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Published Version (Advanced Access)CC BY V4.0, Open Access
Journal article
An Expert Opinion on the Management of Frailty in Heart Failure from the Australian Cardiovascular Alliance National Taskforce
Heart, Lung and Circulation, Vol.34(7), pp.693-703
2025
PMID: 40107957
Abstract
Approximately 50% of all adults with heart failure (HF) are classified as frail. Frailty is a clinical state of 'accelerated ageing' that complicates management and results in adverse health outcomes. Despite recommendations for frailty assessment in HF guidelines, its implementation into routine clinical practice has been slow. Further, evidence to inform models of care and pharmacological treatment for individuals with HF who are classified as frail is lacking. The complexity of management underscores the importance of tailoring models of care that can improve the focus on frailty through multidisciplinary care teams. Frailty can be reduced in some cases through the comprehensive geriatric assessment model of care, integrating treatment pillars such as exercise, nutrition, social engagement and support networks, and optimised medication use. A national agenda for action on frailty in the context of HF is needed to advance policy, practice, education, and research improve health outcomes for individuals affected.
In November 2023 the Australian Cardiovascular Alliance (ACvA) facilitated a national workshop on frailty and HF with key experts. This has led to the development of a frailty and HF national taskforce with the aim to address major priorities and unmet needs. This statement is first step for the taskforce in implementing a national agenda for the management of frailty in HF. Here we outline key considerations for policy, practice, education, and research in Australia.
Details
- Title
- An Expert Opinion on the Management of Frailty in Heart Failure from the Australian Cardiovascular Alliance National Taskforce
- Authors
- Julee McDonagh (Corresponding Author) - University of WollongongCaleb Ferguson - University of WollongongSarah N. Hilmer - Northern Sydney Local Health DistrictRuth E. Hubbard - The University of QueenslandRichard I. Lindley - The George Institute for Global HealthAndrea Driscoll - Deakin UniversityAndrew Maiorana - Fiona Stanley HospitalLindsay Wu - UNSW SydneyJohn J. Atherton - Royal Brisbane and Women's HospitalBeata V. Bajorek - John Hunter HospitalBridie Carr - NSW Agency for Clinical Innovation -St Leonards, Australia (ACI)Kim Delbaere - Neuroscience Research AustraliaElsa Dent - Bond UniversityMai H. Duong - Northern Sydney Local Health DistrictLouise D. Hickman - University of WollongongIngrid Hopper - Alfred HealthQuan Huynh - Baker Heart and Diabetes InstituteSunita R. Jha - The University of Notre Dame AustraliaAnthony Keech - Royal Prince Alfred HospitalMarc Sim - Edith Cowan UniversityGursharan K. Singh - Queensland University of TechnologyAnthony Villani - University of the Sunshine Coast, Queensland, School of Health - Nutrition & DieteticsCatherine Shang - Australian Cardiovascular Alliance (Australia)Meng Hsu - Australian Cardiovascular Alliance (Australia)Jamie Vandenberg - Victor Chang Cardiac Research InstitutePatricia M. Davidson - University of WollongongPeter S. Macdonald - St Vincent's Hospital Sydney
- Publication details
- Heart, Lung and Circulation, Vol.34(7), pp.693-703
- Publisher
- Elsevier Australia
- Date published
- 2025
- DOI
- 10.1016/j.hlc.2025.01.012
- ISSN
- 1444-2892; 1443-9506
- PMID
- 40107957
- Copyright note
- (c) 2025 The Authors. Published by Elsevier B.V. on behalf of Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- Organisation Unit
- Healthy Ageing Research Cluster; School of Health - Nutrition & Dietetics
- Language
- English
- Record Identifier
- 991113850802621
- Output Type
- Journal article
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