Impacto pronóstico de los síndromes geriátricos en pacientes con enfermedad coronaria multivaso que reciben revascularización percutánea

Abstract

Background and objectives

The ischemic cardiopathy is the first cause of death in elderly. The geriatrics syndromes are related with an increase of morbidity and mortality in this age margin. The aim of the study was the influence evaluation of the geriatric syndromes in elderly patients undergoing percutaneous coronary revascularization.

Methods

We have included 220 patients prospectively with multivessel coronary disease. The geriatric syndromes evaluated were: frailty by Fried questionnaire, comorbidity by Charlson index and physical disability by Barthel index.

Results

The 42.1% of the patients had some level of frailty (Fried ≥ 1), it was observed some level of physical disability (Barthel < 100) in 21.8% and the mean of the Charlson index was 4 (3-6). The patients that suffered some major cardiovascular event (MACE, 12.7%) had more frailty (75 vs. 11%, P = .002), physical disability (45.8 vs. 17.2%, P = .002) and comorbidity (Charlson index 6 [4-7] vs. 4 [3-6], P = .004]. In the follow up we found a tendency of MACE decrease when a completed revascularization was done (OR 0.48, 95% CI 0.2-1.15, P ≤ .099).

Conclusions

In our population the geriatric syndromes studied are more frequent in patients that suffer MACE. We observe a tendency of decreasing mayor cardiovascular events when the coronary percutaneous revascularization is completed.