Importance

Post-operative risk is increased with frail individuals undergoing cardiac surgery. Yet, there is no consensus for frailty assessment prior to durable left ventricular assist device (dLVAD) evaluation.

Objective

The objectives of this integrative review were to describe frailty measures, examine psychometrics of measures used, and identify variables related to frailty in heart failure with reduced ejection fraction (HFrEF) and dLVAD populations.

Design, Setting, Participants

PubMed, CINAHL, and Embase databases were searched for terms related to frailty, HFrEF and dLVAD that met inclusion criteria.

Results

Fourteen articles met inclusion criteria. Frailty was inconsistently defined. The Fried Phenotype Criteria was the most widely used approach to measurement. Validity was reported in all articles. Variables related to frailty included readmissions, higher mortality and increased adverse events.

Conclusion

There was variability in frailty definition and frailty measurement across studies. Further research in HFrEF and dLVAD populations is needed for frailty evaluation.

中文翻译：

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心力衰竭和心室辅助装置人群的虚弱评估：来自美国的回顾

重要性

接受心脏手术的虚弱个体会增加术后风险。然而，在耐用左心室辅助装置 (dLVAD) 评估之前，对于衰弱评估尚无共识。

客观的

本综合评价的目的是描述衰弱测量，检查所用测量的心理测量学，并确定与射血分数降低的心力衰竭 (HFrEF) 和 dLVAD 人群衰弱相关的变量。

设计、设置、参与者

在 PubMed、CINAHL 和 Embase 数据库中搜索了符合纳入标准的与虚弱、HFrEF 和 dLVAD 相关的术语。

结果

14 篇文章符合纳入标准。虚弱的定义不一致。油炸表型标准是最广泛使用的测量方法。所有文章都报告了有效性。与虚弱相关的变量包括再入院、更高的死亡率和增加的不良事件。

结论

跨研究的虚弱定义和虚弱测量存在差异。需要对 HFrEF 和 dLVAD 人群进行进一步研究以进行虚弱评估。