Relationship Between Frailty, Sociodemographic and Clinical Characteristics, and Disease Severity of Older Adults With Acute Coronary Syndrome

This study aimed to evaluate the relationship between frailty, sociodemographic and clinical characteristics, and disease severity of older adults with acute coronary syndrome (ACS). A total of 57 hospitalized patients ≥60 years with ACS were assessed for frailty through the Tilburg Frailty Indicato...

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Bibliographic Details
Published in:Clinical nursing research 2023-03, Vol.32 (3), p.677-687
Main Authors: Gonçalves, Alexia Louisie Pontes, Grisante, Daiane Lopes, Silva, Renan Alves, Santos, Vinicius Batista, Lopes, Camila Takao
Format: Article
Language:English
Subjects:
Acute Coronary Syndrome
Acute coronary syndromes
Aged
Arthritis
Cardiovascular diseases
Chi-square test
Coronary artery disease
Coronary vessels
Ethnicity
Frail
Frail Elderly
Frailty
Frailty - epidemiology
Geriatric Assessment
Hospitalized
Humans
Marital status
Older people
Patient Acuity
Primary care
Rehabilitation
Secondary prevention
Severity
Sociodemographics
Surveillance
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Summary:This study aimed to evaluate the relationship between frailty, sociodemographic and clinical characteristics, and disease severity of older adults with acute coronary syndrome (ACS). A total of 57 hospitalized patients ≥60 years with ACS were assessed for frailty through the Tilburg Frailty Indicator. Disease severity was assessed by the Global Registry of Acute Coronary Events, by the maximum troponin level, and by the number of severely obstructed coronary arteries. The relationship between variables was assessed by Mann Whitney’s test, Pearson’s chi-square test, likelihood-ratio test, Fisher’s exact test, or Student’s t test. Analyses were bootstrapped to 1,000 to reduce potential sample bias. About 54.4% were frail. Frailty was associated with ethnicity (p = .02), marital status (p = .05), ischemic equivalents (p = .01), self-perceived health (p = .002), arthritis/rheumatism/arthrosis (p = .002), and number of severely obstructed coronary arteries (p = .05). These relationships can support intensified surveillance planning for the elderly at greatest risk, structuring of transitional care, appropriate nurse-coordinated secondary prevention delivery in primary care, and cardiac rehabilitation following ACS.
ISSN:1054-7738
1552-3799
DOI:10.1177/10547738221115231