Pilot prospective study of Frailty and Functionality in routine clinical assessment in allogeneic hematopoietic cell transplantation

Autor: Maria Queralt, Salas, Eshetu G, Atenafu, Ora, Bascom, Leeann, Wilson, Wilson, Lam, Arjun Datt, Law, Ivan, Pasic, Dennis Dong Hwan, Kim, Fotios V, Michelis, Zeyad, Al-Shaibani, Armin, Gerbitz, Auro, Viswabandya, Jeffrey Howard, Lipton, Jonas, Mattsson, Shabbir M H, Alibhai, Rajat, Kumar
Rok vydání: 2020
Předmět:
Zdroj: Bone marrow transplantation. 56(1)
ISSN: 1476-5365
Popis: A Frailty and Functionality evaluation for alloHCT was implemented using existing resources. We describe the implementation of this evaluation across all ages and at first consultation, and correlate results with posttransplant outcomes in 168 patients. The evaluation consists of: Clinical Frailty Scale (CFS), Instrumental Activities of Daily Living (IADL), grip strength (GS), timed up and go test (TUGT), self-rated health question (SRH), Single question of Falls, albumin and C-Reactive Protein (CRP) levels. Median time to perform the evaluation was 5-6 min. Median age was 58 years (range: 19-77) and median follow-up was 5.3 months. TUGT 10 s (HR 2.92; p = 0.003), raised CRP (HR 4.40; p 0.001), and hypoalbuminemia (HR 2.10; p = 0.043) were significant risk factors for worse overal survival (OS). CFS ≥ 3 (HR 3.11; p = 0.009), TUGT 10 s (HR 3.47; p = 0.003), GS (HR 2.56; p = 0.029), SRH (excellent) (HR 3.8 × 10
Databáze: OpenAIRE