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

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  • Alexia Louisie Pontes Gonçalves
  • Daiane Lopes Grisante
  • Renan Alves Silva
  • Vinicius Batista Santos
  • Camila Takao Lopes

Abstract

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.

Suggested Citation

  • Alexia Louisie Pontes Gonçalves & Daiane Lopes Grisante & Renan Alves Silva & Vinicius Batista Santos & Camila Takao Lopes, 2023. "Relationship Between Frailty, Sociodemographic and Clinical Characteristics, and Disease Severity of Older Adults With Acute Coronary Syndrome," Clinical Nursing Research, , vol. 32(3), pages 677-687, March.
    • Handle: RePEc:sae:clnure:v:32:y:2023:i:3:p:677-687
    DOI: 10.1177/10547738221115231
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    References listed on IDEAS

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    1. Jing Li & Jiaqi Han & Nan Luo & Xinxin Ding & Xiaonan Hao & Kun Li, 2022. "Frailty Affects Self-Care Behavior in Congestive Heart Failure," Clinical Nursing Research, , vol. 31(4), pages 615-623, May.
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