Status and influencing factors of frailty in hospitalized patients with chronic heart failure: A cross‐sectional study

Author:

Tang Miaoyan1ORCID,Zhao Ruifang1ORCID,Lv Qiaoxia2ORCID

Affiliation:

1. Department of Cardiovascular Medicine, Shaoxing People's Hospital Zhejiang China

2. The Nursing Department, Shaoxing People's Hospital Zhejiang China

Abstract

AbstractObjectivesTo investigate the frailty status of inpatients with chronic heart failure (CHF) and analyse its influencing factors, so as to provide evidence for the early identification of high‐risk groups and frailty management.BackgroundEarly identification of frailty can guide the development and implementation of holistic and individualized treatment plans. However, at present, the frailty of patients with CHF has not attracted enough attention.DesignA cross‐sectional study.MethodsFrom June 2022 to June 2023, a convenience sample of 256 participants were recruited at a hospital in China. Multivariate logistic regression analysis was used to explore the influencing factors of frailty in patients with CHF, and an ROC curve was drawn to determine the cut‐off values for each influencing factor. STROBE checklist guides the reporting of the manuscript.ResultsA total of 270 questionnaires were sent out during the survey, and 256 valid questionnaires were ultimately recovered, resulting in an effective recovery rate of 94.8%. The incidence of frailty in hospitalized patients with CHF was 68.75%. Multivariable logistic regression analysis showed that age, self‐care ability, nutritional risk, Kinesiophobia and NT‐proBNP were risk factors for frailty, while albumin and LVEF were protective factors.ConclusionMultidimensional frailty was prevalent in hospitalized patients with CHF. Medical staff should take measures as early as possible from the aspects of exercise, nutrition, psychology and disease to delay the occurrence and development of frailty and reduce the occurrence of clinical adverse events caused by frailty.Relevance to Clinical PracticeThis study emphasizes the importance of the early identification of multidimensional frailty and measures can be taken to delay the occurrence and development of frailty through exercise, nutrition, psychology and disease treatment.Patient or Public ContributionPatients contributed through sharing their information required for the case report form and filling out questionnaires.

Publisher

Wiley

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