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Enfermería en Cardiología

Enfermería en Cardiología

MAYO 2024 N° 90 Volumen 34

FRAILTY SYNDROME IN AN ACUTE CARDIAC CARE UNIT: Prevalence and prognostic impact study

Section: Originales

How to quote

DOI: https://doi.org/10.59322/90.514.EP0

Authors

Emilio Siverio Lorenzo1, Martín Jesús García González1, Alejandro Jiménez Sosa2, Pedro Pérez Martín1, Marta Martín Lechado1, Alicia Jorge Donate1, Verónica María Illada Rodríguez1, Myriam Regalado Arocha1 María Candelaria Gorrín De La Rosa1, María Begoña García Escribano1

Position

  • Unidad de Cuidados Cardíacos Agudos del Complejo Hospitalario Universitario de Canarias, San Cristóbal de la Laguna, Santa Cruz de Tenerife. Servicio Canario de la Salud.
  • Unidad de Investigación del Complejo Hospitalario Universitario de Canarias. San Cristóbal de La Laguna.

    • Contact address

    Emilio Siverio Lorenzo Carretera General La Perdoma 7, 38315 La Orotava. Santa Cruz de Tenerife

    Contact email: emilioperdoma@gmail.com

    Abstract

    Introduction. This study aimed to assess the prevalence and prognostic impact of frailty in elderly patients in the acute cardiac care unit.

    Material and method. Patients over 65 years old and consecutively admitted to the acute cardiac care unit for three months were included. Demographic and analytical data, geriatric and cardiological tests and scales, in-hospital evolution, and complications were collected.

    Results. 105 patients were included, mean age: 77.8 years, 66% men. The most frequent admission diagnoses were acute coronary syndrome (29.5%), atrioventricular block (24.8%), acute heart failure (15.25%), and post-structural heart intervention (14.3%). The prevalence of frail patients was 22.9%. Frailty was associated with general aspects such as older age, female sex, worse functional status, lower hemoglobin levels, and glomerular filtration rates at admission, lower triglyceride levels, longer hospital stay, and worse quality of life. Frailty was also associated with geriatric assessment i.e., dependency, cognitive deterioration, depression, and polypharmacy, and with nutrition i.e., worse nutritional status, and lower body mass index, albumin, calcium, and circulating iron levels. Lastly, frailty was associated with in-hospital complications such as heart failure, phlebitis, acute kidney injury, and increased risk of in-hospital mortality.

    Versión en Español

    Título:

    LA FRAGILIDAD EN LA UNIDAD DE CUIDADOS CARDIACOS AGUDOS: Estudio de prevalencia e impacto pronóstico

    Artículo completo no disponible en este idioma / Full article is not available in this language

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