Health Innovation Partnership

Dr Ralph Stewart
Auckland District Health Board
Funder(s): HRC, National Health Committee
Evaluation of frailty and co-morbidity in patients with ischaemic heart disease
18 months

Lay summary

Elderly patients with cardiovascular disease are increasingly referred for complex, high-cost interventions, including cardiac surgery. Many elderly patients have good outcomes, but others have complications and poor outcomes irrespective of the treatment received, because of frailty, cognitive impairment, or poor general health. For these patients major interventions such as coronary artery bypass may be less appropriate. However, these aspects of 'general health' are usually not systematically assessed. The proposed project will evaluate simple measures of frailty, co-morbidity, cognitive function, and general health in elderly patients with ischaemic heart disease admitted to hospitals throughout New Zealand, and will assess how this information may modify clinical care, including potentially avoiding major interventions,  morbidity and reduced quality of life for those unlikely to benefit. 

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