Assessment of frailty in patients with heart failure: A new Heart Failure Frailty Score developed by Delphi consensus

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Název: Assessment of frailty in patients with heart failure: A new Heart Failure Frailty Score developed by Delphi consensus
Autoři: Cristiana Vitale, Emmanuelle Berthelot, Andrew J.S. Coats, Hill Loreena, Nancy M. Albert, Michal Tkaczyszyn, Stamatis Adamopoulos, Lisa Anderson, Markus S. Anker, Stefan D. Anker, Derek Bell, Tuvia Ben‐Gal, Vasiliki Bistola, Biykem Bozkurt, Poppy Brooks, Miguel Camafort, Juan Jesus Carrero, Ovidiu Chioncel, Dong‐Ju Choi, Wook‐Jin Chung, Wolfram Doehner, Daniel Fernández‐Bergés, Roberto Ferrari, Mona Fiuzat, Juan Esteban Gomez‐Mesa, Finn Gustafsson, Ewa Jankowska, Seok‐Min Kang, Koichiro Kinugawa, Kamlesh Khunti, F.D. Richard Hobbs, Christopher Lee, Yuri Lopatin, Matthew Maddocks, Giuseppe Maltese, Elena Marques‐Sule, Yuya Matsue, Òscar Miró, Brenda Moura, Massimo Piepoli, Piotr Ponikowski, Giovanni Pulignano, Amina Rakisheva, Robin Ray, Angela Sciacqua, Petar Seferovic, Trinidad Sentandreu‐Mañó, Shirley Sze, Alan Sinclair, Anna Strömberg, Olga Theou, Hiroyuki Tsutsui, Izabella Uchmanowicz, Maria Teresa Vidan, Maurizio Volterrani, Stephan vonHaehling, Byungsu Yoo, Jian Zhang, Yuhui Zhang, Marco Metra, Giuseppe Massimo Claudio Rosano
Přispěvatelé: Vitale, Cristiana, Berthelot, Emmanuelle, Coats, Andrew J.S., Loreena, Hill, Albert, Nancy M., Tkaczyszyn, Michal, Adamopoulos, Stamatis, Anderson, Lisa, Anker, Markus S., Anker, Stefan D., Rosano, Giuseppe Massimo Claudio
Zdroj: ESC Heart Fail
ESC Heart Failure, Vol 12, Iss 3, Pp 1818-1831 (2025)
Vitale, C, Berthelot, E, Coats, A J S, Hill, L, Albert, N M, Tkaczyszyn, M, Adamopoulos, S, Anderson, L, Anker, M S, Anker, S D, Bell, D, Ben-Gal, T, Bistola, V, Bozkurt, B, Brooks, P, Camafort, M, Carrero, J J, Chioncel, O, Choi, DJ, Chung, WJ, Doehner, W, Fernández-Bergés, D, Ferrari, R, Fiuzat, M, Gomez-Mesa, J E, Gustafsson, F, Jankowska, E, Kang, SM, Kinugawa, K, Khunti, K, Hobbs, F D R, Lee, C, Lopatin, Y, Maddocks, M, Maltese, G, Marques-Sule, E, Matsue, Y, Miró, Ò, Moura, B, Piepoli, M, Ponikowski, P, Pulignano, G, Rakisheva, A, Ray, R, Sciacqua, A, Seferovic, P, Sentandreu-Mañó, T, Sze, S, Sinclair, A, Strömberg, A, Theou, O, Tsutsui, H, Uchmanowicz, I, Vidan, M T, Volterrani, M, von Haehling, S, Yoo, B, Zhang, J, Zhang, Y, Metra, M & Rosano, G M C 2025, 'Assessment of frailty in patients with heart failure: a new Heart Failure Frailty Score developed by Delphi consensus', ESC Heart Failure, vol. 12, no. 3, pp. 1818-1831. https://doi.org/10.1002/ehf2.15187
Vitale, C, Berthelot, E, Coats, A J S, Loreena, H, Albert, N M, Tkaczyszyn, M, Adamopoulos, S, Anderson, L, Anker, M S, Anker, S D, Bell, D, Ben-Gal, T, Bistola, V, Bozkurt, B, Brooks, P, Camafort, M, Carrero, J J, Chioncel, O, Choi, D-J, Chung, W-J, Doehner, W, Fernández-Bergés, D, Ferrari, R, Fiuzat, M, Gomez-Mesa, J E, Gustafsson, F, Jankowska, E, Kang, S-M, Kinugawa, K, Khunti, K, Hobbs, F D R, Lee, C, Lopatin, Y, Maddocks, M, Maltese, G, Marques-Sule, E, Matsue, Y, Miró, Ò, Moura, B, Piepoli, M, Ponikowski, P, Pulignano, G, Rakisheva, A, Ray, R, Sciacqua, A, Seferovic, P, Sentandreu-Mañó, T, Sze, S, Sinclair, A, Strömberg, A, Theou, O, Tsutsui, H, Uchmanowicz, I, Vidan, M T, Volterrani, M, von Haehling, S, Yoo, B, Zhang, J, Zhang, Y, Metra, M & Rosano, G M C 2025, ' Assessment of frailty in patients with heart failure : A new Heart Failure Frailty Score developed by Delphi consensus ', ESC Heart Failure, vol. 12, no. 3, pp. 1818-1831 . https://doi.org/10.1002/ehf2.15187
Informace o vydavateli: Wiley, 2025.
Rok vydání: 2025
Témata: Male, Consensus, Delphi Technique, heart failure, Heart failure, Nursing, frailty, Frailty, Management, Prognosis, Score, Geriatric Assessment/methods, Surveys and Questionnaires, Diseases of the circulatory (Cardiovascular) system, Humans, Geriatric Assessment, Aged, Heart Failure, Omvårdnad, Frailty/diagnosis, Heart Failure/complications, RC666-701, Original Article, Female, management
Popis: AimsThe Heart Failure Frailty Score (HFFS) is a novel, multidimensional tool to assess frailty in patients with heart failure (HF). It has been developed to overcome limitations of existing frailty assessment tools while being practical for clinical use. The HFFS reflects the concept of frailty as a multidimensional, dynamic and potentially reversible state, which increases vulnerability to stressors and risk of poor outcomes in patients with HF.Methods and resultsThe HFFS was developed through a Delphi consensus process involving 54 international experts. This approach involved iterative rounds of questionnaires and interviews, where a panel of experts provided their opinions on specific questions prepared by the Steering Committee. The experts were invited to vote and share their views anonymously, using a 5‐point Likert scale over iterative rounds. An 80% threshold was set for agreement or disagreement for each statement. Twenty‐two variables from four domains (clinical, functional, psycho‐cognitive and social) have been selected for inclusion in the HFFS after the third round of the Delphi process. A shorter version (S‐HFFS), including 10 variables, has also been developed for daily clinical use.ConclusionsThe HFFS is a new multidimensional tool for the identification of frailty in patients with HF. It should also enables healthcare providers to identify potential ‘red flags’ for frailty in order to develop personalized care plans. The next step will be to validate the new score in patients with HF.
Druh dokumentu: Article
Other literature type
Popis souboru: application/pdf
Jazyk: English
ISSN: 2055-5822
DOI: 10.1002/ehf2.15187
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39904922
https://doaj.org/article/91c48ebee98c4ea9af707bb732d14336
https://onlinelibrary.wiley.com/doi/10.1002/ehf2.15187
https://doi.org/10.1002/ehf2.15187
https://hdl.handle.net/2434/1190318
https://doi.org/10.1002/ehf2.15187
https://resolver.sub.uni-goettingen.de/purl?gro-2/148191
https://pergamos.lib.uoa.gr/uoa/dl/object/3498206
https://pure.qub.ac.uk/en/publications/4df49030-0d37-4388-a3af-cadc093f484e
https://kclpure.kcl.ac.uk/ws/files/340205692/ESC_Heart_Failure_-_2025_-_Vitale_-_Assessment_of_frailty_in_patients_with_heart_failure_A_new_Heart_Failure_Frailty_Score.pdf
http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-211705
Rights: CC BY NC ND
URL: http://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
Přístupové číslo: edsair.doi.dedup.....da05c49e8c2d7489e97746bea9f6a183
Databáze: OpenAIRE
Popis
Abstrakt:AimsThe Heart Failure Frailty Score (HFFS) is a novel, multidimensional tool to assess frailty in patients with heart failure (HF). It has been developed to overcome limitations of existing frailty assessment tools while being practical for clinical use. The HFFS reflects the concept of frailty as a multidimensional, dynamic and potentially reversible state, which increases vulnerability to stressors and risk of poor outcomes in patients with HF.Methods and resultsThe HFFS was developed through a Delphi consensus process involving 54 international experts. This approach involved iterative rounds of questionnaires and interviews, where a panel of experts provided their opinions on specific questions prepared by the Steering Committee. The experts were invited to vote and share their views anonymously, using a 5‐point Likert scale over iterative rounds. An 80% threshold was set for agreement or disagreement for each statement. Twenty‐two variables from four domains (clinical, functional, psycho‐cognitive and social) have been selected for inclusion in the HFFS after the third round of the Delphi process. A shorter version (S‐HFFS), including 10 variables, has also been developed for daily clinical use.ConclusionsThe HFFS is a new multidimensional tool for the identification of frailty in patients with HF. It should also enables healthcare providers to identify potential ‘red flags’ for frailty in order to develop personalized care plans. The next step will be to validate the new score in patients with HF.
ISSN:20555822
DOI:10.1002/ehf2.15187