Analysis of the current status and influencing factors of frailty in patients aged 75 and above after percutaneous coronary intervention
10.3761/j.issn.0254-1769.2025.13.009
- VernacularTitle:75岁以上经皮冠状动脉介入治疗术后患者衰弱现状及影响因素研究
- Author:
Yang CHEN
1
;
Shiyu WANG
;
Chuan GAO
;
Wenqing CAI
;
Yajing SU
;
Yumeng ZHANG
;
Qingyin LI
Author Information
1. 100037 北京市 中国医学科学院阜外医院护理部
- Publication Type:Journal Article
- Keywords:
Aged;
Coronary Heart Disease;
Percutaneous Coronary Intervention;
Frailty;
Root Cause Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(13):1588-1595
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the frailty status and risk factors among hospitalized elderly patients after percutaneous coronary intervention(PCI),and to provide a reference for improving and delaying their frailty.Methods From March to August 2024,using convenience sampling,patients aged over 75 years who underwent PCI in a tertiary cardiovascular disease specialist hospital in Beijing were selected as the survey participants.Patient-related informations were collected through a self-designed general information questionnaire.The Fried Phenotype Frailty Scale,the Katz Activities of Daily Living,Lawton Instrumental Activities of Daily Living(IADL)scale,the Charlson Comorbidity Index,the Morse Fall Scale,the Mini Nutritional Assessment-Short Form(MNA-SF),and the 15-item Geriatric Depression Scale(GDS-15)were evaluated postoperatively until discharge.Univariate and multivariate logistic analyses were conducted to identify factors associated with frailty among patients after PCI.Results A total of 278 patients were included.The incidence of frailty after PCI was 52.16％.Based on Fried Phenotype scores,patients were divided into a non-frail group and a frail group.Univariate analysis showed statistically significant differences between the 2 groups in terms of age,gender,hemoglobin,NT-ProBNP,LVEF,IADL scores,living alone status,nutrition status,falls risk,and depression level(P＜0.05).Multivariate logistic regression analysis revealed that age,Lawton IADL scores,falls risk,nutrition status,depression level were factors influencing frailty,with odds ratios of 1.167,0.575,1.597,0.399,and 3.610,respectively(P＜0.05).Conclusion The incidence of frailty is high among patients aged over 75 years after PCI,and there are multiple risk factors affecting their frailty status.Clinical healthcare providers should prioritize long-term management of these patients and implement comprehensive interventions with the consideration of their physiological,psychological,and social conditions.
