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Frailty significantly impairs the short term prognosis in elderly patients with heart failure
BACKGROUND: Frailty is a condition of elderly characterized by increased vulnerability to stressful events with high risk of adverse outcomes. The purpose of this study was to evaluate the association between frailty and adverse outcomes including death and hospitalization due to heart failure in el...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Science Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283819/ https://www.ncbi.nlm.nih.gov/pubmed/30534141 http://dx.doi.org/10.11909/j.issn.1671-5411.2018.11.004 |
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author | Deniz, Ali Ozmen, Caglar Bayram, Ertugrul Seydaoglu, Gulsah Usal, Ayhan |
author_facet | Deniz, Ali Ozmen, Caglar Bayram, Ertugrul Seydaoglu, Gulsah Usal, Ayhan |
author_sort | Deniz, Ali |
collection | PubMed |
description | BACKGROUND: Frailty is a condition of elderly characterized by increased vulnerability to stressful events with high risk of adverse outcomes. The purpose of this study was to evaluate the association between frailty and adverse outcomes including death and hospitalization due to heart failure in elderly patients. METHODS: We included patients aged ≥ 65 years with the diagnosis of heart failure. The clinical and laboratory data, echocardiography and ECGs were recorded. Additionally, the frailty scores of the patients were evaluated according to Canadian Study of Health and Aging. All the patients were divided as frail or non-frail. The groups were compared for their characteristics and the occurrence of clinical outcomes. RESULTS: We included 86 eligible patients. The median follow-up time was four months. The mean age was 75 ± 6.5 years. Of these 86 patients, 17 (19.7%) patients encountered an event (death and/or hospitalization). Nine patients (10.4%) died during follow-up. Thirty patients (34.9%) were considered frail. Among the demographic, clinical and laboratory data, only total protein and albumin levels were found to be lower in frail patients (total protein level: 6.8 ± 0.6 g/dL in non-frails, 6.5 ± 0.9 g/dL in frails, P = 0.05; albumin level: 3.8 ± 0.4 g/dL in non-frails, 3.4 ± 0.6 g/dL in frails, P = 0.001). In multivariate analysis, frailty was found to be strongly associated with clinical outcomes in short term. CONCLUSIONS: Being frail in an elderly heart failure patient is associated with death and/or hospitalization due to heart failure in short term. Therefore, frailty score should be evaluated for all elderly heart failure patients as a prognostic marker. |
format | Online Article Text |
id | pubmed-6283819 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Science Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-62838192018-12-10 Frailty significantly impairs the short term prognosis in elderly patients with heart failure Deniz, Ali Ozmen, Caglar Bayram, Ertugrul Seydaoglu, Gulsah Usal, Ayhan J Geriatr Cardiol Research Article BACKGROUND: Frailty is a condition of elderly characterized by increased vulnerability to stressful events with high risk of adverse outcomes. The purpose of this study was to evaluate the association between frailty and adverse outcomes including death and hospitalization due to heart failure in elderly patients. METHODS: We included patients aged ≥ 65 years with the diagnosis of heart failure. The clinical and laboratory data, echocardiography and ECGs were recorded. Additionally, the frailty scores of the patients were evaluated according to Canadian Study of Health and Aging. All the patients were divided as frail or non-frail. The groups were compared for their characteristics and the occurrence of clinical outcomes. RESULTS: We included 86 eligible patients. The median follow-up time was four months. The mean age was 75 ± 6.5 years. Of these 86 patients, 17 (19.7%) patients encountered an event (death and/or hospitalization). Nine patients (10.4%) died during follow-up. Thirty patients (34.9%) were considered frail. Among the demographic, clinical and laboratory data, only total protein and albumin levels were found to be lower in frail patients (total protein level: 6.8 ± 0.6 g/dL in non-frails, 6.5 ± 0.9 g/dL in frails, P = 0.05; albumin level: 3.8 ± 0.4 g/dL in non-frails, 3.4 ± 0.6 g/dL in frails, P = 0.001). In multivariate analysis, frailty was found to be strongly associated with clinical outcomes in short term. CONCLUSIONS: Being frail in an elderly heart failure patient is associated with death and/or hospitalization due to heart failure in short term. Therefore, frailty score should be evaluated for all elderly heart failure patients as a prognostic marker. Science Press 2018-11 /pmc/articles/PMC6283819/ /pubmed/30534141 http://dx.doi.org/10.11909/j.issn.1671-5411.2018.11.004 Text en Institute of Geriatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License, which allows readers to alter, transform, or build upon the article and then distribute the resulting work under the same or similar license to this one. The work must be attributed back to the original author and commercial use is not permitted without specific permission. |
spellingShingle | Research Article Deniz, Ali Ozmen, Caglar Bayram, Ertugrul Seydaoglu, Gulsah Usal, Ayhan Frailty significantly impairs the short term prognosis in elderly patients with heart failure |
title | Frailty significantly impairs the short term prognosis in elderly patients with heart failure |
title_full | Frailty significantly impairs the short term prognosis in elderly patients with heart failure |
title_fullStr | Frailty significantly impairs the short term prognosis in elderly patients with heart failure |
title_full_unstemmed | Frailty significantly impairs the short term prognosis in elderly patients with heart failure |
title_short | Frailty significantly impairs the short term prognosis in elderly patients with heart failure |
title_sort | frailty significantly impairs the short term prognosis in elderly patients with heart failure |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283819/ https://www.ncbi.nlm.nih.gov/pubmed/30534141 http://dx.doi.org/10.11909/j.issn.1671-5411.2018.11.004 |
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