Quality of Life and Frailty Syndrome in Patients with Atrial Fibrillation

Agnieszka Sławuta,1 Polański Jacek,1 Grzegorz Mazur,1 Beata Jankowska-Polańska2 1Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Wrocław, Poland; 2Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical Univer...

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Autores principales:	Sławuta A, Jacek P, Mazur G, Jankowska-Polańska B
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	atrial fibrillation frailty older age Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/e9640af7e459428a8d8fce70ff756927
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spelling	oai:doaj.org-article:e9640af7e459428a8d8fce70ff7569272021-12-02T10:02:13ZQuality of Life and Frailty Syndrome in Patients with Atrial Fibrillation1178-1998https://doaj.org/article/e9640af7e459428a8d8fce70ff7569272020-05-01T00:00:00Zhttps://www.dovepress.com/quality-of-life-and-frailty-syndrome-in-patients-with-atrial-fibrillat-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Agnieszka Sławuta,1 Polański Jacek,1 Grzegorz Mazur,1 Beata Jankowska-Polańska2 1Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Wrocław, Poland; 2Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wrocław, PolandCorrespondence: Beata Jankowska-PolańskaDepartment of Clinical Nursing, Wroclaw Medical University, K. Bartla 5, Wrocław 51-616, PolandTel +48 71 784 18 24Fax +48 71 345 93 24Email beata.jankowska-polanska@umed.wroc.plIntroduction: Atrial fibrillation (AF) and frailty syndrome (FS) are a part of the aging process. Both are still of great importance in the assessment of quality of life (QoL). There is definitely a lack of research clarifying the association between FS and QoL in AF patients.Objective: The aim of this study was to evaluate the influence of FS on QoL in AF patients.Materials and Methods: The retrospective and observational study included 158 inpatients with mean age 69.8± 7.1 years, treated for AF in the cardiac department from 1 April 2019 to 31 June 2019. The following instruments were used: the Arrhythmia-Specific Questionnaire in Tachycardia and Arrhythmia (ASTA) and the Edmonton Frail Scale (EFS).Results: The mean level of frailty in the study group was 8.5± 5.0. In 25.9% of patients, the level of frailty was mild, in 10.1% moderate, and in 17.1% severe. Patients were divided into two groups based on their frailty status. In comparative analysis of the QoL, there were significant differences between the groups: the frail group had more intense symptoms of arrhythmia than the non-frail group (14.9± 4.1 vs 11.9± 4.9; p< 0.001). In the analysis of the total score impact of arrhythmia on QoL, the frail group had a significantly higher score than the non-frail group (23.5± 5.2 vs 14.5± 5.5), which confirmed the stronger negative impact of arrhythmia on QoL. In the regression coefficient analysis, the independent predictor of symptom severity and QoL was FS. However, we observed a negative impact of diabetes, which increased the impact of arrhythmia on QoL, and physical activity, which improved QoL and decreased the impact of symptoms on everyday life.Conclusion: Patients in the frail group have worse QoL and higher impact of arrhythmia on QoL in comparison to patients in the non-frail group. Frailty is an independent predictor of higher intensity of symptoms of arrhythmia and worse QoL. Diabetes and physical activity are predictors of QoL for patients with AF.Keywords: atrial fibrillation, frailty, older ageSławuta AJacek PMazur GJankowska-Polańska BDove Medical Pressarticleatrial fibrillationfrailtyolder ageGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 783-795 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	atrial fibrillation frailty older age Geriatrics RC952-954.6
spellingShingle	atrial fibrillation frailty older age Geriatrics RC952-954.6 Sławuta A Jacek P Mazur G Jankowska-Polańska B Quality of Life and Frailty Syndrome in Patients with Atrial Fibrillation
description	Agnieszka Sławuta,1 Polański Jacek,1 Grzegorz Mazur,1 Beata Jankowska-Polańska2 1Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Wrocław, Poland; 2Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wrocław, PolandCorrespondence: Beata Jankowska-PolańskaDepartment of Clinical Nursing, Wroclaw Medical University, K. Bartla 5, Wrocław 51-616, PolandTel +48 71 784 18 24Fax +48 71 345 93 24Email beata.jankowska-polanska@umed.wroc.plIntroduction: Atrial fibrillation (AF) and frailty syndrome (FS) are a part of the aging process. Both are still of great importance in the assessment of quality of life (QoL). There is definitely a lack of research clarifying the association between FS and QoL in AF patients.Objective: The aim of this study was to evaluate the influence of FS on QoL in AF patients.Materials and Methods: The retrospective and observational study included 158 inpatients with mean age 69.8± 7.1 years, treated for AF in the cardiac department from 1 April 2019 to 31 June 2019. The following instruments were used: the Arrhythmia-Specific Questionnaire in Tachycardia and Arrhythmia (ASTA) and the Edmonton Frail Scale (EFS).Results: The mean level of frailty in the study group was 8.5± 5.0. In 25.9% of patients, the level of frailty was mild, in 10.1% moderate, and in 17.1% severe. Patients were divided into two groups based on their frailty status. In comparative analysis of the QoL, there were significant differences between the groups: the frail group had more intense symptoms of arrhythmia than the non-frail group (14.9± 4.1 vs 11.9± 4.9; p< 0.001). In the analysis of the total score impact of arrhythmia on QoL, the frail group had a significantly higher score than the non-frail group (23.5± 5.2 vs 14.5± 5.5), which confirmed the stronger negative impact of arrhythmia on QoL. In the regression coefficient analysis, the independent predictor of symptom severity and QoL was FS. However, we observed a negative impact of diabetes, which increased the impact of arrhythmia on QoL, and physical activity, which improved QoL and decreased the impact of symptoms on everyday life.Conclusion: Patients in the frail group have worse QoL and higher impact of arrhythmia on QoL in comparison to patients in the non-frail group. Frailty is an independent predictor of higher intensity of symptoms of arrhythmia and worse QoL. Diabetes and physical activity are predictors of QoL for patients with AF.Keywords: atrial fibrillation, frailty, older age
format	article
author	Sławuta A Jacek P Mazur G Jankowska-Polańska B
author_facet	Sławuta A Jacek P Mazur G Jankowska-Polańska B
author_sort	Sławuta A
title	Quality of Life and Frailty Syndrome in Patients with Atrial Fibrillation
title_short	Quality of Life and Frailty Syndrome in Patients with Atrial Fibrillation
title_full	Quality of Life and Frailty Syndrome in Patients with Atrial Fibrillation
title_fullStr	Quality of Life and Frailty Syndrome in Patients with Atrial Fibrillation
title_full_unstemmed	Quality of Life and Frailty Syndrome in Patients with Atrial Fibrillation
title_sort	quality of life and frailty syndrome in patients with atrial fibrillation
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/e9640af7e459428a8d8fce70ff756927
work_keys_str_mv	AT sławutaa qualityoflifeandfrailtysyndromeinpatientswithatrialfibrillation AT jacekp qualityoflifeandfrailtysyndromeinpatientswithatrialfibrillation AT mazurg qualityoflifeandfrailtysyndromeinpatientswithatrialfibrillation AT jankowskapolanskab qualityoflifeandfrailtysyndromeinpatientswithatrialfibrillation
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Quality of Life and Frailty Syndrome in Patients with Atrial Fibrillation

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