Relationship between frailty and life in elderly patients with cardiovascular disease : longitudinal study from admission to 3 months after discharge

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  • 循環器疾患をもつ高齢患者のフレイルと生活の関係 : 入院から退院3か月後の縦断的調査による検討

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Background: In this study, we examined the relationship between the frailty status and daily activities before and after hospitalization in patients with cardiovascular diseases. Methods: The 31 patients admitted to a ward of Cardiovascular Medicine in a Hospital from November, 2018 to May, 2019 were enrolled. Finally, 25 patients with informed consents were analyzed. A questionnaire survey was performed on admission, discharge and 3 months after discharge. Results: In 25 participants at admission, 15 (60%) were in the non-frailty status group and 10 (40%) were in the frailty status group. As a result of intergroup comparison, the frailty status group was significantly older than the non-frailty status group (p=0.014), and the nutritional evaluation of elderly people and the albumin level at admission in the frailty status group were significantly lower compared with the non-frailty status group (p=0.019, p=0.012). There was a tendency for significant differences in N-terminal-pro-B-natriuretic peptide (NT-proBNP). For the living style in hospital, the rate of lie on bed in the frailty status group was more compared with the non-frailty status group (p=0.039). The 4 frail patients at discharge did not participated in the social activities 2 weeks after discharge. Furthermore, the exercise level 3 months after discharge in the frail patients (n=3) was significantly lower than that in the non-frail patients (n=9) (p=0.036). Conclusion: It was suggested that the frailty status of elderly inpatients with cardiovascular diseases was associated with the prehospital undernutrition and the social activities and exercise levels after discharge.

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