Key result
Frailty syndrome occurred in 80% of patients after acute coronary syndrome and was associated with poorer quality of life across physical, psychological, social, and environmental domains.
Why the study?
Elderly patients with myocardial infarction face high mortality risk, making quality of life and risk-benefit assessments critically important, yet the relationship between frailty syndrome and quality of life in post-NSTEMI patients needed evaluation.
What is the relationship between frailty syndrome and quality of life in older patients following acute coronary syndrome?
Cross-Sectional (n=100)
What is the relationship between frailty syndrome and quality of life in older patients following acute coronary syndrome?
Frailty syndrome is highly prevalent (80%) in older patients following ACS and is associated with significantly poorer quality of life across multiple domains.
Answers are grounded in this paper and cite their sources.
Frailty after ACS was associated with lower multidimensional QoL; hypothesis-generating for interventions, should not yet change practice.
Purpose: Elderly patients with ST-segment-elevation myocardial infarction (STEMI) have a high risk of mortality, which is particularly high in the first 30 days. Quality of life (QoL) and risk-benefit assessments are of pivotal importance in the elderly. The objective of this study is to assess the relationship between frailty syndrome (FS) and QoL in patients following acute coronary syndrome (ACS) non-ST elevation myocardial infarction (NSTEMI). Patients and Methods: The study involved 100 patients (61 men, 39 women, the average age: M ± SD =66.12±10.92 years). The study used standardized research tools: a questionnaire to assess QoL (World Health Organization Quality of Life Scale Brief version), and a questionnaire to assess FS (Tilburg Frailty Indicator). Results: FS occurred in 80% of patients after ACS. FS has a negative impact on the QoL of patients with ACS. The most important domain of FS in the studied group was the psychological: M ± SD=2.2±0.75 points. The greater FS in the physical domain, the lower the QoL in all areas. The greater FS in the social domain, the lower the QoL in psychological and social fields. Self-evaluation of patient QoL was M ± SD=3.68±0.71 points. Self-assessment of health was M ± SD=2.59±0.98 points. Conclusion: Patients with a coexisting FS have a poorer QoL in the physical, psychological, social, and environmental fields. For a multidisciplinary team, these findings can help make the therapeutic decision for frail patients who have poor QoL. Frailty among elderly patients with ACS can be considered as a determinant of high risk of adverse outcomes.
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Lisiak et al. (2019) conducted a cross-sectional in Acute coronary syndrome (NSTEMI) (n=100). Frailty syndrome was evaluated on Quality of life (QoL). Frailty syndrome occurred in 80% of patients after acute coronary syndrome and was associated with poorer quality of life across physical, psychological, social, and environmental domains.
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