کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5729453 1610682 2017 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Handle with care: A systematic review on frailty in cardiac care and its usefulness in heart transplantation
ترجمه فارسی عنوان
مراقبت با مراقبت: بررسی سیستماتیک در ضعف در مراقبت های قلبی و مفید بودن آن در پیوند قلب
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل پیوند
چکیده انگلیسی

BackgroundThere is growing consensus that frailty, a state of vulnerability and a decline in functioning across multiple physiological body systems, is a valuable criterion to guide clinicians' risk prediction for poor outcomes in adult transplant candidates. In its 2016 listing criteria for heart transplantation the International Society for Heart Lung Transplantation recommends frailty assessment. We aimed to summarize the usefulness of frailty assessment in heart transplant candidates or recipients reported throughout the literature.MethodsWe performed a systematic literature search in PubMed to identify papers reporting on frailty in transplantation, chronic heart failure, and ventricualr assist device implantation published over the last 10 years in English. Additionally, a hand search was conducted, including manually searching the reference lists and a citation search of relevant papers.ResultsEleven primary research articles were included in this systematic review. Frailty is a risk factor for morbidity, hospitalization, and mortality in patients with advanced heart failure and individuals being considered for ventricualr assist device implantation. Of the patients being considered for transplantation, 33% are frail. The Frailty Phenotype by Fried is a particularly useful tool to quickly identify higher risk patients for adverse outcomes.ConclusionA lack of standardization and limited evidence on frailty in transplantation limit its use as a definitive listing criterion. Future research efforts should focus on systematic integration of frailty measures in transplant practice.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Transplantation Reviews - Volume 31, Issue 3, July 2017, Pages 218-224
نویسندگان
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