The essential frailty toolset
Working with Montréal-based uMind e-learning firm, a smartphone app will be developed that teaches providers how to perform the Essential Frailty Toolset (EFT) and calculate a frailty rating.
Project findings and information will be updated on a continual basis.
About the Project
Frailty-AVR is a recently completed Canadian-led study in which 1,046 older adults undergoing surgical/transcatheter aortic valve replacement to determine the impact on mortality, morbidity, and patient-centered outcomes up to one year were assessed.
This study generated a wealth of data that has yet to be translated into clinical practice because of two critical knowledge translation (KT) barriers: (1) 30+ minutes are required to perform the full battery of frailty tests, (2) no method exists to integrate the results from multiple (often discordant) frailty tests.
We propose to overcome these barriers by developing an EFT that encompasses selected frailty tests with high prognostic value in our population of interest and low collective burden of assessment, accompanied by a simple algorithm that integrates the different tests into one composite frailty rating.
Objectives: (1) To derive and validate the EFT by analyzing the database of the recently completed Frailty-AVR study, (2) to pilot test the EFT and draw feedback from focus groups and (3) to implement the EFT using a number of KT tools at Canadian cardiovascular centres, and to explore dissemination through international partnerships.
Jonathan Afilalo, MD, MSc, FACC, FRCPC — Jewish General Hospital
Rakesh Arora, MD, MSC — University of Manitoba
Sandra Lauck, PhD, RN — University of British Columbia
Jennifer Baumbusch, PhD, RN — University of British Columbia
Michelle Graham, MD — University of Alberta
Joseph Lawrence, PhD — McGill University
Louis Perrault, PhD — Institut de cardiologie de Montréal, Université de Montréal
John Webb, MD — St. Paul’s Hospital, University of British Columbia
Knowledge Users and Partners:
Canadian Society of Cardiac Surgeons
Project Contact: Jonathan Afilalo — firstname.lastname@example.org
CFN Webinar (May 9, 2018): The Essential Frailty Toolset in Older Adults Undergoing Aortic Valve Replacement