Document Detail

Evaluation of frailty in older adults with cardiovascular disease: incorporating physical performance measures.
MedLine Citation:
PMID:  22334147     Owner:  NLM     Status:  MEDLINE    
Rapid growth in the numbers of older adults with cardiovascular disease (CVD) is raising awareness and concern of the impact that common geriatric syndromes such as frailty may have on clinical outcomes, health-related quality of life, and rising economic burden associated with healthcare. Increasingly, frailty is recognized to be a highly prevalent and important risk factor that is associated with adverse cardiovascular outcomes. A limitation of previous studies in patients with CVD has been the lack of a consistent definition and measures to evaluate frailty. In this review, building upon the work of Fried and colleagues, a definition of frailty is provided that is applicable for evaluating frailty in older adults with CVD. Simple, well-established performance-based measures widely used in comprehensive geriatric assessment are recommended that can be readily implemented by nurses in most practice settings. The limited studies conducted in older adults with CVD have shown physical performance measures to be highly predictive of clinical outcomes. Implications for practice and areas for future research are described for the growing numbers of elderly cardiac patients who are frail frailty and at risk for disability.
Rebecca Gary
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular nursing     Volume:  27     ISSN:  1550-5049     ISO Abbreviation:  J Cardiovasc Nurs     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-02-15     Completed Date:  2012-07-27     Revised Date:  2014-02-07    
Medline Journal Info:
Nlm Unique ID:  8703516     Medline TA:  J Cardiovasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  120-31     Citation Subset:  IM; N    
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MeSH Terms
Activities of Daily Living*
Aged, 80 and over
Cardiovascular Diseases / complications*
Frail Elderly*
Geriatric Assessment*
Physical Examination
Records as Topic
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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