ĐÁNH GIÁ SUY YẾU THEO THANG ĐIỂM EDMONTON Ở BỆNH NHÂN CAO TUỔI NỘI TRÚ CÓ SUY TIM

Abstract

Objectives: Heart failure is a common clinical syndrome in the elderly. Frailty is an aging syndrome that reflects the cumulative aging process in the elderly. These two syndromes can coexist in the elderly. To date, data on frailty in the elderly with heart failure is still limited. Therefore, the aim of this study was to investigate the prevalence and associated factors of frailty in hospitalized elderly patients with heart failure. Methods: A cross-sectional study was conducted among patients ≥ 60 years old at the Department of Cardiology, Thong Nhat Hospital and the Department of Cardiology and Geriatrics, Vinh Long General Hospital with a diagnosis of heart failure. Frailty was assessed using the Edmonton Frailty Scale. Associated factors of frailty were identified using logistic regression. Results: From April to October 2023, 128 patients were enrolled in the study (51.6% men, mean age 76.1 ± 9.5). Eighty-four patients (65.6%) were diagnosed with frailty. The rates of heart failure with reduced ejection fraction, mildly reduced ejection fraction, and preserved ejection fraction were 46.9%, 18.0%, and 35.1%, respectively. Two factors associated with frailty according to the Edmonton Frailty Scale were malnutrition (OR 7.03; 95% CI 1.75–28.1; P = 0.006) and atrial fibrillation (OR 9.14; 95% CI 1.23–68.1; P = 0.031). Conclusion: In elderly hospitalized patients with heart failure, the prevalence of frailty is 65.6%. Malnutrition and atrial fibrillation are two factors associated with frailty in these patients.