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The Relationship between Frailty Syndrome and Concerns about an Implantable Cardioverter Defibrillator

Frailty syndrome may cause cognitive decline and increased sensitivity to stressors. This can result in an increased incidence of anxiety and depression, and thus, concerns about life with an implantable cardioverter defibrillator (ICD). The aim of the study was to assess the impact of frailty syndr...

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Autores principales: Mlynarska, Agnieszka, Mlynarski, Rafal, Uchmanowicz, Izabella, Marcisz, Czeslaw, Golba, Krzysztof S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142564/
https://www.ncbi.nlm.nih.gov/pubmed/32192011
http://dx.doi.org/10.3390/ijerph17061954
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author Mlynarska, Agnieszka
Mlynarski, Rafal
Uchmanowicz, Izabella
Marcisz, Czeslaw
Golba, Krzysztof S.
author_facet Mlynarska, Agnieszka
Mlynarski, Rafal
Uchmanowicz, Izabella
Marcisz, Czeslaw
Golba, Krzysztof S.
author_sort Mlynarska, Agnieszka
collection PubMed
description Frailty syndrome may cause cognitive decline and increased sensitivity to stressors. This can result in an increased incidence of anxiety and depression, and thus, concerns about life with an implantable cardioverter defibrillator (ICD). The aim of the study was to assess the impact of frailty syndrome on the increase in the number of device-related concerns after the implantation of an ICD. Material and methods: The study sample was a group of 103 consecutive patients (85 M; aged 71.6 ± 8.2) with an implanted ICD. The ICD Concerns Questionnaire (ICDC) was used to analyze their concerns about life with an ICD, and the Tilburg Frailty Indicator scale (TFI) was used to diagnose frailty. Results: In the group of patients with an ICD implanted, 73% had recognized frailty (83.3% women, 74.1% men); the average point value was 6.55 ± 2.67. The total ICDC questionnaire score for the patients with an implanted cardioverter defibrillator was 34.06 ± 18.15. Patients with frailty syndrome had statistically (p = 0.039) higher scores (36.14 ± 17.08) compared to robust patients (27.56 ± 20.13). In the logistic regression analysis, the presence of frailty was strongly associated with the total questionnaire score (OR = 1.0265, p = 0.00426), the severity of the concerns (OR = 1.0417, p = 0.00451), and device-specific concerns (OR = 1.0982, p = 0.00424). Conclusion: Frailty syndrome occurs in about 80% of patients after ICD implantation. The presence of frailty syndrome was strongly associated with concerns about an implantable cardioverter defibrillator.
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spelling pubmed-71425642020-04-15 The Relationship between Frailty Syndrome and Concerns about an Implantable Cardioverter Defibrillator Mlynarska, Agnieszka Mlynarski, Rafal Uchmanowicz, Izabella Marcisz, Czeslaw Golba, Krzysztof S. Int J Environ Res Public Health Article Frailty syndrome may cause cognitive decline and increased sensitivity to stressors. This can result in an increased incidence of anxiety and depression, and thus, concerns about life with an implantable cardioverter defibrillator (ICD). The aim of the study was to assess the impact of frailty syndrome on the increase in the number of device-related concerns after the implantation of an ICD. Material and methods: The study sample was a group of 103 consecutive patients (85 M; aged 71.6 ± 8.2) with an implanted ICD. The ICD Concerns Questionnaire (ICDC) was used to analyze their concerns about life with an ICD, and the Tilburg Frailty Indicator scale (TFI) was used to diagnose frailty. Results: In the group of patients with an ICD implanted, 73% had recognized frailty (83.3% women, 74.1% men); the average point value was 6.55 ± 2.67. The total ICDC questionnaire score for the patients with an implanted cardioverter defibrillator was 34.06 ± 18.15. Patients with frailty syndrome had statistically (p = 0.039) higher scores (36.14 ± 17.08) compared to robust patients (27.56 ± 20.13). In the logistic regression analysis, the presence of frailty was strongly associated with the total questionnaire score (OR = 1.0265, p = 0.00426), the severity of the concerns (OR = 1.0417, p = 0.00451), and device-specific concerns (OR = 1.0982, p = 0.00424). Conclusion: Frailty syndrome occurs in about 80% of patients after ICD implantation. The presence of frailty syndrome was strongly associated with concerns about an implantable cardioverter defibrillator. MDPI 2020-03-17 2020-03 /pmc/articles/PMC7142564/ /pubmed/32192011 http://dx.doi.org/10.3390/ijerph17061954 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mlynarska, Agnieszka
Mlynarski, Rafal
Uchmanowicz, Izabella
Marcisz, Czeslaw
Golba, Krzysztof S.
The Relationship between Frailty Syndrome and Concerns about an Implantable Cardioverter Defibrillator
title The Relationship between Frailty Syndrome and Concerns about an Implantable Cardioverter Defibrillator
title_full The Relationship between Frailty Syndrome and Concerns about an Implantable Cardioverter Defibrillator
title_fullStr The Relationship between Frailty Syndrome and Concerns about an Implantable Cardioverter Defibrillator
title_full_unstemmed The Relationship between Frailty Syndrome and Concerns about an Implantable Cardioverter Defibrillator
title_short The Relationship between Frailty Syndrome and Concerns about an Implantable Cardioverter Defibrillator
title_sort relationship between frailty syndrome and concerns about an implantable cardioverter defibrillator
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142564/
https://www.ncbi.nlm.nih.gov/pubmed/32192011
http://dx.doi.org/10.3390/ijerph17061954
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