Frailty and cardiac rehabilitation : A call to action from the EAPC Cardiac Rehabilitation Section

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Vigorito, Carlo ; Abreu, Ana ; Ambrosetti, Marco ; Belardinelli, Romualdo ; Corrà, Ugo ; Cupples, Margaret ; Davos, Constantinos H ; Hoefer, Stefan ; Iliou, Marie-Christine ; Schmid, Jean-Paul ; Voeller, Heinz ; Doherty, Patrick (2016)

Frailty is a geriatric syndrome characterised by a vulnerability status associated with declining function of multiple physiological systems and loss of physiological reserves. Two main models of frailty have been advanced: the phenotypic model (primary frailty) or deficits accumulation model (secondary frailty), and different instruments have been proposed and validated to measure frailty. However measured, frailty correlates to medical outcomes in the elderly, and has been shown to have prognostic value for patients in different clinical settings, such as in patients with coronary artery disease, after cardiac surgery or transvalvular aortic valve replacement, in patients with chronic heart failure or after left ventricular assist device implantation.The prevalence, clinical and prognostic relevance of frailty in a cardiac rehabilitation setting has not yet been well characterised, despite the increasing frequency of elderly patients in cardiac rehabilitation, where frailty is likely to influence the onset, type and intensity of the exercise training programme and the design of tailored rehabilitative interventions for these patients.Therefore, we need to start looking for frailty in elderly patients entering cardiac rehabilitation programmes and become more familiar with some of the tools to recognise and evaluate the severity of this condition. Furthermore, we need to better understand whether exercise-based cardiac rehabilitation may change the course and the prognosis of frailty in cardiovascular patients.
  • References (58)
    58 references, page 1 of 6

    3. Rockwood K and Mitnitski A. Frailty defined by deficit accumulation and geriatric medicine defined by Frailty. Clin Ger Med 2011;27:17-26.

    4. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56:M146-156.

    5. Clegg A, Young J, Iliff S, et al. Frailty in elderly people. Lancet 2013;381:752-762.

    6. Bagshaw SM, Stelfox HT, McDermid RC, et al. Association between frailty and short- and longterm outcomes among critically ill patients: a multicenter prospective cohort study. CMAJ 2014;186:E95-102.

    7. Basic D and Shanley C. Frailty in an older inpatient population: using the clinical frailty scale to predict patient outcomes. J Aging Health 2015;27:670-685.

    8. Fried LP, Ferrucci L, Darer J, Williamson JD and Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci 2004;59:255-263.

    9. De Lepeleire J, Iliffe S, Mann E and Degryse JM. Frailty: an emerging concept for general practice. Br J Gen Pract 2009;59:e177-182.

    10. Strindberg TE and Pitkala KH. Frailty in elderly people. Lancet 2007;21:369:1328-1329.

    11. Rockwood K, Mitnitski A and Mac Knight C. Some mathematical models of frailty and their clinical implications. Rev Clin Gerontol 2002;12:109-117.

    12. Rockwood K and Mitnitski. A Frailty in relation to the accumulation of deficits. J Gerontol A Biol Sci Med Sci 2007;62A:722-727.

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