ASSESSING AND MANAGING FRAILTY IN ADVANCED HEART FAILURE: AN INTERNATIONAL SOCIETY FOR HEART AND LUNG TRANSPLANTATION CONSENSUS STATEMENT

被引:20
作者
Denfeld, Quin E. [1 ,29 ]
Jha, Sunita R. [2 ]
Fung, Erik [3 ,4 ,5 ,6 ]
Jaarsma, Tiny [7 ,8 ]
Maurer, Mathew S. [9 ]
Reeves, Gordon R. [10 ]
Afilalo, Jonathan [11 ,12 ]
Beerli, Nadine [13 ]
Bellumkonda, Lavanya [14 ]
De Geest, Sabina [13 ,15 ]
Gorodeski, Eiran Z. [16 ,17 ]
Joyce, Emer [18 ,19 ]
Kobashigawa, Jon [20 ]
Mauthner, Oliver [13 ]
Mcdonagh, Julee [21 ,22 ]
Uchmanowicz, Izabella [23 ]
Dickson, Victoria Vaughan [24 ]
Lindenfeld, Joann [25 ]
Macdonald, Peter [26 ,27 ,28 ]
机构
[1] Oregon Hlth & Sci Univ, Sch Nursing, Portland, OR USA
[2] Oregon Hlth & Sci Univ, Knight Cardiovasc Inst, Portland, OR USA
[3] Univ Notre Dame, Sch Med, Sydney, NSW, Australia
[4] Chinese Univ Hong Kong, Fac Med, Gerald Choa Cardiac Res Ctr, Dept Med & Therapeut, Hong Kong, Peoples R China
[5] Prince Wales Hosp, Li Ka Shing Inst Hlth Sci, Lab Heart Failure & Circulat Res, Hong Kong, Peoples R China
[6] Shenzhen Univ, Hlth Sci Ctr, Sch Med, Dept Pharm, Shenzhen, Guangdong, Peoples R China
[7] Linkoping Univ, Dept Med Hlth & Caring Sci, Linkoping, Sweden
[8] Univ Med Ctr Utrecht, Julius Ctr, Dept Nursing Sci, NL-3508 GA Utrecht, Netherlands
[9] Columbia Univ, Irving Med Ctr, New York, NY USA
[10] Wake Forest Univ, Sch Med, Sect Cardiovasc Med, Winston Salem, NC 27101 USA
[11] McGill Univ, Jewish Gen Hosp, Div Cardiol, Montreal, PQ, Canada
[12] McGill Univ, Montreal, PQ, Canada
[13] Univ Basel, Dept Publ Hlth, Nursing Sci, Basel, Switzerland
[14] Yale Sch Med, Dept Med, Sect Cardiovasc Med, New Haven, CT USA
[15] Acad Ctr Nursing & Midwifery, Dept Publ Hlth & Primary Care, Leuven, Belgium
[16] Univ Hosp Cleveland Med Ctr, Harrington Heart & Vasc Inst, Cleveland, OH USA
[17] Case Western Reserve Univ, Sch Med, Cleveland Hts, OH USA
[18] Mater Misericordiae Univ Hosp, Dept Cardiol, Dublin, Ireland
[19] Univ Coll Dublin, Sch Med, Dublin, Ireland
[20] Cedars Sinai Med Ctr, Los Angeles, CA USA
[21] Univ Wollongong, Fac Sci Med & Hlth, Sch Nursing, Wollongong, NSW, Australia
[22] Blacktown Hosp, Ctr Chron & Complex Care Res, Western Sydney Local Hlth Dist, Blacktown, NSW, Australia
[23] Wroclaw Med Univ, Fac Hlth Sci, Dept Clin Nursing, Wroclaw, Poland
[24] Univ Connecticut, Sch Nursing, Storrs, CT USA
[25] Vanderbilt Heart & Vasc Inst, Nashville, TN USA
[26] St Vincents Hosp, Sydney, Australia
[27] Victor Chang Cardiac Res Inst, Sydney, NSW, Australia
[28] Univ New South Wales, Sydney, Australia
[29] Oregon Hlth & Sci Univ, Sch Nursing, Mail Code SN-ORD,3455 SW US Vet Hosp Rd, Portland, OR 97239 USA
基金
美国国家卫生研究院;
关键词
heart failure; mechanical circulatory support; heart transplantation; frailty; VENTRICULAR ASSIST DEVICE; QUALITY-OF-LIFE; OLDER-ADULTS; ELDERLY-PATIENTS; CARDIOVASCULAR-DISEASE; DESTINATION THERAPY; DIABETES-MELLITUS; RATE-VARIABILITY; SELF-CARE; NUTRITIONAL INTERVENTION;
D O I
10.1016/j.healun.2023.09.013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Frailty is increasingly recognized as a salient condition in patients with heart failure (HF) as previous studies have determined that frailty is highly prevalent and prognostically significant, particularly in those with advanced HF. Definitions of frailty have included a variety of domains, including physical performance, sarcopenia, disability, comorbidity, and cognitive and psychological impairments, many of which are common in advanced HF. Multiple groups have recently recommended incorporating frailty assessments into clinical practice and research studies, indicating the need to standardize the definition and measurement of frailty in advanced HF. Therefore, the purpose of this consensus statement is to provide an integrated perspective on the definition of frailty in advanced HF and to generate a consensus on how to assess and manage frailty. We convened a group of HF clinicians and researchers who have expertise in frailty and related geriatric conditions in HF, and we focused on the patient with advanced HF. Herein, we provide an overview of frailty and how it has been applied in advanced HF (including potential mechanisms), present a definition of frailty, generate suggested assessments of frailty, provide guidance to differentiate frailty and related terms, and describe the assessment and management in advanced HF, including with surgical and nonsurgical interventions. We conclude by outlining critical evidence gaps, areas for future research, and clinical implementation. J Heart Lung Transplant 2024;43:1-27 (c) 2023 International Society for Heart and Lung Transplantation. All rights reserved.
引用
收藏
页码:1 / 27
页数:27
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