Key result
Frailty and prefrailty were present in 19% and 58% of patients with stable CAD awaiting elective CABG, respectively, and were significantly associated with older age, female sex, and comorbidities.
Why the study?
The study was conducted to assess the prevalence of frailty and describe clinical features of frail patients with stable CAD.
What is the prevalence of frailty and its associated clinical features in patients with stable coronary artery disease undergoing elective primary CABG?
Cross-Sectional (n=387)
What is the prevalence of frailty and its associated clinical features in patients with stable coronary artery disease undergoing elective primary CABG?
Frailty and prefrailty are highly prevalent (19% and 58%, respectively) in patients undergoing elective CABG and are strongly associated with older age, female sex, and multiple comorbidities.
May support preoperative frailty screening in elective CABG candidates; leaves open effects on risk stratification and outcomes.
Aim. To assess the prevalence of frailty and describe clinical features of frail patients with stable coronary artery disease (CAD). Methods. 387 patients admitted to the hospital for elective primary coronary artery bypass grafting (CABG) were recruited in the study. Clinical data, demographic data, and the results of the instrumental examinations were collected for each subject. The primary screening of prefrailty and frailty in patients before the surgery was performed using the ’Age is not a hindrance’ questionnaire. The results were processed using the IBM SPSS Statistics 26.0.0 software package. A value of p ≤ 0.050 was considered statistically significant. Results. Frailty was found in 19% of patients with coronary artery disease and multivessel coronary artery disease before open myocardial revascularization, while 58% of patients had prefrailty. The presence of frailty and prefrailty was associated with older and advanced age (p = 0.003), female sex (p = 0.001), type 2 diabetes mellitus (p = 0.006), as well as with comorbidities, including cerebral atherosclerosis (p = 0.020), and heart rhythm disturbances (p = 0.050). Conclusion. The results obtained in this study are consistent with other studies reporting higher levels of comorbidities among frail patients.
No takes yet. Share an insight, caveat, or question.
Кривошапова et al. (2020) conducted a cross-sectional in stable coronary artery disease (CAD) (n=387). Frailty assessment was evaluated on Prevalence of frailty. Frailty and prefrailty were present in 19% and 58% of patients with stable CAD awaiting elective CABG, respectively, and were significantly associated with older age, female sex, and comorbidities.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: