1. Benefits of both physical assessment and electronic health record review to assess frailty prior to heart transplant
- Author
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Lee, Yoon Kyung, Shukman, Marina, Biniwale, Reshma, Ardehali, Abbas, Kamath, Megan, Nsair, Ali, Schaenman, Joanna M, and Goldwater, Deena
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Behavioral and Social Science ,Transplantation ,Cardiovascular ,Organ Transplantation ,Good Health and Well Being ,Electronic Health Records ,Frailty ,Heart Transplantation ,Humans ,Risk Factors ,Waiting Lists ,comorbidities ,heart disease ,recipient selection ,risk assessment ,risk stratification ,risk assessment / risk stratification ,Surgery ,Clinical sciences - Abstract
IntroductionFrailty status affects outcomes after heart transplantation, but the optimal way to assess frailty prior to transplant remains unknown.MethodsThis single-center, observational study assessed 44 heart transplant candidates for frailty using three methods. The Short Physical Performance Battery (SPPB) and Fried Frailty Phenotype (FFP) were used as two physical assessments of frailty. The Frailty Risk Score (FRS) was used as a chart-review based assessment measuring 20 different biopsychosocial and functional components, including biomarkers, depression, cognitive impairment, and sleep.ResultsWe determined the correlation between FRS, SPPB, and FFP and how each correlated with clinical outcomes. Of 44 participants, mean age was 60 years. FRS correlated with SPPB and FFP (P = .043, P
- Published
- 2022