Frailty syndrome in patients with coronary artery disease
https://doi.org/10.33667/2078-5631-2020-19-6-10
Abstract
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.
About the Authors
K. E. Krivoshapova
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Kemerovo
Russian Federation
Kemerovo
E. A. Vegner
Kemerovo State Medical University
Russian Federation
Kemerovo
Russian Federation
Kemerovo
N. A. Terentyeva
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Kemerovo
Russian Federation
Kemerovo
V. L. Masenko
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Kemerovo
Russian Federation
Kemerovo
I. I. Grigoryeva
Kemerovo State Medical University
Russian Federation
Kemerovo
Russian Federation
Kemerovo
A. N. Kokov
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Kemerovo
Russian Federation
Kemerovo
E. D. Bazdyrev
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Kemerovo
Russian Federation
Kemerovo
T. A. Raskina
Kemerovo State Medical University
Russian Federation
Kemerovo
Russian Federation
Kemerovo
O. L. Barbarash
Research Institute for Complex Issues of Cardiovascular Diseases; Kemerovo State Medical University
Russian Federation
Kemerovo
Russian Federation
Kemerovo
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For citations:
Krivoshapova K.E., Vegner E.A., Terentyeva N.A., Masenko V.L., Grigoryeva I.I., Kokov A.N., Bazdyrev E.D., Raskina T.A., Barbarash O.L. Frailty syndrome in patients with coronary artery disease. Medical alphabet. 2020;1(19):6-10. (In Russ.) https://doi.org/10.33667/2078-5631-2020-19-6-10
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