Evidence map›Paper›PMID 34112104›Full record

SynthesisBMC geriatrics2021

Association between frailty and ischemic heart disease: a systematic review and meta-analysis.

Rosa Liperoti, Davide L Vetrano, Katie Palmer, Tomasz Targowski, Maria C Cipriani, Maria R Lo Monaco, Silvia Giovannini, Nicola Acampora, Emanuele Rocco Villani, Roberto Bernabei and 2 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 2% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 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

12 authors at 5 institutions in 3 countries.

Rosa LiperotiUniversità Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo F. Vito 1, 00168, Rome, Italy.
Davide L VetranoAging Research Center, Department of Neurobiology, Health Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Katie PalmerUniversità Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo F. Vito 1, 00168, Rome, Italy.
Tomasz TargowskiDepartment of Geriatrics, National Institute of Geriatrics, Rheumatology, and Rehabilitation, Warsaw, Poland.
Maria C CiprianiFondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Maria R Lo MonacoFondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Silvia GiovanniniFondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Nicola AcamporaFondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Emanuele Rocco VillaniUniversità Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo F. Vito 1, 00168, Rome, Italy. emanuele.rocco.villani@gmail.com.ORCID 0000-0001-8813-2419
Roberto BernabeiUniversità Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo F. Vito 1, 00168, Rome, Italy.
Graziano OnderIstituto Superiore di Sanità, Rome, Italy.
ADVANTAGE JA WP4 group
Agostino Gemelli University Polyclinic · ITUniversità Cattolica del Sacro Cuore · ITIstituto Superiore di Sanità · ITNational Institute of Geriatrics, Rheumatology and Rehabilitation · PLStockholm University · SE

Funding

European Commission 3rd Health Programme, under the Grant Agreement n° 724099
6 · The paper itself

Abstract

backgroundFrailty is increasingly reported among older adults with cardiovascular diseases and it has been demonstrated to increase negative health outcomes and mortality. To date, no systematic review of the evidence is available regarding the association between frailty and ischemic heart disease (IHD). We performed a systematic review of literature and a meta-analysis to assess the association between frailty and IHD.

methodsWe selected all the studies that provided information on the association between frailty and IHD, regardless of the study setting, study design, or definition of IHD and frailty. PubMed, Web of Science and Embase were searched for relevant papers. Studies that adopted the Fried definition for frailty were included in the meta-analyses. For each measure of interest (proportions and estimates of associations), a meta-analysis was performed if at least three studies used the same definition of frailty. Pooled estimates were obtained through random effect models and Mantel-Haenszel weighting.

resultsThirty-seven studies were included. Of these, 22 adopted the Fried criteria to define frailty and provided estimates of prevalence and therefore they were included in meta-analyses. The pooled prevalence of IHD in frail individuals was 17% (95% Confidence Interval [95%CI] 11-23%) and the pooled prevalence of frailty in individuals with IHD was 19% (95% CI 15-24%). The prevalence of frailty among IHD patients ranged from 4 to 61%. Insufficient data were found to assess longitudinal association between frailty and IHD.

conclusionsFrailty is quite common in older persons with IHD. The identification of frailty among older adults with IHD should be considered relevant to provide individualized strategies of cardiovascular prevention and care. Further research should specifically explore the association between frailty and IHD and investigate the potential common biological ground.

Indexed as

FrailtyMyocardial IschemiaAgedAged, 80 and overFrail ElderlyHumansPrevalenceFrailtyIschemic heart diseaseMetanalysisSystematic review

Identifiers

PMID34112104
PMCPMC8193864
OpenAlexW3172785013

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.