Frailty management in patients with heart valve disease: a scoping review
- 1Nursing Department, Xiamen Cardiovascular Hospital, Xiamen University
- 2School of Nursing, Fujian University of Traditional Chinese Medicine
Abstract
Purpose: This study aims to identify, evaluate, and summarise evidence on frailty management in patients with valvular heart disease to inform the development of frailty management programs for clinical practice.
Methods: This study adheres to the Joanna Briggs Institute (JBI) framework and is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines to guarantee methodological strictness and transparency. The system searched multiple databases and websites to gather evidence on the management of frailty in patients with heart valve disease. The search covered the period from the database's inception to October 2026. Literature screening, quality assessment, evidence extraction, and synthesis were conducted independently by two researchers, and the evidence was graded using the JBI Evidence Grading System (2014 edition).
Results: After a rigorous literature screening process, a total of 28 publications were included, comprising 3 clinical guidelines, 12 expert consensus documents, 1 systematic review, 1 evidence summary, 6 observational studies, 4 randomised controlled trials, and 1 quasi-experimental study. Through a systematic synthesis of the included literature, a total of 46 pieces of evidence were ultimately compiled, covering five areas: identification and screening assessment of the risk of frailty, comprehensive management, exercise rehabilitation management, multidimensional support management, and continuity of rehabilitation care.
Conclusion: The 46 pieces of evidence summarised in this study can serve as an evidence-based reference for clinical healthcare professionals when developing frailty management programs; however, as this evidence has not yet been systematically implemented in clinical practice, its effectiveness continues to be further validated by future research.
Systematic Review Registration: http://ebn.nursing.fudan.edu.cn/home , identifier ES20259514.
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BibTeX
@article{yuan2026frailty,
title = {{Frailty management in patients with heart valve disease: a scoping review}},
author = {Wenhui Yuan and Qiong Han and Peihuang Dong and Xinglin Zheng and Yuan Chen and Linjing Wu},
journal = {Frontiers in Cardiovascular Medicine},
year = {2026},
month = nov,
doi = {10.3389/fcvm.2026.1944789},
url = {https://www.frontiersin.org/articles/10.3389/fcvm.2026.1944789/full},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Frailty management in patients with heart valve disease: a scoping review
AU - Wenhui Yuan
AU - Qiong Han
AU - Peihuang Dong
AU - Xinglin Zheng
AU - Yuan Chen
AU - Linjing Wu
PY - 2026
DA - 2026/11/05
JO - Frontiers in Cardiovascular Medicine
DO - 10.3389/fcvm.2026.1944789
UR - https://www.frontiersin.org/articles/10.3389/fcvm.2026.1944789/full
AB - Purpose: This study aims to identify, evaluate, and summarise evidence on frailty management in patients with valvular heart disease to inform the development of frailty management programs for clinical practice. Methods: This study adheres to the Joanna Briggs Institute (JBI) framework and is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines to guarantee methodological strictness and transparency. The system searched multiple databases and websites to gather evidence on the management of frailty in patients with heart valve disease. The search covered the period from the database's inception to October 2026. Literature screening, quality assessment, evidence extraction, and synthesis were conducted independently by two researchers, and the evidence was graded using the JBI Evidence Grading System (2014 edition). Results: After a rigorous literature screening process, a total of 28 publications were included, comprising 3 clinical guidelines, 12 expert consensus documents, 1 systematic review, 1 evidence summary, 6 observational studies, 4 randomised controlled trials, and 1 quasi-experimental study. Through a systematic synthesis of the included literature, a total of 46 pieces of evidence were ultimately compiled, covering five areas: identification and screening assessment of the risk of frailty, comprehensive management, exercise rehabilitation management, multidimensional support management, and continuity of rehabilitation care. Conclusion: The 46 pieces of evidence summarised in this study can serve as an evidence-based reference for clinical healthcare professionals when developing frailty management programs; however, as this evidence has not yet been systematically implemented in clinical practice, its effectiveness continues to be further validated by future research. Systematic Review Registration: http://ebn.nursing.fudan.edu.cn/home , identifier ES20259514.
SN - 2297-055X
ER -