Assessment of the Functional Status, Frailty and Cognition in Elderly Patients Undergoing Cardiac Surgery

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11150%2F22%3A10443153" target="_blank" >RIV/00216208:11150/22:10443153 - isvavai.cz</a>

Alternative codes found

RIV/00179906:_____/22:10443153

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=UGjTGM5sV-" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=UGjTGM5sV-</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.6890/IJGE.202204_16(2).0007" target="_blank" >10.6890/IJGE.202204_16(2).0007</a>

Result language

angličtina

Original language name

Assessment of the Functional Status, Frailty and Cognition in Elderly Patients Undergoing Cardiac Surgery

Original language description

Background: With the population aging in the developed countries, there is an increase in the absolute number of people with manifested cardiovascular disease. A subset of these patients requires a surgical procedure on their heart valves and/or coronary arteries. Here we aimed to evaluate the usefulness of frailty assessment and geriatric scales in patients 75 years and older undergoing cardiac surgery. Methods: Sixty-eight patients fromour departmentwere referred to cardiac surgery for coronary artery bypass grafting and/or heart valve surgery. Prior to referral, theywere assessed bymeans of activities of daily living (ADL), Mini-mental State Examination (MMSE) and Edmonton Frail Scale (EFS), as well as by Euroscore II and Society of Thoracic Surgeons (STS) scores. The incidence of perioperative complications and the length of hospital stay were recorded. Results: In the operated patients (n = 57), we identified the following parameters as contributing to the occurence of complications: arterial hypertension (perioperative arrhythmias), age and non sinus heart rhythm (neurological complications), STS score, MMSE, chronic kidney disease, time to surgery and smoking (renal complications), EFS (other complications), Euroscore II, EFS, diabetes mellitus (major complications), EFS (overall complications). Moreover, patients with a best score in ADL had a chance to have surgery without complications. Conclusion: In our study, we found that the EFS was able to predict the incidence of other, major and overall postoperative complications. In addition, patients with a maximum ADL result had a chance to undergo surgery without any complications.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

International Journal of Gerontology

ISSN

1873-9598

e-ISSN

—

Volume of the periodical

16

Issue of the periodical within the volume

2

Country of publishing house

TW - TAIWAN (PROVINCE OF CHINA)

Number of pages

6

Pages from-to

110-115

UT code for WoS article

000802923300012

EID of the result in the Scopus database

2-s2.0-85132323993