PMID- 35429019
OWN - NLM
STAT- MEDLINE
DCOM- 20220913
LR  - 20220913
IS  - 1365-2648 (Electronic)
IS  - 0309-2402 (Linking)
VI  - 78
IP  - 10
DP  - 2022 Oct
TI  - Prevalence and factors associated with pre-frailty and frailty among Korean older 
      adults with heart failure.
PG  - 3235-3246
LID - 10.1111/jan.15248 [doi]
AB  - AIM: To describe the prevalence and associated factors of pre-frailty and frailty 
      in older patients with heart failure. DESIGN: Secondary analysis of data 
      collected across two cross-sectional surveys on self-care behaviours of patients 
      with heart failure. METHODS: We analysed the data of patients with heart failure 
      who were 60 years or older (n = 407) in cardiovascular outpatient clinics at two 
      tertiary medical centres in South Korea between 2018 and 2019. Frailty was 
      evaluated using the Korean version of the 5-item fatigue, resistance, ambulation, 
      illnesses and loss of weight (FRAIL) scale. Frailty status was categorized as 
      robust, pre-frail and frail. Multivariate multinomial logistic regression was 
      used to examine the associations between sociodemographic, clinical 
      characteristics and frailty status. RESULTS: In our sample, the prevalence of 
      pre-frailty and frailty was 45.6% and 28.3% respectively. Patients aged 80 years 
      or older had a higher prevalence of pre-frailty and frailty than those younger 
      than 80 years. Advanced age and the worst category in the New York Heart 
      Association (NYHA) functional classification were significantly associated with 
      the risk of pre-frailty and frailty. Additionally, having more comorbid 
      conditions was associated with an increased risk of frailty. CONCLUSION: Our 
      study identified advanced age, the NYHA functional classification, and the number 
      of comorbidities as the major characteristics associated with the risk of frailty 
      in older patients with heart failure. IMPACT: The findings of this study 
      highlight the prevalence and associated characteristics of pre-frailty and 
      frailty in older adults with heart failure in South Korea. Most older adults with 
      heart failure were either pre-frail or frail. Advanced age, the NYHA functional 
      classification, and the number of comorbidities were the major characteristics 
      associated with frailty risk. Our findings highlight the importance of 
      incorporating frailty screening into routine assessments in older patients with 
      heart failure.
CI  - (c) 2022 John Wiley & Sons Ltd.
FAU - Son, Youn-Jung
AU  - Son YJ
AUID- ORCID: 0000-0002-0961-9606
AD  - Red Cross College of Nursing, Chung-Ang University, Dongjak-gu, Seoul, South 
      Korea.
FAU - Kim, Sang-Wook
AU  - Kim SW
AD  - Division of Cardiology, Chung-Ang University Gwang-Myeong Hospital, Chung-Ang 
      University College of Medicine, Gwangmyeong-si, South Korea.
FAU - Lee, Wang-Soo
AU  - Lee WS
AD  - Division of Cardiology, Chung-Ang University Hospital, Chung-Ang University 
      College of Medicine, Dongjak-gu, Seoul, South Korea.
FAU - Shin, Seung Yong
AU  - Shin SY
AD  - Division of Cardiology, Chung-Ang University Hospital, Chung-Ang University 
      College of Medicine, Dongjak-gu, Seoul, South Korea.
FAU - Won, Hoyoun
AU  - Won H
AD  - Division of Cardiology, Chung-Ang University Hospital, Chung-Ang University 
      College of Medicine, Dongjak-gu, Seoul, South Korea.
FAU - Cho, Jun Hwan
AU  - Cho JH
AD  - Division of Cardiology, Chung-Ang University Gwang-Myeong Hospital, Chung-Ang 
      University College of Medicine, Gwangmyeong-si, South Korea.
FAU - Kim, Hyue Mee
AU  - Kim HM
AD  - Division of Cardiology, Chung-Ang University Hospital, Chung-Ang University 
      College of Medicine, Dongjak-gu, Seoul, South Korea.
FAU - Hong, Joonhwa
AU  - Hong J
AD  - Department of Thoracic and Cardiovascular Surgery, Chung-Ang University Hospital, 
      Chung-Ang University College of Medicine, Dongjak-gu, Seoul, South Korea.
FAU - Choi, JiYeon
AU  - Choi J
AUID- ORCID: 0000-0003-1947-7952
AD  - Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, 
      Seodaemun-gu, Seoul, South Korea.
LA  - eng
GR  - 2021R1A2C2004406/National Research Foundation of Korea/
GR  - 2020R1A6A1A03041989/National Research Foundation of Korea/
PT  - Journal Article
DEP - 20220415
PL  - England
TA  - J Adv Nurs
JT  - Journal of advanced nursing
JID - 7609811
SB  - IM
MH  - Aged
MH  - Cross-Sectional Studies
MH  - Frail Elderly
MH  - *Frailty/epidemiology
MH  - Geriatric Assessment
MH  - *Heart Failure/epidemiology
MH  - Humans
MH  - Prevalence
MH  - Republic of Korea/epidemiology
OTO - NOTNLM
OT  - frailty
OT  - heart failure
OT  - older adults
OT  - prevalence
OT  - risk factors
OT  - self-report
EDAT- 2022/04/17 06:00
MHDA- 2022/09/14 06:00
CRDT- 2022/04/16 05:29
PHST- 2022/01/24 00:00 [revised]
PHST- 2021/09/24 00:00 [received]
PHST- 2022/03/17 00:00 [accepted]
PHST- 2022/04/17 06:00 [pubmed]
PHST- 2022/09/14 06:00 [medline]
PHST- 2022/04/16 05:29 [entrez]
AID - 10.1111/jan.15248 [doi]
PST - ppublish
SO  - J Adv Nurs. 2022 Oct;78(10):3235-3246. doi: 10.1111/jan.15248. Epub 2022 Apr 15.