What question did this study set out to answer?

To evaluate the prevalence of major geriatric syndromes—including frailty, cognitive impairment, severe dependency, and depression—and determine their impact on 12-month outcomes in older patients with acute cardiac disease.

July 27, 2011Heart

Prevalence of geriatric syndromes and impact on clinical and functional outcomes in older patients with acute cardiac diseases

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Why the study?

Does the presence of major geriatric syndromes worsen clinical and functional outcomes in older patients hospitalized for acute cardiac diseases?

Population

211 consecutive patients ≥75 years old urgently admitted to the cardiology unit with acute cardiac diseases…

Comparison

Presence of major geriatric syndromes including… vs Absence of major geriatric syndromes.

Design

Cohort

Follow-up

12 months

Authors

ESE. SánchezMater Private Hospital MVMaría Teresa VidánUniversidad Complutense de Madrid JRJosé Antonio Serra RexachHospital General Universitario Gregorio Marañón

Discussion

Member takes

Implication

Supports geriatric assessment in older cardiac admissions; leaves open whether addressing MGSs improves outcomes.

Key Points

To evaluate the prevalence of major geriatric syndromes—including frailty, cognitive impairment, severe dependency, and depression—and determine their impact on 12-month outcomes in older patients with acute cardiac disease.
Conducted a prospective observational study of 211 consecutive patients aged ≥75 years urgently admitted to a cardiology unit in Madrid, Spain.
Administered systematic comprehensive geriatric assessments upon admission and tracked 12-month outcomes, including mortality, readmissions, functional decline, and new social assistance needs.
At admission, 60.2% of patients (127/211) presented with at least one major geriatric syndrome: frailty (40.8%), cognitive impairment (31.8%), severe dependency (14.7%), and depression (4.3%).
Major geriatric syndromes were associated with greater in-hospital functional decline (35.7% vs 8.6%, p=0.002) and higher 12-month adjusted risks of functional decline (OR 2.86, 95% CI 1.41–5.79) and need for new social help (OR 3.10, 95% CI 1.45–6.60).
Patients with geriatric syndromes had higher 12-month mortality rates, an effect that was specifically pronounced among individuals hospitalized for heart failure.

Structured PICO

Does the presence of major geriatric syndromes worsen clinical and functional outcomes in older patients hospitalized for acute cardiac diseases?

Population

211 consecutive patients ≥75 years old urgently admitted to the cardiology unit with acute cardiac diseases in Madrid, Spain.

Intervention

Presence of major geriatric syndromes (MGSs) including frailty, cognitive impairment, severe dependence, and depression, assessed via systematic comprehensive geriatric assessment.

Comparator

Absence of major geriatric syndromes.

Outcome

12-month rates of mortality, readmission, functional decline and need for new social help.hard clinical

Major geriatric syndromes are highly prevalent in older patients admitted for acute cardiac conditions and are associated with significantly worse functional and clinical outcomes, particularly in heart failure.

Cite This Study

Sánchez et al. (2011) studied this question.

synapsesocial.com/papers/6a7041ddac440176ef28e747 https://doi.org/10.1136/hrt.2011.227504

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Prevalence of geriatric syndromes and impact on clinical and functional outcomes in older patients with acute cardiac diseases

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Prevalence of geriatric syndromes and impact on clinical and functional outcomes in older patients with acute cardiac diseases

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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