Application of the Clinical Frailty Score and body composition and upper arm strength in haemodialysis patients.
Andrew DavenportPublished in: Clinical kidney journal (2021)
Frail patients are at increased risk of mortality and, as such, simple reliable screening tools are required to rapidly detect patients at risk. The CFS is a useful screening tool that can be readily performed by dialysis staff to identify frail patients. Frailty in HD patients was associated with increasing age, comorbidity, fat weight and inflammation and reduced muscle strength and muscle mass. There is an overlap between frailty and both sarcopenia and protein energy wasting, which requires additional assessments, potentially including body composition, strength, dietary assessments and laboratory investigations. In addition, as the CFS offers a scale, patient trajectories can potentially be serially monitored over time, thus allowing patient-specific interventions or holistic care plans.
Keyphrases
- end stage renal disease
- body composition
- chronic kidney disease
- ejection fraction
- newly diagnosed
- peritoneal dialysis
- prognostic factors
- healthcare
- oxidative stress
- physical activity
- cardiovascular disease
- postmenopausal women
- resistance training
- community dwelling
- case report
- risk factors
- quality improvement
- patient reported
- fatty acid
- pain management