Comparison of six frailty instruments in adults with heart failure: a prospective cohort pilot study
Abstract Aims To compare the frailty prevalence and predictive performance of six frailty instruments in adults with heart failure and determine the feasibility of study methods. Methods and results Prospective cohort pilot study. Adults aged 18 years or older with a confirmed diagnosis of heart fai...
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| Veröffentlicht in: | European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 2023-05, Vol.22 (4), p.345-354 |
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| container_title | European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology |
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| creator | McDonagh, Julee Ferguson, Caleb Prichard, Roslyn Chang, Sungwon Philips, Jane L Davidson, Patricia M Newton, Phillip J Macdonald, Peter S |
| description | Abstract
Aims
To compare the frailty prevalence and predictive performance of six frailty instruments in adults with heart failure and determine the feasibility of study methods.
Methods and results
Prospective cohort pilot study. Adults aged 18 years or older with a confirmed diagnosis of heart failure in Sydney, New South Wales, Australia. The Frailty Phenotype; the Survey of Health, Ageing, and Retirement in Europe Frailty Instrument (SHARE-FI); St Vincent’s Frailty instrument; St Vincent’s Frailty instrument plus cognition and mood; The Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight (FRAIL) scale; and the Deficit Accumulation Index (DAI) were compared. Multiple logistic regression was used to develop six frailty instrument models to evaluate the association between each frailty instrument and composite all-cause rehospitalization and mortality at 12 months. One hundred and thirty-one patients were included with a mean age of 54 [± 14(SD)]. Frailty prevalence ranged from 33 to 81%. All instruments except one (the FRAIL scale) appeared to signal an increased odds of rehospitalization and/or mortality, yet these results were non-significant. The six frailty instrument models displayed sensitivity between 88–92% and C-statistic values of 0.71–0.73, suggesting satisfactory discrimination.
Conclusion
The prevalence of frailty varied across six frailty instruments yet was in the higher range despite a ‘younger’ heart failure cohort. Further research is required to confirm the psychometric properties of these instruments for routine clinical use in an adequately powered and more diverse heart failure cohort.
Graphical Abstract
Graphical Abstract |
| doi_str_mv | 10.1093/eurjcn/zvac100 |
| format | Article |
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Aims
To compare the frailty prevalence and predictive performance of six frailty instruments in adults with heart failure and determine the feasibility of study methods.
Methods and results
Prospective cohort pilot study. Adults aged 18 years or older with a confirmed diagnosis of heart failure in Sydney, New South Wales, Australia. The Frailty Phenotype; the Survey of Health, Ageing, and Retirement in Europe Frailty Instrument (SHARE-FI); St Vincent’s Frailty instrument; St Vincent’s Frailty instrument plus cognition and mood; The Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight (FRAIL) scale; and the Deficit Accumulation Index (DAI) were compared. Multiple logistic regression was used to develop six frailty instrument models to evaluate the association between each frailty instrument and composite all-cause rehospitalization and mortality at 12 months. One hundred and thirty-one patients were included with a mean age of 54 [± 14(SD)]. Frailty prevalence ranged from 33 to 81%. All instruments except one (the FRAIL scale) appeared to signal an increased odds of rehospitalization and/or mortality, yet these results were non-significant. The six frailty instrument models displayed sensitivity between 88–92% and C-statistic values of 0.71–0.73, suggesting satisfactory discrimination.
Conclusion
The prevalence of frailty varied across six frailty instruments yet was in the higher range despite a ‘younger’ heart failure cohort. Further research is required to confirm the psychometric properties of these instruments for routine clinical use in an adequately powered and more diverse heart failure cohort.
Graphical Abstract
Graphical Abstract</description><identifier>ISSN: 1474-5151</identifier><identifier>EISSN: 1873-1953</identifier><identifier>DOI: 10.1093/eurjcn/zvac100</identifier><identifier>PMID: 36289051</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Aged ; Frail Elderly ; Frailty - diagnosis ; Frailty - epidemiology ; Geriatric Assessment - methods ; Heart Failure ; Humans ; Pilot Projects ; Prospective Studies</subject><ispartof>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2023-05, Vol.22 (4), p.345-354</ispartof><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. 2022</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-8b8b4be7f5fd371445323647ac9a3490e0d2481e49ae18416b709d202d4f29313</citedby><cites>FETCH-LOGICAL-c369t-8b8b4be7f5fd371445323647ac9a3490e0d2481e49ae18416b709d202d4f29313</cites><orcidid>0000-0003-0723-3192 ; 0000-0003-2050-1534 ; 0000-0003-2702-9666 ; 0000-0002-5006-2037 ; 0000-0001-5378-2825 ; 0000-0001-8299-9871 ; 0000-0002-2417-2216 ; 0000-0001-8057-6605</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36289051$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McDonagh, Julee</creatorcontrib><creatorcontrib>Ferguson, Caleb</creatorcontrib><creatorcontrib>Prichard, Roslyn</creatorcontrib><creatorcontrib>Chang, Sungwon</creatorcontrib><creatorcontrib>Philips, Jane L</creatorcontrib><creatorcontrib>Davidson, Patricia M</creatorcontrib><creatorcontrib>Newton, Phillip J</creatorcontrib><creatorcontrib>Macdonald, Peter S</creatorcontrib><title>Comparison of six frailty instruments in adults with heart failure: a prospective cohort pilot study</title><title>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</title><addtitle>Eur J Cardiovasc Nurs</addtitle><description>Abstract
Aims
To compare the frailty prevalence and predictive performance of six frailty instruments in adults with heart failure and determine the feasibility of study methods.
Methods and results
Prospective cohort pilot study. Adults aged 18 years or older with a confirmed diagnosis of heart failure in Sydney, New South Wales, Australia. The Frailty Phenotype; the Survey of Health, Ageing, and Retirement in Europe Frailty Instrument (SHARE-FI); St Vincent’s Frailty instrument; St Vincent’s Frailty instrument plus cognition and mood; The Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight (FRAIL) scale; and the Deficit Accumulation Index (DAI) were compared. Multiple logistic regression was used to develop six frailty instrument models to evaluate the association between each frailty instrument and composite all-cause rehospitalization and mortality at 12 months. One hundred and thirty-one patients were included with a mean age of 54 [± 14(SD)]. Frailty prevalence ranged from 33 to 81%. All instruments except one (the FRAIL scale) appeared to signal an increased odds of rehospitalization and/or mortality, yet these results were non-significant. The six frailty instrument models displayed sensitivity between 88–92% and C-statistic values of 0.71–0.73, suggesting satisfactory discrimination.
Conclusion
The prevalence of frailty varied across six frailty instruments yet was in the higher range despite a ‘younger’ heart failure cohort. Further research is required to confirm the psychometric properties of these instruments for routine clinical use in an adequately powered and more diverse heart failure cohort.
Graphical Abstract
Graphical Abstract</description><subject>Aged</subject><subject>Frail Elderly</subject><subject>Frailty - diagnosis</subject><subject>Frailty - epidemiology</subject><subject>Geriatric Assessment - methods</subject><subject>Heart Failure</subject><subject>Humans</subject><subject>Pilot Projects</subject><subject>Prospective Studies</subject><issn>1474-5151</issn><issn>1873-1953</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><recordid>eNqFkEtLAzEUhYMotla3LiVLXUyb1zziToovKLjR9ZCZJDRlZjLmUa2_3kirWxeXe-B-93A4AFxiNMeI04WKbtMOi6-taDFCR2CKq5JmmOf0OGlWsizHOZ6AM-83COEyzSmY0IJUHOV4CuTS9qNwxtsBWg29-YTaCdOFHTSDDy72agg-aShk7JL6MGEN10q4AHXiolO3UMDRWT-qNpitgq1d23QdTWcD9CHK3Tk40aLz6uKwZ-Dt4f51-ZStXh6fl3errKUFD1nVVA1rVKlzLWmJGcspoQUrRcsFZRwpJAmrsGJcKFwxXDQl4pIgIpkmnGI6A9d73xTnPSof6t74VnWdGJSNviYl4TkhpKAJne_RNiX3Tul6dKYXbldjVP80W--brQ_Npoerg3dseiX_8N8qE3CzB2wc_zP7BtMehhE</recordid><startdate>20230525</startdate><enddate>20230525</enddate><creator>McDonagh, Julee</creator><creator>Ferguson, Caleb</creator><creator>Prichard, Roslyn</creator><creator>Chang, Sungwon</creator><creator>Philips, Jane L</creator><creator>Davidson, Patricia M</creator><creator>Newton, Phillip J</creator><creator>Macdonald, Peter S</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0723-3192</orcidid><orcidid>https://orcid.org/0000-0003-2050-1534</orcidid><orcidid>https://orcid.org/0000-0003-2702-9666</orcidid><orcidid>https://orcid.org/0000-0002-5006-2037</orcidid><orcidid>https://orcid.org/0000-0001-5378-2825</orcidid><orcidid>https://orcid.org/0000-0001-8299-9871</orcidid><orcidid>https://orcid.org/0000-0002-2417-2216</orcidid><orcidid>https://orcid.org/0000-0001-8057-6605</orcidid></search><sort><creationdate>20230525</creationdate><title>Comparison of six frailty instruments in adults with heart failure: a prospective cohort pilot study</title><author>McDonagh, Julee ; Ferguson, Caleb ; Prichard, Roslyn ; Chang, Sungwon ; Philips, Jane L ; Davidson, Patricia M ; Newton, Phillip J ; Macdonald, Peter S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-8b8b4be7f5fd371445323647ac9a3490e0d2481e49ae18416b709d202d4f29313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Frail Elderly</topic><topic>Frailty - diagnosis</topic><topic>Frailty - epidemiology</topic><topic>Geriatric Assessment - methods</topic><topic>Heart Failure</topic><topic>Humans</topic><topic>Pilot Projects</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McDonagh, Julee</creatorcontrib><creatorcontrib>Ferguson, Caleb</creatorcontrib><creatorcontrib>Prichard, Roslyn</creatorcontrib><creatorcontrib>Chang, Sungwon</creatorcontrib><creatorcontrib>Philips, Jane L</creatorcontrib><creatorcontrib>Davidson, Patricia M</creatorcontrib><creatorcontrib>Newton, Phillip J</creatorcontrib><creatorcontrib>Macdonald, Peter S</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McDonagh, Julee</au><au>Ferguson, Caleb</au><au>Prichard, Roslyn</au><au>Chang, Sungwon</au><au>Philips, Jane L</au><au>Davidson, Patricia M</au><au>Newton, Phillip J</au><au>Macdonald, Peter S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of six frailty instruments in adults with heart failure: a prospective cohort pilot study</atitle><jtitle>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</jtitle><addtitle>Eur J Cardiovasc Nurs</addtitle><date>2023-05-25</date><risdate>2023</risdate><volume>22</volume><issue>4</issue><spage>345</spage><epage>354</epage><pages>345-354</pages><issn>1474-5151</issn><eissn>1873-1953</eissn><abstract>Abstract
Aims
To compare the frailty prevalence and predictive performance of six frailty instruments in adults with heart failure and determine the feasibility of study methods.
Methods and results
Prospective cohort pilot study. Adults aged 18 years or older with a confirmed diagnosis of heart failure in Sydney, New South Wales, Australia. The Frailty Phenotype; the Survey of Health, Ageing, and Retirement in Europe Frailty Instrument (SHARE-FI); St Vincent’s Frailty instrument; St Vincent’s Frailty instrument plus cognition and mood; The Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight (FRAIL) scale; and the Deficit Accumulation Index (DAI) were compared. Multiple logistic regression was used to develop six frailty instrument models to evaluate the association between each frailty instrument and composite all-cause rehospitalization and mortality at 12 months. One hundred and thirty-one patients were included with a mean age of 54 [± 14(SD)]. Frailty prevalence ranged from 33 to 81%. All instruments except one (the FRAIL scale) appeared to signal an increased odds of rehospitalization and/or mortality, yet these results were non-significant. The six frailty instrument models displayed sensitivity between 88–92% and C-statistic values of 0.71–0.73, suggesting satisfactory discrimination.
Conclusion
The prevalence of frailty varied across six frailty instruments yet was in the higher range despite a ‘younger’ heart failure cohort. Further research is required to confirm the psychometric properties of these instruments for routine clinical use in an adequately powered and more diverse heart failure cohort.
Graphical Abstract
Graphical Abstract</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>36289051</pmid><doi>10.1093/eurjcn/zvac100</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0723-3192</orcidid><orcidid>https://orcid.org/0000-0003-2050-1534</orcidid><orcidid>https://orcid.org/0000-0003-2702-9666</orcidid><orcidid>https://orcid.org/0000-0002-5006-2037</orcidid><orcidid>https://orcid.org/0000-0001-5378-2825</orcidid><orcidid>https://orcid.org/0000-0001-8299-9871</orcidid><orcidid>https://orcid.org/0000-0002-2417-2216</orcidid><orcidid>https://orcid.org/0000-0001-8057-6605</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1474-5151 |
| ispartof | European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2023-05, Vol.22 (4), p.345-354 |
| issn | 1474-5151 1873-1953 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2729522263 |
| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Aged Frail Elderly Frailty - diagnosis Frailty - epidemiology Geriatric Assessment - methods Heart Failure Humans Pilot Projects Prospective Studies |
| title | Comparison of six frailty instruments in adults with heart failure: a prospective cohort pilot study |
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