Schroeder Sarah E, Pozehl Bunny J, Alonso Windy W
College of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, 985330 Nebraska Medical Center Omaha, NE USA, 68198-5330; Division of Mechanical Circulatory Support, Bryan Heart, Lincoln, NE, 1600 South 48th Street, Suite 600, Lincoln, NE USA, 68506.
College of Nursing, University of Nebraska Medical Center, Omaha, Nebraska; 985330 Nebraska Medical Center Omaha, NE USA, 68198-5330.
Heart Lung. 2021 Nov-Dec;50(6):941-952. doi: 10.1016/j.hrtlng.2021.07.015. Epub 2021 Aug 22.
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.
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.
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.
There was variability in frailty definition and frailty measurement across studies. Further research in HFrEF and dLVAD populations is needed for frailty evaluation.
心脏手术患者若身体虚弱，术后风险会增加。然而，在进行持久性左心室辅助装置（dLVAD）评估之前，对于虚弱评估尚无共识。
本综合综述的目的是描述虚弱测量方法，检查所用测量方法的心理测量学特性，并确定与射血分数降低的心力衰竭（HFrEF）和dLVAD人群中的虚弱相关的变量。
设计、背景、参与者：在PubMed、CINAHL和Embase数据库中搜索与符合纳入标准的虚弱、HFrEF和dLVAD相关的术语。
14篇文章符合纳入标准。虚弱的定义不一致。Fried表型标准是最广泛使用的测量方法。所有文章均报告了有效性。与虚弱相关的变量包括再次入院、更高的死亡率和更多的不良事件。
各研究在虚弱定义和虚弱测量方面存在差异。对于HFrEF和dLVAD人群的虚弱评估，还需要进一步研究。
