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Date Published: 02/12/2025
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DOI: https://doi.org/10.51298/vmj.v556i1.16297
Issue
Vol. 556 No. 1 (2025)
Section
Các bài báo
How to Cite
Lê, B. T., Nguyễn, T. T. H., & Vũ, T. T. H. (2025). FRAILTY SYNDROME IN OLDER PATIENTS WITH CHRONIC HEART FAILURE. Vietnam Medical Journal, 556(1). https://doi.org/10.51298/vmj.v556i1.16297

FRAILTY SYNDROME IN OLDER PATIENTS WITH CHRONIC HEART FAILURE

Bích Thuận Lê, Thị Thu Hương Nguyễn, Thị Thanh Huyền Vũ

Main Article Content

Abstract

Objective: To characterize the prevalence of frailty syndrome and some associated factors among older patients with chronic heart failure. Subjects and Methods: A cross-sectional descriptive study was conducted on 168 older patients diagnosed with chronic heart failure who presented for examination and treatment at the National Geriatric Hospital. Results: The mean age of participants was 77.6 ± 8.9 years, with females accounting for 63.7% of the cohort. The majority (97%) lived with their families. Among the participants, 89.3% had been diagnosed with heart failure for less than five years. Left-sided heart failure was observed in 59.5% of cases, while 40.5% had global heart failure. The rate of frailty and pre-frail in older patients with chronic heart failure was 46.4% and 26.8%, respectively. Advanced age had a statistically significant association with frailty syndrome. Conclusion: The prevalence of frailty syndrome in the older patients with heart failure is quite high (46.4%) and is associated with advanced age. Early screening for frailty syndrome is needed to take preventive measures to reduce the risk of adverse events in this population.

Article Details

Keywords

older adults, heart failure, frailty syndrome

References

1. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-156. doi:10.1093/gerona/56.3.m146
2. Singh M, Alexander K, Roger VL, et al. Frailty and its potential relevance to cardiovascular care. Mayo Clin Proc. 2008;83(10):1146-1153. doi:10.4065/83.10.1146
3. McCusker J, Bellavance F, Cardin S, Trépanier S, Verdon J, Ardman O. Detection of older people at increased risk of adverse health outcomes after an emergency visit: the ISAR screening tool. J Am Geriatr Soc. 1999;47(10): 1229-1237. doi:10.1111/ j.1532-5415.1999. tb05204.x
4. Nguyễn Xuân Thanh. Hội chứng dễ bị tổn thương (Frailty Syndrome) và các yếu tố liên quan trên người bệnh cao tuổi điều trị tại Bệnh viện Lão Khoa Trung Ương. Trường Đại học Y Hà Nội. Published online 2015.
5. Nguyen TV, Le D, Tran KD, Bui KX, Nguyen TN. Frailty in Older Patients with Acute Coronary Syndrome in Vietnam. Clin Interv Aging. 2019;14:2213-2222. doi:10.2147/CIA.S234597
6. Denfeld QE, Winters-Stone K, Mudd JO, Gelow JM, Kurdi S, Lee CS. The Prevalence of Frailty in Heart Failure: A Systematic Review and Meta-Analysis. Int J Cardiol. 2017;236:283-289. doi:10.1016/j.ijcard.2017.01.153
7. Carlson C, Merel SE, Yukawa M. Geriatric syndromes and geriatric assessment for the generalist. Med Clin North Am. 2015;99(2):263-279. doi:10.1016/j.mcna.2014.11.003
8. Dharmarajan K, Rich MW. Epidemiology, Pathophysiology, and Prognosis of Heart Failure in Older Adults. Heart Fail Clin. 2007;3(4):381-387. doi:10.1016/j.hfc.2007.07.004
9. Denfeld QE, Winters-Stone K, Mudd JO, Gelow JM, Kurdi S, Lee CS. The Prevalence of Frailty in Heart Failure: A Systematic Review and Meta-Analysis. Int J Cardiol. 2017;236:283-289. doi:10.1016/j.ijcard.2017.01.153
10. Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failureThe Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European heart journal. 2016;37(27):2129-2200.