Journal article
Comparison of six frailty instruments in adults with heart failure: a prospective cohort pilot study
European Journal of Cardiovascular Nursing, Vol.22(4), pp.345-354
2023
PMID: 36289051
Abstract
Aim: To compare the frailty prevalence and predictive performance of six frailty instruments in adults with heart failure and determine 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 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 rehospitalisation and mortality at 12 monthsOne 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 rehospitalisation and or mortality, yet these results were non significant. The six frailty instrument models displayed sensitivity between 88 to 92% and C statistic values of 0.71 to 0.73, suggesting satisfactory discrimination. Conclusions: 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.
Details
- Title
- Comparison of six frailty instruments in adults with heart failure: a prospective cohort pilot study
- Authors
- Julee McDonagh (Corresponding Author) - University of Newcastle AustraliaCaleb Ferguson (Author) - University of WollongongRoslyn Prichard (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacySungwon Chang (Author) - University of Technology SydneyJane L Philips (Author) - Queensland University of TechnologyPatricia M Davidson (Author) - University of WollongongPhillip J Newton (Author) - University of Newcastle AustraliaPeter S Macdonald (Author) - St Vincent's Hospital Sydney
- Publication details
- European Journal of Cardiovascular Nursing, Vol.22(4), pp.345-354
- Publisher
- Oxford University Press
- Date published
- 2023
- DOI
- 10.1093/eurjcn/zvac100
- ISSN
- 1873-1953
- PMID
- 36289051
- Copyright note
- © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
- Grant note
- NHMRC Emerging Leader fellowship (2020 – 2025).
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99682998202621
- Output Type
- Journal article
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- Domestic collaboration
- Web Of Science research areas
- Cardiac & Cardiovascular Systems
- Nursing
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