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Evaluation of frailty in geriatric patients undergoing cardiac rehabilitation after cardiac procedure: results of a prospective, cross-sectional study.
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.
Afiliación
  • Steinmetz C; Department of Geriatrics, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany. carolin.steinmetz@med.uni-goettingen.de.
  • Krause L; Department of Geriatrics, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany.
  • Sulejmanovic S; Department of Sports Science, University of Hildesheim, Universitätsplatz 1, 31141, Hildesheim, Germany.
  • Kaumkötter S; Schüchtermann-Schiller'sche Clinic, Ulmenallee 11, 49214, Bad Rothenfelde, Germany.
  • Hartog J; Department of Cardio-Thoracic Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, Netherlands.
  • Scheenstra B; Department of Cardiothoracic Surgery, Heart and Vascular Center, Maastricht University Medical Center, Professor Debyelaan 25, 6229 HX, Netherlands, Maastricht.
  • Stefan F; Department of Sports Science, University of Hildesheim, Universitätsplatz 1, 31141, Hildesheim, Germany.
  • Mengden T; Department of Rehabilitation, Kerckhoff Heart Center, Ludwigstraße 41, 61231, Bad Nauheim, Germany.
  • Grefe C; Clinic and Rehabilitation Center Lippoldsberg, Birkenallee 1, 34399, Wesertal, Germany.
  • Knoglinger E; Kirchberg-Clinic Bad Lauterberg, Kirchberg 7-11, 37431, Bad Lauterberg, Germany.
  • Reiss N; Schüchtermann-Schiller'sche Clinic, Ulmenallee 11, 49214, Bad Rothenfelde, Germany.
  • Bjarnason-Wehrens B; Institute of Cardiology and Sports Medicine, Department Preventive and Rehabilitative Sport and Exercise Medicine, German Sport University, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany.
  • Schmidt T; Schüchtermann-Schiller'sche Clinic, Ulmenallee 11, 49214, Bad Rothenfelde, Germany.
  • Sadlonova M; Institute of Cardiology and Sports Medicine, Department Preventive and Rehabilitative Sport and Exercise Medicine, German Sport University, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany.
  • von Arnim CAF; Department of Geriatrics, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany.
  • Heinemann S; Department of Psychosomatic Medicine and Psychotherapy, University of Goettingen Medical Center, Robert-Koch-Straße 40, 37075, Goettingen, Germany.
BMC Sports Sci Med Rehabil ; 16(1): 146, 2024 Jul 02.
Article en En | MEDLINE | ID: mdl-38956610
ABSTRACT

BACKGROUND:

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.

METHODS:

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.

RESULTS:

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<0.001) with the following factors Katz-Index, HGS, SPPB-Score and 6MWT (r≤-0.575). In addition, CFS correlated with small to moderate effects with co-morbidities (r=0.250), as-needed medications and need for nursing assistance (r≤0.248).

CONCLUSIONS:

The CFS assessment can be performed in under one minute and it correlates significantly with assessments of functional capacity, activities of daily living and clinical parameters in the CR setting. TRIAL REGISTRATION German Clinical Trials Register (DRKS; http// www. drks. de; DRKS00032256). Retrospectively registered on 13 July 2023.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BMC Sports Sci Med Rehabil Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BMC Sports Sci Med Rehabil Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido