Evaluation of frailty in geriatric patients undergoing cardiac rehabilitation after cardiac procedure: results of a prospective, cross-sectional study

Frailty is an indicator of a decline in quality of life and functional capacity in cardiac rehabilitation (CR) patients. Currently, there is no standardized assessment tool for frailty used in CR. The aim of this study was to determine if the Clinical Frailty Scale (CFS) is feasible for assessing fr...

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Published in:BMC sports science, medicine & rehabilitation medicine & rehabilitation, 2024-07, Vol.16 (1), p.146-10, Article 146
Main Authors: Steinmetz, Carolin, Krause, Laura, Sulejmanovic, Samra, Kaumkötter, Sabrina, Hartog, Johanneke, Scheenstra, Bart, Stefan, Flohr, Mengden, Thomas, Grefe, Clemens, Knoglinger, Ernst, Reiss, Nils, Bjarnason-Wehrens, Birna, Schmidt, Thomas, Sadlonova, Monika, von Arnim, Christine A F, Heinemann, Stephanie
Format: Article
Language:English
Subjects:
Aged patients
Analysis
Batteries
Cardiac patients
Cardiac rehabilitation
Cardiac surgery
Frailty
Nursing
Rehabilitation
Valve intervention
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Summary:Frailty is an indicator of a decline in quality of life and functional capacity in cardiac rehabilitation (CR) patients. Currently, there is no standardized assessment tool for frailty used in CR. The aim of this study was to determine if the Clinical Frailty Scale (CFS) is feasible for assessing frailty in CR. Prospective, cross-sectional study within the framework of the ongoing multicenter prehabilitation study "PRECOVERY". Patients ≥75 years undergoing CR after cardiac procedure (n=122) were recruited in four German inpatient CR facilities. Assessments included: CFS, Katz-Index, hand grip strength (HGS), Short Physical Performance Battery (SPPB) and six-minute-walk test (6MWT). Outcomes were frailty (CFS≥4) and the correlation of frailty with assessments of functional capacity, activities of daily living and clinical parameters. Statistical analysis included descriptive statistics and correlations, using the spearman correlation coefficient and chi-square test to test for significance. Data from 101 patients (79.9±4.0 years; 63% male) were analyzed. The mean CFS score was 3.2±1.4; 41.6% were defined as frail (CFS≥4). The mean time required to assess the CFS was 0.20 minutes. The findings show that CFS correlates significantly (p
ISSN:2052-1847
2052-1847
DOI:10.1186/s13102-024-00937-y