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. 2025 Jan;34(1):194-203.
doi: 10.1111/jocn.17324. Epub 2024 Jun 13.

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

Miaoyan Tang  1 , Ruifang Zhao  1 , Qiaoxia Lv  2
Affiliations

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

Miaoyan Tang et al. J Clin Nurs. 2025 Jan.

Abstract

Objectives: To 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.

Background: Early 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.

Design: A cross-sectional study.

Methods: From 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.

Results: A 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.

Conclusion: Multidimensional 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 practice: This 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 contribution: Patients contributed through sharing their information required for the case report form and filling out questionnaires.

Keywords: chronic heart failure; current situation study; frailty; influencing factors.

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