ĐẶC ĐIỂM HỘI CHỨNG DỄ BỊ TỔN THƯƠNG Ở BỆNH NHÂN VIÊM CỘT SỐNG DÍNH KHỚP TẠI BỆNH VIỆN BẠCH MAI BẰNG THANG ĐIỂM CRAF

Abstract

Objectives: Describe the characteristics of frailty syndrome and some related factors in patients with ankylosing spondylitis using the CRAF scale. Subjects and methods: A cross-sectional descriptive study on 110 patients diagnosed with ankylosing spondylitis according to the 1984 modified New York criteria for ankylosing spondylitis, inpatient treatment at the Center for Rheumatology, Bach Mai Hospital since from October 2022 to May 2023. Results: The proportion of patients with the frailty syndrome accounted for 69.1%, of which the rate of mild, modrate, and severe frail was 33.6%, 27.3%, and 8.2%, respectively. In the ten major frailty domains of CRAF: physical activity restriction, pain symptoms, and polypharmacy account for a high proportion: 97.4%, 86.3%, and 69.1%, respectively. There was a relationship between the degree of frailty syndrome and the degree of severity: In the group of very active diseases, the proportion of patients diagnosed with moderate and severe ACS accounted for the highest rate: 88.2%, with p<0.001. Conclusion: The rate of the frailty syndrome in patients with ankylosing spondylitis is quite high and tends to increase with the level of disease activity.