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 - Inserm - Institut national de la santé et de la recherche médicale Accéder directement au contenu
Article Dans Une Revue ESC Heart Failure Année : 2022

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

A. S. Boureau (1, 2) , C. Annweiler (3, 4, 5, 6, 7) , J. Belmin (8, 9) , C. Bouleti (10, 11) , M. Chacornac (12) , M. Chuzeville (13) , J. P. David (14, 15) , P. Jourdain (16, 17) , P. Krolak-Salmon (18, 19) , N. Lamblin (20, 21) , M. Paccalin (11, 10) , L. Sebbag (22, 23) , O. Hanon (24, 25)
1 CHU Nantes - Centre Hospitalier Universitaire de Nantes = Nantes University Hospital
2 ITX-lab - ITX-lab unité de recherche de l'institut du thorax UMR1087 UMR6291
3 LPPL - Laboratoire de Psychologie des Pays de la Loire
4 CHU Angers - Centre Hospitalier Universitaire d'Angers
5 Gérontopôle autonomie longévité des Pays de la Loire
6 Robarts Research Institute [Canada]
7 UWO - University of Western Ontario
8 CHU Charles Foix [AP-HP]
9 SU - Sorbonne Université
10 CIC 1402 - CIC Poitiers – Centre d'investigation clinique de Poitiers
11 CHU de Poitiers [La Milétrie] - Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
12 Centre Hospitalier Annecy-Genevois [Saint-Julien-en-Genevois]
13 Hôpital Edouard Herriot [CHU - HCL]
14 Hôpital Henri Mondor
15 U955 Inserm - UPEC - IMRB - CEPIA/"Clinical Epidemiology And Ageing : Geriatrics, Primary Care and Public Health" [Créteil]
16 HPPIT - Hypertension arterielle pulmonaire physiopathologie et innovation thérapeutique
17 Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
18 HCL - Hospices Civils de Lyon
19 CRNL - Centre de recherche en neurosciences de Lyon - Lyon Neuroscience Research Center
20 Institut Coeur Poumon [CHU Lille]
21 RID-AGE - Facteurs de Risque et Déterminants Moléculaires des Maladies liées au Vieillissement - U 1167
22 CarMeN - Cardiovasculaire, métabolisme, diabétologie et nutrition
23 Hôpital Louis Pradel [CHU - HCL]
24 Dpt Gériatrie [CHU Broca]
25 URP_4468 - Maladie d'Alzheimer : marqueurs génétiques et vasculaires, neuropsychologies
J. Belmin

Résumé

AIMS: The 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. METHODS: 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 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. RESULTS: Clinically 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. CONCLUSION: The current manuscript provides practical recommendations on how to screen and optimize frailty management in older patients with heart failure.
Fichier principal
Vignette du fichier
ESC Heart Failure - 2022 - Boureau.pdf (579.24 Ko) Télécharger le fichier
Origine : Publication financée par une institution

Dates et versions

inserm-03833169 , version 1 (28-10-2022)

Identifiants

Citer

A. S. Boureau, C. Annweiler, J. Belmin, C. Bouleti, M. Chacornac, et al.. 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. ESC Heart Failure, 2022, Online ahead of print. ⟨10.1002/ehf2.14040⟩. ⟨inserm-03833169⟩
61 Consultations
109 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More