Frailty in the cardiac intensive care unit: assessment and impact.

IF 3.9 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS European Heart Journal: Acute Cardiovascular Care Pub Date : 2024-06-30 DOI:10.1093/ehjacc/zuae039
Mohamad B Moumneh, Yasser Jamil, Kriti Kalra, Naila Ijaz, Greta Campbell, Ajar Kochar, Michael G Nanna, Sean van Diepen, Abdulla A Damluji
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Abstract

Frailty, a clinical syndrome of increased vulnerability, due to diminished cognitive, physical, and physiological reserves is a growing concern in the cardiac intensive care unit (CICU). It contributes to morbidity, mortality, and complications and often exerts a bidirectional association with cardiovascular disease. Although it predominately affects older adults, frailty can also be observed in younger patients <65 years of age, with approximately 30% of those admitted in CICU are frail. Acute cardiovascular illness can also impair physical and cognitive functioning among survivors and these survivors often suffer from frailty and functional declines post-CICU discharge. Patients with frailty in the CICU often have higher comorbidity burden, and they are less likely to receive optimal therapy for their acute cardiovascular conditions. Given the significance of this geriatric syndrome, this review will focus on assessment, clinical outcomes, and interventions, in an attempt to establish appropriate assessment, management, and resource utilization in frail patients during and after CICU admission.

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心脏重症监护室中的虚弱:评估和影响。
在心脏重症监护病房(CICU)中,"虚弱 "是一种因认知、体能和生理储备下降而导致脆弱性增加的临床综合征,日益受到关注。它会导致发病率、死亡率和并发症,而且往往与心血管疾病有双向联系。虽然虚弱主要影响老年人,但在 65 岁以下的年轻患者中也可观察到,CICU 中约有 30% 的患者体弱多病。急性心血管疾病也会损害幸存者的身体和认知功能,这些幸存者往往在 CICU 出院后出现虚弱和功能衰退。CICU 中的体弱患者通常合并症较多,而且他们不太可能接受针对急性心血管疾病的最佳治疗。鉴于这种老年综合征的重要性,本综述将重点关注评估、临床结果和干预措施,以尝试在 CICU 入院期间和出院后对体弱患者进行适当的评估、管理和资源利用。
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来源期刊
CiteScore
8.50
自引率
4.90%
发文量
325
期刊介绍: The European Heart Journal - Acute Cardiovascular Care (EHJ-ACVC) offers a unique integrative approach by combining the expertise of the different sub specialties of cardiology, emergency and intensive care medicine in the management of patients with acute cardiovascular syndromes. Reading through the journal, cardiologists and all other healthcare professionals can access continuous updates that may help them to improve the quality of care and the outcome for patients with acute cardiovascular diseases.
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