PMID- 35887785
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230308
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 11
IP  - 14
DP  - 2022 Jul 12
TI  - Employing the Multivariate Edmonton Scale in the Assessment of Frailty Syndrome 
      in Heart Failure.
LID - 10.3390/jcm11144022 [doi]
LID - 4022
AB  - Background: Frailty syndrome (FS) is a syndrome characterized by a reduction in 
      the body's physiological reserves as a result of the accumulation of reduced 
      efficiency of many organs and systems. Experts of the Heart Failure Association 
      of the European Society of Cardiology (ECS) emphasize the need to assess frailty 
      in all patients with heart failure (HF). There is no specific scale dedicated to 
      this group of patients. The aim of the study was to assess the occurrence of the 
      frailty syndrome in heart failure using the multidimensional Edmonton Frailty 
      Scale (EFS). Methods: The study included 106 patients diagnosed with heart 
      failure with reduced left ventricular ejection fraction (LVEF < 40%). The average 
      age was 62.6 +/- 9.7 years. Most of the patients (84%) studied were men. In 70 
      people (66%), the cause of heart failure was coronary artery disease. The study 
      group included patients admitted to hospital on a scheduled basis and with 
      exacerbation of heart failure. Frailty was measured using the EFS before 
      discharge from the hospital. Demographic, sociodemographic and clinical data were 
      obtained. A 12-month follow-up period was included in the project. The number of 
      readmissions after 6 and 12 months was assessed. Results: A correlation was 
      observed between the New York Heart Association (NYHA) functional class and the 
      occurrence of frailty-this applies to the assessment at the beginning and at the 
      end of hospitalization. When analyzing the age of the patients in relation to 
      frailty, a statistically significant difference was obtained. The youngest group 
      in terms of age were non-frail patients. Hospitalization of people prone to 
      development of the frailty syndrome and diagnosed with the FS was significantly 
      more often associated with the occurrence of complications during hospital stays. 
      Rehospitalizations for exacerbation of heart failure were much more frequent in 
      patients with frailty. Conclusions: Assessment and monitoring of the state of 
      increased sensitivity to the development of frailty or FS in patients with heart 
      failure should influence the differentiation of clinical management. The Edmonton 
      Questionnaire may be a helpful tool for the assessment of frailty in hospitalized 
      patients with HF.
FAU - Studzinska, Karolina
AU  - Studzinska K
AUID- ORCID: 0000-0002-4030-678X
AD  - Department of Physiotherapy, Faculty of Health Sciences, Medical University of 
      Gdansk, 7 Debinki Street, 80-211 Gdansk, Poland.
FAU - Waz, Piotr
AU  - Waz P
AUID- ORCID: 0000-0002-0696-9950
AD  - Department of Nuclear Medicine, Medical University of Gdansk, Tuwima 15, 80-210 
      Gdansk, Poland.
FAU - Frankiewicz, Anna
AU  - Frankiewicz A
AD  - First Department of Cardiology, Medical University of Gdansk, 80-211 Gdansk, 
      Poland.
FAU - Stopczynska, Iwona
AU  - Stopczynska I
AD  - First Department of Cardiology, Medical University of Gdansk, 80-211 Gdansk, 
      Poland.
FAU - Studnicki, Rafal
AU  - Studnicki R
AUID- ORCID: 0000-0002-7074-0472
AD  - Department of Physiotherapy, Faculty of Health Sciences, Medical University of 
      Gdansk, 7 Debinki Street, 80-211 Gdansk, Poland.
FAU - Hansdorfer-Korzon, Rita
AU  - Hansdorfer-Korzon R
AUID- ORCID: 0000-0003-3777-9153
AD  - Department of Physiotherapy, Faculty of Health Sciences, Medical University of 
      Gdansk, 7 Debinki Street, 80-211 Gdansk, Poland.
LA  - eng
PT  - Journal Article
DEP - 20220712
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC9318958
OTO - NOTNLM
OT  - Edmonton Frailty Scale
OT  - frailty
OT  - heart failure
COIS- The authors declare no conflict of interest.
EDAT- 2022/07/28 06:00
MHDA- 2022/07/28 06:01
PMCR- 2022/07/12
CRDT- 2022/07/27 01:27
PHST- 2022/06/02 00:00 [received]
PHST- 2022/07/09 00:00 [revised]
PHST- 2022/07/11 00:00 [accepted]
PHST- 2022/07/27 01:27 [entrez]
PHST- 2022/07/28 06:00 [pubmed]
PHST- 2022/07/28 06:01 [medline]
PHST- 2022/07/12 00:00 [pmc-release]
AID - jcm11144022 [pii]
AID - jcm-11-04022 [pii]
AID - 10.3390/jcm11144022 [doi]
PST - epublish
SO  - J Clin Med. 2022 Jul 12;11(14):4022. doi: 10.3390/jcm11144022.