6. Multifunctional evaluation in elderly patients hospitalized for heart disease

Clinical research. Presentation Type: Oral presentation. Introduction: Frail patients with cardiovascular diseases have higher adverse events and complications, suggesting the need for more accurate functional stratification and careful evaluation of the risk/benefit ratio of invasive procedures. Apart from ongoing project aiming to evaluate the prognostic impact of the Short Physical Performance Battery (SPPB) and handgrip test on the incidence of death and hospitalization for all-causes in elderly patients hospitalized for heart disease, we will present baseline characteristics for the first enrolled group and frailty differences between genders. Methodology: This is a prospective observational study targeting 324 patients with age ⩾65 years. It is looking for patients who fall into at least one of the following groups: 1st group; patients hospitalized for acute coronary syndrome, arrhythmias or heart failure. 2nd; patients admitted for Trans-catheter aortic valve implantation, and 3rd; patients admitted for cardiac surgery. Up to date, 92 patients were evaluated for frailty by using handgrip test (using dynamometer to measure force of muscular contraction), SPPB (to evaluate the functionality of the lower limbs) and short portable mental questionnaire SPMQ (10-item cognitive screening instrument reflects severe intellectual impairment). Descriptive analysis was used representing continuous and categorical data as mean ± SD and percentages, as appropriate. Results: Between December 2015 and May 2016, we enrolled 92 patients. The mean age was 72.2 ± 6.1 years; 65.2% males, mean BMI was 32.8 ± 33.8 and two third were not educated. Length of stay 7.8 ± 6.7 days. Overall the traditional cardiovascular risk factors diabetes 70.7%, hypertension 72.8% and dyslipidemia 57.6%. (Mean SPMQ value for males 1.7 ± 1.8 and for females 3.0 ± 1.4), (mean hand grip strength value for males 26.4 ± 6.9 and female 16 ± 4.2), (and mean SPPB value for males 9.07.9 ± 2.9 and for females 6.0 ± 2.7). Conclusion: Female cardiac patients are significantly frailer than males by the three functional tools.

Abstract licence: CC BY-NC-ND

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