María Teresa Vidán|E. Sánchez|Francisco Fernández?Avilés|José A. Serra?Rexach|Javier Ortíz|Héctor Bueno
<scp>FRAIL?HF</scp>, a Study to Evaluate the Clinical Complexity of Heart Failure in Nondependent Older Patients: Rationale, Methods and Baseline Characteristics
Madrid Health Service|Madrid Health Service|Universidad Complutense de Madrid|Hospital General Universitario Gregorio Marañón|Madrid Health Service|Madrid Health Service|Hospital General Universitario Gregorio Marañón|Universidad Complutense de Madrid
clinical scenario heart failure hf older hospitalized patients complex influenced acute chronic comorbidities coexistent geriatric syndromes patients ability selfcare discharge degree social support impact factors clinical outcomes disability evolution sufficiently known frailhf prospective observational cohort study designed evaluate clinical outcomes mortality readmission functional evolution quality life use social resources 1 3 6 12 months admission nondependent elderly patients hospitalized hf clinical features medical treatment selfcare ability health literacy prospectively evaluated comprehensive geriatric assessment special focus frailty systematically performed hospital assess interactions relationships postdischarge outcomes may 2009 may 2011 450 consecutive patients mean age 80 6 years enrolled comorbidity high mean charlson index 34 29 despite nondependent 118 26 minor disability basic activities daily living 76 162 difficulty walking 400 meters 340 755 living alone another elderly person addition 316 patients 702 fulfilled frailty criteria even nondependent older patients hospitalized hf show high prevalence clinical nonclinical factors may influence prognosis usually considered routine clinical practice results frailhf provide important information relationship factors different postdischarge clinical functional qualityoflife outcomes