Frailty and quality of life in elderly patients with acute coronary syndrome

Magdalena Lisiak,1 Izabella Uchmanowicz,1 Radosław Wontor2 1Department of Clinical Nursing, Wroclaw Medical University, 2Department of Cardiology, T. Marciniak Lower Silesian Specialist Hospital, Wroclaw, Poland Background: Frail elderly people are at risk of developing adverse health outcomes suc...

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Autores principales:	Lisiak M, Uchmanowicz I, Wontor R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Quality of life frailty syndrome acute coronary syndrome elderly Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/41687459c1424827934c55fc71075cfb
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spelling	oai:doaj.org-article:41687459c1424827934c55fc71075cfb2021-12-02T00:17:40ZFrailty and quality of life in elderly patients with acute coronary syndrome1178-1998https://doaj.org/article/41687459c1424827934c55fc71075cfb2016-05-01T00:00:00Zhttps://www.dovepress.com/frailty-and-quality-of-life-in-elderly-patients-with-acute-coronary-sy-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Magdalena Lisiak,1 Izabella Uchmanowicz,1 Radosław Wontor2 1Department of Clinical Nursing, Wroclaw Medical University, 2Department of Cardiology, T. Marciniak Lower Silesian Specialist Hospital, Wroclaw, Poland Background: Frail elderly people are at risk of developing adverse health outcomes such as disability, hospitalization, and mortality. In recent years, the literature has drawn attention to the role of frailty syndrome (FS) in acute coronary syndrome (ACS). There are few studies regarding the relationship between two multidimensional variables such as FS and quality of life (QoL).Objective: The aim of the study was to investigate the relationship between FS and early QoL of elderly patients with ACS (≥65 years old).Methods: The study was conducted among 91 patients aged 65 years and over with ACS. The MacNew questionnaire was used to evaluate QoL and the Tilburg frailty indicator to evaluate frailty.Results: FS was present in 82.4% of patients. The average Tilburg frailty indicator score was 7.43±2.57. A negative correlation between the global values of FS and QoL was shown (r=−0.549, P<0.05). The vulnerability factors that negatively affected early QoL were: FS, marital status, conservative therapy, and hypertension. In multivariate analysis, FS was found to be the independent predictor of worse QoL (β ± standard error −0.277±0.122, P=0.026).Conclusion: The presence of FS has a negative impact on early QoL in patients with ACS. The study suggests that in elderly patients with ACS, there is a need to identify frailty in order to implement additional therapeutic and nursing strategies in ACS. Keywords: frailty syndrome, aging, frail elderly, assessment, quality of life, acute coronary syndromeLisiak MUchmanowicz IWontor RDove Medical PressarticleQuality of lifefrailty syndromeacute coronary syndromeelderlyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 553-562 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Quality of life frailty syndrome acute coronary syndrome elderly Geriatrics RC952-954.6
spellingShingle	Quality of life frailty syndrome acute coronary syndrome elderly Geriatrics RC952-954.6 Lisiak M Uchmanowicz I Wontor R Frailty and quality of life in elderly patients with acute coronary syndrome
description	Magdalena Lisiak,1 Izabella Uchmanowicz,1 Radosław Wontor2 1Department of Clinical Nursing, Wroclaw Medical University, 2Department of Cardiology, T. Marciniak Lower Silesian Specialist Hospital, Wroclaw, Poland Background: Frail elderly people are at risk of developing adverse health outcomes such as disability, hospitalization, and mortality. In recent years, the literature has drawn attention to the role of frailty syndrome (FS) in acute coronary syndrome (ACS). There are few studies regarding the relationship between two multidimensional variables such as FS and quality of life (QoL).Objective: The aim of the study was to investigate the relationship between FS and early QoL of elderly patients with ACS (≥65 years old).Methods: The study was conducted among 91 patients aged 65 years and over with ACS. The MacNew questionnaire was used to evaluate QoL and the Tilburg frailty indicator to evaluate frailty.Results: FS was present in 82.4% of patients. The average Tilburg frailty indicator score was 7.43±2.57. A negative correlation between the global values of FS and QoL was shown (r=−0.549, P<0.05). The vulnerability factors that negatively affected early QoL were: FS, marital status, conservative therapy, and hypertension. In multivariate analysis, FS was found to be the independent predictor of worse QoL (β ± standard error −0.277±0.122, P=0.026).Conclusion: The presence of FS has a negative impact on early QoL in patients with ACS. The study suggests that in elderly patients with ACS, there is a need to identify frailty in order to implement additional therapeutic and nursing strategies in ACS. Keywords: frailty syndrome, aging, frail elderly, assessment, quality of life, acute coronary syndrome
format	article
author	Lisiak M Uchmanowicz I Wontor R
author_facet	Lisiak M Uchmanowicz I Wontor R
author_sort	Lisiak M
title	Frailty and quality of life in elderly patients with acute coronary syndrome
title_short	Frailty and quality of life in elderly patients with acute coronary syndrome
title_full	Frailty and quality of life in elderly patients with acute coronary syndrome
title_fullStr	Frailty and quality of life in elderly patients with acute coronary syndrome
title_full_unstemmed	Frailty and quality of life in elderly patients with acute coronary syndrome
title_sort	frailty and quality of life in elderly patients with acute coronary syndrome
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/41687459c1424827934c55fc71075cfb
work_keys_str_mv	AT lisiakm frailtyandqualityoflifeinelderlypatientswithacutecoronarysyndrome AT uchmanowiczi frailtyandqualityoflifeinelderlypatientswithacutecoronarysyndrome AT wontorr frailtyandqualityoflifeinelderlypatientswithacutecoronarysyndrome
_version_	1718403795357007872

Frailty and quality of life in elderly patients with acute coronary syndrome

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