Frailty and atrial fibrillation: A systematic review
Atrial fibrillation (AF) is a common cardiac arrhythmia and its prevalence increases with age. There is a significant correlation between frailty, morbidity and mortality in elderly patients with cardiovascular disease, but the relation between AF and frailty is still under debate. The aim of this s...
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Veröffentlicht in: | European journal of internal medicine 2018-10, Vol.56, p.33-38 |
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description | Atrial fibrillation (AF) is a common cardiac arrhythmia and its prevalence increases with age. There is a significant correlation between frailty, morbidity and mortality in elderly patients with cardiovascular disease, but the relation between AF and frailty is still under debate. The aim of this study is to systematically review evidence on the association between AF and frailty.
A systematic review of articles published between 02/01/2002 and 09/28/2017 according to PRISMA recommendations was carried out. PubMed, Web of Science, and Embase were searched for relevant articles. 11 studies were included; one longitudinal, 10 cross-sectional. Only 4 studies assessed the association of frailty with AF, while 7 studies were performed in a sample of participants with AF and did not provide any measure of association between these two conditions. The prevalence of frailty in AF patients ranged from 4.4%–75.4% while AF prevalence in the frail population ranged from 48.2%–75.4%. Selected studies enrolled an overall sample of 9420 participants. Among them, 2803 participants were diagnosed with AF and of these 1517 (54%) were frail and 1286 (46%) were pre-frail or robust. The four studies assessing the association of AF and frailty provided conflicting results.
Evidence suggests that frailty is common in persons with AF. More research is needed to better assess the association of these conditions and to identify the optimal therapeutic approach to AF in persons with frailty.
•Frailty recognition in the elderly can address patient-centered care pathways.•Its prevalence can be four time higher among patients with atrial fibrillation(AF).•Its assessment may influence the way oral anticoagulation is prescribed.•Its presence is an important prognostic indicator among patients with AF.•Its recognition is mandatory to provide the best treatment among AF patients. |
doi_str_mv | 10.1016/j.ejim.2018.04.018 |
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A systematic review of articles published between 02/01/2002 and 09/28/2017 according to PRISMA recommendations was carried out. PubMed, Web of Science, and Embase were searched for relevant articles. 11 studies were included; one longitudinal, 10 cross-sectional. Only 4 studies assessed the association of frailty with AF, while 7 studies were performed in a sample of participants with AF and did not provide any measure of association between these two conditions. The prevalence of frailty in AF patients ranged from 4.4%–75.4% while AF prevalence in the frail population ranged from 48.2%–75.4%. Selected studies enrolled an overall sample of 9420 participants. Among them, 2803 participants were diagnosed with AF and of these 1517 (54%) were frail and 1286 (46%) were pre-frail or robust. The four studies assessing the association of AF and frailty provided conflicting results.
Evidence suggests that frailty is common in persons with AF. More research is needed to better assess the association of these conditions and to identify the optimal therapeutic approach to AF in persons with frailty.
•Frailty recognition in the elderly can address patient-centered care pathways.•Its prevalence can be four time higher among patients with atrial fibrillation(AF).•Its assessment may influence the way oral anticoagulation is prescribed.•Its presence is an important prognostic indicator among patients with AF.•Its recognition is mandatory to provide the best treatment among AF patients.</description><identifier>ISSN: 0953-6205</identifier><identifier>ISSN: 1879-0828</identifier><identifier>EISSN: 1879-0828</identifier><identifier>DOI: 10.1016/j.ejim.2018.04.018</identifier><identifier>PMID: 29936074</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Aged ; Atrial fibrillation ; Atrial Fibrillation - complications ; Atrial Fibrillation - epidemiology ; Elderly ; Frail Elderly ; Frailty ; Frailty - epidemiology ; Humans ; Prevalence</subject><ispartof>European journal of internal medicine, 2018-10, Vol.56, p.33-38</ispartof><rights>2018 European Federation of Internal Medicine</rights><rights>Copyright © 2018 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-f3396a435ee6e9922890b7c9966b23650840459609add32df466458d0624ff1f3</citedby><cites>FETCH-LOGICAL-c497t-f3396a435ee6e9922890b7c9966b23650840459609add32df466458d0624ff1f3</cites><orcidid>0000-0003-3400-4491 ; 0000-0001-8813-2419</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0953620518301729$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29936074$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-162028$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:139268584$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Villani, Emanuele R.</creatorcontrib><creatorcontrib>Tummolo, Anita M.</creatorcontrib><creatorcontrib>Palmer, Katie</creatorcontrib><creatorcontrib>Gravina, Ester Manes</creatorcontrib><creatorcontrib>Vetrano, Davide L.</creatorcontrib><creatorcontrib>Bernabei, Roberto</creatorcontrib><creatorcontrib>Onder, Graziano</creatorcontrib><creatorcontrib>Acampora, Nicola</creatorcontrib><title>Frailty and atrial fibrillation: A systematic review</title><title>European journal of internal medicine</title><addtitle>Eur J Intern Med</addtitle><description>Atrial fibrillation (AF) is a common cardiac arrhythmia and its prevalence increases with age. There is a significant correlation between frailty, morbidity and mortality in elderly patients with cardiovascular disease, but the relation between AF and frailty is still under debate. The aim of this study is to systematically review evidence on the association between AF and frailty.
A systematic review of articles published between 02/01/2002 and 09/28/2017 according to PRISMA recommendations was carried out. PubMed, Web of Science, and Embase were searched for relevant articles. 11 studies were included; one longitudinal, 10 cross-sectional. Only 4 studies assessed the association of frailty with AF, while 7 studies were performed in a sample of participants with AF and did not provide any measure of association between these two conditions. The prevalence of frailty in AF patients ranged from 4.4%–75.4% while AF prevalence in the frail population ranged from 48.2%–75.4%. Selected studies enrolled an overall sample of 9420 participants. Among them, 2803 participants were diagnosed with AF and of these 1517 (54%) were frail and 1286 (46%) were pre-frail or robust. The four studies assessing the association of AF and frailty provided conflicting results.
Evidence suggests that frailty is common in persons with AF. More research is needed to better assess the association of these conditions and to identify the optimal therapeutic approach to AF in persons with frailty.
•Frailty recognition in the elderly can address patient-centered care pathways.•Its prevalence can be four time higher among patients with atrial fibrillation(AF).•Its assessment may influence the way oral anticoagulation is prescribed.•Its presence is an important prognostic indicator among patients with AF.•Its recognition is mandatory to provide the best treatment among AF patients.</description><subject>Aged</subject><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - complications</subject><subject>Atrial Fibrillation - epidemiology</subject><subject>Elderly</subject><subject>Frail Elderly</subject><subject>Frailty</subject><subject>Frailty - epidemiology</subject><subject>Humans</subject><subject>Prevalence</subject><issn>0953-6205</issn><issn>1879-0828</issn><issn>1879-0828</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtv2zAQhImgReOk_QM5BDr2EKnLhyiy6MXIGwjQS9PrgpJWBV3Jckgpgf99aNjJrT3NLvHtAJxh7IxDwYHrb6uCVn4oBHBTgCqSHLEFN5XNwQjzgS3AljLXAspjdhLjCoBXAPITOxbWSg2VWjB1E5zvp23m1m3mpuBdn3W-Dr7v3eTH9fdsmcVtnGhIa5MFevb08pl97Fwf6ctBT9njzfWvy7v84eft_eXyIW-Uraa8k9Jqp2RJpMlaIYyFumqs1boWUpdgFKjSarCubaVoO6W1Kk0LWqiu4508ZfneN77QZq5xE_zgwhZH5_Hw9DdNhMpUStrEX_yTv_K_lziGPxhn5CkTYRL-dY9vwvg0U5xw8LGh9PM1jXPEFJwFxUGJhIo92oQxxkDduzcH3JWBK9yVgbsyEBQmSUfnB_-5Hqh9P3lLPwE_9gClEFOwAWPjad1Q6wM1E7aj_5__K-OLmVc</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Villani, Emanuele R.</creator><creator>Tummolo, Anita M.</creator><creator>Palmer, Katie</creator><creator>Gravina, Ester Manes</creator><creator>Vetrano, Davide L.</creator><creator>Bernabei, Roberto</creator><creator>Onder, Graziano</creator><creator>Acampora, Nicola</creator><general>Elsevier B.V</general><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><scope>ADTPV</scope><scope>AOWAS</scope><scope>DG7</scope><orcidid>https://orcid.org/0000-0003-3400-4491</orcidid><orcidid>https://orcid.org/0000-0001-8813-2419</orcidid></search><sort><creationdate>20181001</creationdate><title>Frailty and atrial fibrillation: A systematic review</title><author>Villani, Emanuele R. ; Tummolo, Anita M. ; Palmer, Katie ; Gravina, Ester Manes ; Vetrano, Davide L. ; Bernabei, Roberto ; Onder, Graziano ; Acampora, Nicola</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-f3396a435ee6e9922890b7c9966b23650840459609add32df466458d0624ff1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Atrial fibrillation</topic><topic>Atrial Fibrillation - complications</topic><topic>Atrial Fibrillation - epidemiology</topic><topic>Elderly</topic><topic>Frail Elderly</topic><topic>Frailty</topic><topic>Frailty - epidemiology</topic><topic>Humans</topic><topic>Prevalence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Villani, Emanuele R.</creatorcontrib><creatorcontrib>Tummolo, Anita M.</creatorcontrib><creatorcontrib>Palmer, Katie</creatorcontrib><creatorcontrib>Gravina, Ester Manes</creatorcontrib><creatorcontrib>Vetrano, Davide L.</creatorcontrib><creatorcontrib>Bernabei, Roberto</creatorcontrib><creatorcontrib>Onder, Graziano</creatorcontrib><creatorcontrib>Acampora, Nicola</creatorcontrib><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><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Stockholms universitet</collection><jtitle>European journal of internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Villani, Emanuele R.</au><au>Tummolo, Anita M.</au><au>Palmer, Katie</au><au>Gravina, Ester Manes</au><au>Vetrano, Davide L.</au><au>Bernabei, Roberto</au><au>Onder, Graziano</au><au>Acampora, Nicola</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frailty and atrial fibrillation: A systematic review</atitle><jtitle>European journal of internal medicine</jtitle><addtitle>Eur J Intern Med</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>56</volume><spage>33</spage><epage>38</epage><pages>33-38</pages><issn>0953-6205</issn><issn>1879-0828</issn><eissn>1879-0828</eissn><abstract>Atrial fibrillation (AF) is a common cardiac arrhythmia and its prevalence increases with age. There is a significant correlation between frailty, morbidity and mortality in elderly patients with cardiovascular disease, but the relation between AF and frailty is still under debate. The aim of this study is to systematically review evidence on the association between AF and frailty.
A systematic review of articles published between 02/01/2002 and 09/28/2017 according to PRISMA recommendations was carried out. PubMed, Web of Science, and Embase were searched for relevant articles. 11 studies were included; one longitudinal, 10 cross-sectional. Only 4 studies assessed the association of frailty with AF, while 7 studies were performed in a sample of participants with AF and did not provide any measure of association between these two conditions. The prevalence of frailty in AF patients ranged from 4.4%–75.4% while AF prevalence in the frail population ranged from 48.2%–75.4%. Selected studies enrolled an overall sample of 9420 participants. Among them, 2803 participants were diagnosed with AF and of these 1517 (54%) were frail and 1286 (46%) were pre-frail or robust. The four studies assessing the association of AF and frailty provided conflicting results.
Evidence suggests that frailty is common in persons with AF. More research is needed to better assess the association of these conditions and to identify the optimal therapeutic approach to AF in persons with frailty.
•Frailty recognition in the elderly can address patient-centered care pathways.•Its prevalence can be four time higher among patients with atrial fibrillation(AF).•Its assessment may influence the way oral anticoagulation is prescribed.•Its presence is an important prognostic indicator among patients with AF.•Its recognition is mandatory to provide the best treatment among AF patients.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>29936074</pmid><doi>10.1016/j.ejim.2018.04.018</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-3400-4491</orcidid><orcidid>https://orcid.org/0000-0001-8813-2419</orcidid></addata></record> |
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subjects | Aged Atrial fibrillation Atrial Fibrillation - complications Atrial Fibrillation - epidemiology Elderly Frail Elderly Frailty Frailty - epidemiology Humans Prevalence |
title | Frailty and atrial fibrillation: A systematic review |
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