ArticleESC heart failure2020
Physical vs. multidimensional frailty in older adults with and without heart failure.
Article in ESC heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Association between natriuretic peptides and C-reactive protein with frailty in heart failure: a systematic review and meta-analysis.Aging clinical and experimental research · 2024Pooled it
- Utility of the Vulnerable Elders Survey-13 (VES-13) in detecting frailty and predicting prognosis in heart failure outpatients.Journal of geriatric cardiology : JGC · 2026Article
- Physical Frailty Versus the MECKI Score in Risk Stratification of Patients with Advanced Heart Failure: Simpler Measure, Similar Insights?Journal of clinical medicine · 2026Article
- Age does not improve the predictive ability of the Hospital Frailty Risk Score for length of stay.PloS one · 2025Article
- Limited predictive value of traditional comorbidities for readmission in acute decompensated heart failure.PloS one · 2025Article
- Assessing changes in frailty status in an elderly population: Analysis of results from the SFGE tool.PloS one · 2025Article
- Decline in oral function contributes to decreased activities of daily living at discharge in elderly patients with heart failure.PloS one · 2025Article
- Prevalence and determinants of multidimensional frailty in hospitalized older adults with coronary heart disease: a LASSO regression analysis.Frontiers in cardiovascular medicine · 2025Article
- Heart failure treatment patterns: A pharmacoepidemiological descriptive study in Colombia (The HEATCO study).PloS one · 2025Article
- Comparison of Physical Frailty Assessments in Heart Failure With Preserved Ejection Fraction.JACC. Advances · 2024Article
- What is the association of polypharmacy with frailty in heart failure? A systematic review and meta-analysis.Journal of frailty, sarcopenia and falls · 2024Review
- Predictive Strategies to Reduce the Risk of Rehospitalization with a Focus on Frail Older Adults: A Narrative Review.Epidemiologia (Basel, Switzerland) · 2023Review
- Effect of Frailty on the Long-Term Prognosis of Elderly Patients with Acute Myocardial Infarction.Clinical interventions in aging · 2023Article
- Predicting hospital readmissions in older patients with heart failure with advanced bioinformatics tools: focus on the role of vulnerability and frailty.Internal and emergency medicine · 2022Article
- Employing the Multivariate Edmonton Scale in the Assessment of Frailty Syndrome in Heart Failure.Journal of clinical medicine · 2022Article
- Cardiac rehabilitation for older adults: current evidence and future potential.Expert review of cardiovascular therapy · 2022Article
- Beyond the revised cardiac risk index: Validation of the hospital frailty risk score in non-cardiac surgery.PloS one · 2022Article
- Cognitive dysfunction correlates with physical impairment in frail patients with acute myocardial infarction.Aging clinical and experimental research · 2022Article
- A year in heart failure: an update of recent findings.ESC heart failure · 2021Review
- Clinical impact of functional independent measure (FIM) on 180-day readmission and mortality in elderly patients hospitalized with acute decompensated heart failure.Heart and vessels · 2021Article
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe assessment of frailty in older adults with heart failure (HF) is still debated. Here, we compare the predictive role and the diagnostic accuracy of physical vs. multidimensional frailty assessment on mortality, disability, and hospitalization in older adults with and without HF. METHODS AND
resultsA total of 1077 elderly (≥65 years) outpatients were evaluated with the physical (phy-Fi) and multidimensional (m-Fi) frailty scores and according to the presence or the absence of HF. Mortality, disability, and hospitalizations were assessed at baseline and after a 24 month follow-up. Cox regression analysis demonstrated that, compared with phy-Fi score, m-Fi score was more predictive of mortality [hazard ratio (HR) = 1.05 vs. 0.66], disability (HR = 1.02 vs. 0.89), and hospitalization (HR = 1.03 vs. 0.96) in the absence and even more in the presence of HF (HR = 1.11 vs. 0.63, 1.06 vs. 0.98, and 1.14 vs. 1.03, respectively). The area under the curve indicated a better diagnostic accuracy with m-Fi score than with phy-Fi score for mortality, disability, and hospitalizations, both in absence (0.782 vs. 0.649, 0.763 vs. 0.695, and 0.732 vs. 0.666, respectively) and in presence of HF (0.824 vs. 0.625, 0.886 vs. 0.793, and 0.812 vs. 0.688, respectively).
conclusionsThe m-Fi score is able to predict mortality, disability, and hospitalizations better than the phy-Fi score, not only in absence but also in presence of HF. Our data also demonstrate that the m-Fi score has better diagnostic accuracy than the phy-Fi score. Thus, the use of the m-FI score should be considered for the assessment of frailty in older HF adults.
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