title: Practical approach on frail older patients attended for acute heart failure.
abstract: Acute heart failure (AHF) is a multi-organ dysfunction syndrome. In addition to known cardiac dysfunction, non-cardiac comorbidity, frailty and disability are independent risk factors of mortality, morbidity, cognitive and functional decline, and risk of institutionalization. Frailty, a treatable and potential reversible syndrome very common in older patients with AHF, increases the risk of disability and other adverse health outcomes. This position paper highlights the need to identify frailty in order to improve prognosis, the risk-benefits of invasive diagnostic and therapeutic procedures, and the definition of older-person-centered and integrated care plans.
authors.affiliation: Emergency Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), Spain; Universidad Complutense de Madrid, Madrid, Spain. Electronic address: fjjms@hotmail.com.
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Martín-Sánchez
authors.affiliation: Department of Emergency and Critical Care Medicine, Klinikum Nürnberg, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Christ
authors.affiliation: Emergency Department, Hospital Clínic, Barcelona, Catalonia, Spain; Institut de Recerca Biomàdica August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain.
authors.forename: Òscar
authors.initials: Ò
authors.lastname: Miró
authors.affiliation: Emergency Medicine, Baylor College of Medicine, Houston, TX, United States.
authors.forename: W Frank
authors.initials: WF
authors.lastname: Peacock
authors.affiliation: British Heart Foundation Cardiovascular Research Centre, University of Glasgow, Glasgow, United Kingdom.
authors.forename: John J
authors.initials: JJ
authors.lastname: McMurray
authors.affiliation: Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain; Instituto de Investigación i+12 y Servicio de Cardiología, Hospital Universitario 12 de Octubre, Madrid, Spain; Universidad Complutense de Madrid, Madrid, Spain.
authors.forename: Héctor
authors.initials: H
authors.lastname: Bueno
authors.affiliation: Coronary Care Unit and Heart Failure Program, Veteran Affairs (VA) San Diego, United States.
authors.forename: Alan S
authors.initials: AS
authors.lastname: Maisel
authors.affiliation: Department of Emergency Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia; School of Public Health, Queensland University of Technology, Brisbane, Australia; School of Medicine, The University of Queensland, Brisbane, Australia.
authors.forename: Louise
authors.initials: L
authors.lastname: Cullen
authors.affiliation: Cardiology Department, Imperial College London (Royal Brompton Hospital), London, England, United Kingdom.
authors.forename: Martin R
authors.initials: MR
authors.lastname: Cowie
authors.affiliation: Emergency Medicine, Department of Medical-Surgery Sciences and Translational Medicine, Sant'Andrea Hospital, University La Sapienza, Rome, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Di Somma
authors.affiliation: Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
authors.forename: Elke
authors.initials: E
authors.lastname: Platz
authors.affiliation: ICU Department, Consorci Sanitari Integral, University of Barcelona, Barcelona, Spain; Cardiology Department, Hospital Sanitas CIMA, Barcelona, Spain.
authors.forename: Josep
authors.initials: J
authors.lastname: Masip
authors.affiliation: Klinikum Ludwigshafen und Institut für Herzinfarktforschung Ludwigshafen, Ludwigshafen, Germany.
authors.forename: Uwe
authors.initials: U
authors.lastname: Zeymer
authors.affiliation: Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
authors.forename: Christiaan
authors.initials: C
authors.lastname: Vrints
authors.affiliation: Royal Brompton and Harefield National Health Service Foundation Trust, United Kingdom.
authors.forename: Susanna
authors.initials: S
authors.lastname: Price
authors.affiliation: Department of Cardiology, University Hospital Basel, Basel, Switzerland; Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, Basel, Switzerland.
authors.forename: Christian
authors.initials: C
authors.lastname: Mueller
mesh_terms: D000208:Acute Disease; D000368:Aged; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods; D006333:Heart Failure / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D010346:Patient Care Management / Q000379:methods*; D011379:Prognosis; D018570:Risk Assessment / Q000379:methods
keywords: Acute heart failure; Frailty; Older