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Prognostic Value of Frailty for Older Patients with Heart Failure: A Systematic Review and Meta-Analysis of Prospective Studies
Joint Authors
Wang, Xige
Li, Huimin
Cao, Qinqin
Li, Feng
Zhou, Changli
Li, Yuewei
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-22
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Objective.
Numerous studies have investigated the prognostic role of frailty in elderly patients with heart failure (HF), but the limited size of the reported studies has resulted in continued uncertainty regarding its prognostic impact.
The aim of this study was to integrate the findings of all available studies and estimate the impact of frailty on the prognosis of HF by performing a systematic review and meta-analysis.
Methods.
PubMed, Embase, Cochrane, and Web of Science databases were searched from inception to November 8th 2017 to identify eligible prospective studies.
The Newcastle-Ottawa Scale (NOS) was used to evaluate study quality.
The association between frailty and HF outcomes was reviewed.
Overall hazard ratios (HRs) for the effects of frailty on all-cause mortality were pooled using a fixed-effect model and publication bias was evaluated using funnel plots.
Results.
A total of 10 studies involving 3033 elderly patients with HF were included in the systematic review and meta-analysis.
All eligible studies indicated that frailty was of prognostic significance for HF patients.
The HRs for the effects of frailty on all-cause mortality were 1.70 (95% confidence interval (CI): 1.41–2.04), based on the pooling of six studies that provided related data.
However, publication bias was observed among the studies.
Conclusions.
Frailty has a high prevalence among older patients with HF.
Elderly HF patients with frailty have a poorer prognosis than those without frailty.
Further studies are now required to implement the use of frailty assessment tools and explore effective interventions for frailty in older HF patients.
American Psychological Association (APA)
Wang, Xige& Zhou, Changli& Li, Yuewei& Li, Huimin& Cao, Qinqin& Li, Feng. 2018. Prognostic Value of Frailty for Older Patients with Heart Failure: A Systematic Review and Meta-Analysis of Prospective Studies. BioMed Research International،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1129331
Modern Language Association (MLA)
Wang, Xige…[et al.]. Prognostic Value of Frailty for Older Patients with Heart Failure: A Systematic Review and Meta-Analysis of Prospective Studies. BioMed Research International No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1129331
American Medical Association (AMA)
Wang, Xige& Zhou, Changli& Li, Yuewei& Li, Huimin& Cao, Qinqin& Li, Feng. Prognostic Value of Frailty for Older Patients with Heart Failure: A Systematic Review and Meta-Analysis of Prospective Studies. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1129331
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129331