Practical management of frailty in older patients with heart failure

Abstract

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Association between gardening activity and frailty in patients with heart failure

“…Patients with HF often exhibit frailty, thus making prevention crucial in disease management. (29,30) The association found between gardening activities and reduced frailty in patients with HF in the present study suggests a new perspective in preventing this condition.…”

Optimisation of treatments for heart failure with reduced ejection fraction in routine practice: a position statement from a panel of experts

“…The needs of these patients are addressed separately below. This concerns: a) Patients aged > 75 years who are frail (defined as a Triage Risk Screening Tool score ≥ 2) 37,38 b) Patients with certain cardiac rhythm disorders…”

“…Recently a Cardiology/Geriatrics consensus group proposed using the TRST as a frailty screening tool in the cardiology setting. 37 Patients with a TRST score ≥ 2 should be considered frail and treated in a more conservative manner. However, others frailty scales can also be used, including the FRAIL scale, 42 the Clinical Frailty Score, 43 or the Fried criteria, 44 although these scales cover less dimensions of frailty than the TRST.…”

“…In addition, the presence of frailty should trigger the management of comorbidities and geriatric syndromes by a comprehensive geriatric assessment. 37,45 This multidimensional assessment should take into account comorbidities, cognitive function, autonomy, walking disorders, the risk of falls, nutritional status, depression, polypharmacy, vaccination status (notably influenza, pneumococcus and COVID) and social isolation. 37,45 Such multidisciplinary management has been shown to reduce mortality in older patients with HF.…”

“…37,45 This multidimensional assessment should take into account comorbidities, cognitive function, autonomy, walking disorders, the risk of falls, nutritional status, depression, polypharmacy, vaccination status (notably influenza, pneumococcus and COVID) and social isolation. 37,45 Such multidisciplinary management has been shown to reduce mortality in older patients with HF. 45 Any medical needs identified during this assessment should be addressed promptly in parallel to HF treatment.…”