Impact of frailty on hospital adverse outcomes in elderly admitted with acute coronary syndrome
Galicia clin
; 81(1): 4-7, ene. 2020. tab
Artigo
em Inglês
| IBECS
| ID: ibc-195183
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
BACKGROUND:
Frailty represents a complex clinical syndrome of decreased physiological reserve and increased vulnerability to stressors. Little is known regarding interaction between frailty status and outcomes in patients with acute coronary syndrome. Our study aims to assess the prevalence of frailty and its impact on in-hospital adverse outcomes of patients aged ≥ 75 years admitted for acute coronary syndromes.METHODS:
In this retrospective, single centre, observational study were included patients aged ≥ 75 years admitted for acute coronary syndromes between January 2011 and December 2015. Frailty was assessed using the Fried criteria. The primary endpoint was all-cause in-hospital mortality. Secondary endpoints included the occurrence of re-infarction, stroke and major bleeding.RESULTS:
Of the 502 patients included, 126 were classified as frail. These patients were older (mean age 78±5.5 vs. 76.2±5.5 years; p = 0.020), more often male (68.3%) and had a higher risk profile according to GRACE (151.4±18.8 vs. 132.1±16.8; p < 0.001), TIMI (4.3±1 vs. 3.1±1; p < 0.001) and CRUSADE (34.6±9.4 vs. 25.8±9.5; p < 0.001) scores at admission. All-cause in-hospital mortality was significantly more frequent in frail patients (11.9% vs. 5.6%; p < 0.001), as well as re-infarction (7.4% vs. 4.8%; p < 0.001), stroke (8.7% vs. 0.5%; p = 0.002) and major bleeding (7.9% vs. 1.6%; p = 0.002). On multivariate analysis, frailty remained independently associated with the primary endpoint (OR 5.63, [2.05-10.35]; p < 0.001).CONCLUSION:
Frailty, identified by Fried criteria, is frequent in elderly patients with acute coronary syndromes, and it is an independent prognostic predictor for in-hospital mortalityRESUMEN
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Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Idoso Fragilizado
/
Síndrome Coronariana Aguda
/
Fragilidade
Limite:
Idoso
Idioma:
Inglês
Revista:
Galicia clin
Ano de publicação:
2020
Tipo de documento:
Artigo
Instituição/País de afiliação:
Centro Hospitalar de Leiria/Portugal