables related to frailty included readmissions, higher mortality and increased adverse events. Conclusion: There was variability in frailty definition and frailty measurement across studies. Further research in HFrEF and dLVAD populations is needed for frailty evaluation.
KW - Durable Left Ventricular Assist Device (dLVAD)
KW - Frailty Assessment
KW - Frailty Psychometrics
KW - Heart failure with reduced ejection fraction (HFrHF)
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U2 - 10.1016/j.hrtlng.2021.07.015
DO - 10.1016/j.hrtlng.2021.07.015
M3 - Article
C2 - 34433112
AN - SCOPUS:85113703243
VL - 50
SP - 941
EP - 952
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
SN - 0147-9563
IS - 6
ER -