Frailty of elderly inpatients with cardiovascular disease and its influencing factors
10.3760/cma.j.issn.1674-2907.2018.33.004
- VernacularTitle:老年心血管疾病住院患者衰弱情况及影响因素研究
- Author:
Haizhen ZHAO
1
;
Rui SUN
;
Li SHEN
;
Qiaoyun LIU
;
Aiping LIU
Author Information
1. 100191 北京大学公共卫生学院;102218 北京,清华大学附属北京清华长庚医院,清华大学临床医学院
- Keywords:
Aged;
Cardiovascular diseases;
Frailty;
Hospitalized
- From:
Chinese Journal of Modern Nursing
2018;24(33):3987-3992
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the frailty of elderly inpatients with cardiovascular disease and analyze its influencing factors. Methods From March 2017 to January 2018, we selected 698 elderly patients aged 65 or over of cardiovascular department at a class Ⅲ grade A hospital in Beijing by convenience sampling. The self-designed questionnaire, short physical performance battery (SPPB), Mini-Cog and phenotype of frailty (FP) were used to investigate patients' general information and some health indicators, the activity function of daily life, cognitive function and frailty respectively. Logistic regression was used to analyze the influencing factors of frailty. Results The incidences of frailty, prophase of frailty and non-frailty of elderly inpatients with cardiovascular disease were 37.5% (262/698), 50.3% (351/698) and 12.2% (85/698) respectively. There were statistical differences in elderly inpatients with cardiovascular disease among different ages, sexes, education levels, Mini-Cog, whether they fell in the past year, SPPB, ADL, coexistence of diseases and types of oral medicine (P＜ 0.05). There were also statistical differences in hemoglobin (Hb), neutrophils ratio (NEUT%), C reactive protein (CRP), serum albumin (ALB), prealbumin (PA), urea nitrogen (BUN), serum creatinine (SCr), homocysteine (Hcy), interleukin-6 (IL-6), free triiodothyronine (FT3) and left ventricular ejection fraction (LVEF) among elderly cardiovascular disease inpatients with different levels of frailty (P＜ 0.05). Logistic regression analysis showed that the influencing factors of frailty and pre-frailty included SPPB, ADL, Hb, BUN (P＜0.05). The number of chronic diseases was the influencing factor of frailty (P＜0.05). Conclusions Elderly inpatients with cardiovascular disease are a high-risk group for frailty. The main influencing factors of frailty include Hb, BUN, SPPB, ADL and the number of chronic diseases. We should screen the frailty of elderly inpatients with cardiovascular disease and provide comprehensive intervention for frailty patients so as to improve prognosis.
