Evidence map›Paper›PMID 36039817›Full record

ArticleESC heart failure2022

Practical management of frailty in older patients with heart failure: Statement from a panel of multidisciplinary experts on behalf the Heart Failure Working Group of the French Society of Cardiology and on behalf French Society of Geriatrics and Gerontology.

Anne-Sophie Boureau, Cédric Annweiler, Joël Belmin, Claire Bouleti, Mathieu Chacornac, Michel Chuzeville, Jean-Philippe David, Patrick Jourdain, Pierre Krolak-Salmon, Nicolas Lamblin and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 13 institutions in 4 countries.

Anne-Sophie BoureauDepartment of Geriatrics, University Hospital, Nantes, France; Institut du Thorax, University Hospital, Nantes, France.
Cédric AnnweilerDepartment of Geriatric Medicine and Memory Clinic, Research Center on Autonomy and Longevity, University Hospital, Angers; UPRES EA 4638, University of Angers; Gérontopôle Autonomie Longévité des Pays de la Loire; Robarts Research Institute, Department of Medical Biophysics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada.
Joël BelminHôpital Charles Foix et Sorbonne Université, Ivry-sur-Seine, France.
Claire BouletiCardiology, University of Poitiers, Clinical Investigation Center (CIC) INSERM 1402, Poitiers University Hospital, Poitiers, France.
Mathieu ChacornacDepartment of Cardiology, Annecy Genevois Hospital, Annecy, France.
Michel ChuzevilleGeriatric Cardiology Department, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
Jean-Philippe DavidINSERM- U955, IMRB, CEpiA team, Department of Geriatric Medicine, AP-HP, Hôpitaux Henri-Mondor, Univ Paris Est Creteil, Creteil, France.
Patrick JourdainDMU COREVE, GHU Paris Saclay, APHP, Paris, France; INSERM UMR S 999, IHU TORINO (thorax Innovation), Turin, Italy.
Pierre Krolak-SalmonClinical and Research Memory Center of Lyon, Lyon Institute For Elderly, Hospices Civils de Lyon, Villeurbanne, France; University of Lyon, Lyon, France; Neuroscience Research Centre of Lyon, INSERM 1048, CNRS, Lyon, France.
Nicolas LamblinInstitut Cœur Poumon, CHU de Lille, Inserm U1167, Institut Pasteur de Lille, Université de Lille, Lille, France.
Marc PaccalinDepartment of Geriatrics, CHU La Milétrie, CIC-1402, Poitiers, France.
Laurent SebbagService Insuffisance Cardiaque et Transplantation Hospices Civils de Lyon Hôpital Louis Pradel, Bron, France.
Olivier HanonDepartment of Geriatrics, Université de Paris, EA 4468, APHP, Hôpital Broca, Paris, France.
Assistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Annecy Genevois · FRCentre Hospitalier Universitaire de Poitiers · FRHôpital Charles-Foix · FRHôpital Louis Pradel · FRHospices Civils de Lyon · FRInserm · FRInstitut du Thorax · FRUniversité Claude Bernard Lyon 1 · FRUniversité de Lille · FRUniversité de Poitiers · FRUniversité Paris Cité · FRWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe heart failure (HF) prognosis in older patients remains poor with a high 5-years mortality rate more frequently attributed to noncardiovascular causes. The complex interplay between frailty and heart failure contribute to poor health outcomes of older adults with HF independently of ejection fraction. The aim of this position paper is to propose a practical management of frailty in older patients with heart failure.

methodsA panel of multidisciplinary experts on behalf the Heart Failure Working Group of the French Society of Cardiology and on behalf French Society of Geriatrics and Gerontology conducted a systematic literature search on the interlink between frailty and HF, met to propose an early frailty screening by non-geriatricians and to propose ways to implement management plan of frailty. Statements were agreed by expert consensus.

resultsClinically relevant aspects of interlink between frailty and HF have been reported to identify the population eligible for screening and the most suitable screening test(s). The frailty screening program proposed focuses on frailty model defined by an accumulation of deficits including geriatric syndromes, comorbidities, for older patients with HF in different settings of care. The management plan of frailty includes optimization of HF pharmacological treatments and non-surgical device treatment as well as optimization of a global patient-centred biopsychosocial blended collaborative care pathway.

conclusionThe current manuscript provides practical recommendations on how to screen and optimize frailty management in older patients with heart failure.

Indexed as

CardiologyFrailtyGeriatricsHeart FailureAgedComorbidityHumansPractice Guidelines as TopicFrailtyHeart failureOlder patientsPractical management

Identifiers

PMID36039817
PMCPMC9773761
OpenAlexW4293553221

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.