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Comment & Response
May 20, 2020

Frailty Measurement Using Administrative Data in Older Patients With Cardiovascular Disease

Author Affiliations
  • 1Inova Center of Outcomes Research, Inova Heart and Vascular Institute, Falls Church, Virginia
  • 2Division of Cardiology, Johns Hopkins University, Baltimore, Maryland
  • 3Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 4Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
JAMA Cardiol. Published online May 20, 2020. doi:10.1001/jamacardio.2020.1552

To the Editor The US population is aging rapidly; geriatric and age-related physiological syndromes predispose older patients to significant complexity in disease management. In recent years, attention to frailty and multisystem dysregulation has increased substantially in the medical and surgical literature. Interest in frailty among cardiovascular disease investigators has flourished, yet controversy exists regarding the ascertainment of frailty syndrome among older patients. The tools to assess frailty are numerous, and some of these tools may result in misclassification of frailty status in some patients.1