Sökning: onr:"swepub:oai:DiVA.org:umu-191685" >
Clinical Frailty Sc...
Clinical Frailty Scale classes are independently associated with 6-month mortality for patients after acute myocardial infarction
-
- Ekerstad, Niklas (författare)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,NU Hosp Grp, Sweden
-
- Javadzadeh, Dariush (författare)
- Department of Cardiology, NU Hospital Group, Trollhättan, Sweden,NU Hosp Grp, Sweden
-
- Alexander, Karen P (författare)
- Duke Clinical Research Institute, Duke University, Durham, NC, USA,Duke Univ, NC USA
-
visa fler...
-
- Bergström, Olle (författare)
- Department of Medicine, Växjö County Hospital, Växjö, Sweden,Växjö City Hospital, Sweden
-
- Eurenius, Lars (författare)
- Department of Clinical Physiology, Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Sweden
-
- Fredrikson, Mats (författare)
- Linköpings universitet,Avdelningen för inflammation och infektion,Medicinska fakulteten
-
- Gudnadottir, Gudny Stella, 1979 (författare)
- Section of Geriatrics, Department of Acute Medicine and Geriatrics, Sahlgrenska University Hospital, Gothenburg, Sweden,Sahlgrens Univ Hosp, Sweden
-
- Held, Claes, 1956- (författare)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi,kardiologi,Uppsala Univ, Sweden
-
- Hellström Ängerud, Karin (författare)
- Umeå universitet,Institutionen för omvårdnad,Umea Univ, Sweden
-
- Jahjah, Radwan (författare)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
-
- Jernberg, Tomas (författare)
- Karolinska Institutet,Karolinska Inst, Sweden
-
- Mattsson, Ewa (författare)
- Department of Cardiology, Skåne University Hospital, Lund, Sweden,Skane Univ Hosp, Sweden
-
- Melander, Kjell (författare)
- Department of medicine, Kalix Hospital, Kalix, Sweden,Kalix Hosp, Sweden
-
- Mellbin, Linda (författare)
- Karolinska Institutet,Karolinska Inst, Sweden
-
- Ohlsson, Monica (författare)
- Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Sweden
-
- Ravn-Fischer, Annica, 1974 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
-
- Svennberg, Lars (författare)
- Department of Cardiology, County Hospital of Gävle, Region Gävleborg, Sweden,Reg Gavleborg, Sweden
-
- Yndigegn, Troels (författare)
- Department of Cardiology, Lund University, Lund, Sweden,Lund Univ, Sweden
-
- Alfredsson, Joakim (författare)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
-
visa färre...
-
(creator_code:org_t)
- 2021-12-14
- 2022
- Engelska.
-
Ingår i: European Heart Journal. - : Oxford University Press. - 2048-8726 .- 2048-8734. ; 11:2, s. 89-98
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
https://umu.diva-por... (primary) (Raw object)
-
https://academic.oup...
-
https://uu.diva-port... (primary) (Raw object)
-
https://liu.diva-por... (primary) (Raw object)
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
http://kipublication...
-
https://urn.kb.se/re...
-
https://urn.kb.se/re...
-
https://gup.ub.gu.se...
-
visa färre...
Abstract
Ämnesord
Stäng
- Aims: Data on the prognostic value of frailty to guide clinical decision-making for patients with myocardial infarction (MI) are scarce. To analyse the association between frailty classification, treatment patterns, in-hospital outcomes, and 6-month mortality in a large population of patients with MI.Methods and results: An observational, multicentre study with a retrospective analysis of prospectively collected data using the SWEDEHEART registry. In total, 3381 MI patients with a level of frailty assessed using the Clinical Frailty Scale (CFS-9) were included. Of these patients, 2509 (74.2%) were classified as non-vulnerable non-frail (CFS 1–3), 446 (13.2%) were vulnerable non-frail (CFS 4), and 426 (12.6%) were frail (CFS 5–9). Frailty and non-frail vulnerability were associated with worse in-hospital outcomes compared with non-frailty, i.e. higher rates of mortality (13.4% vs. 4.0% vs. 1.8%), cardiogenic shock (4.7% vs. 2.5% vs. 1.9%), and major bleeding (4.5% vs. 2.7% vs. 1.1%) (allP < 0.001), and less frequent use of evidence-based therapies. In Cox regression analyses, frailty was strongly and independently associated with 6-month mortality compared with non-frailty, after adjustment for age, sex, the GRACE risk score components, and other potential risk factors [hazard ratio (HR) 3.32, 95% confidence interval (CI) 2.30–4.79]. A similar pattern was seen for vulnerable non-frail patients (fully adjusted HR 2.07, 95% CI1.41–3.02).Conclusion: Frailty assessed with the CFS was independently and strongly associated with all-cause 6-month mortality, also after comprehensive adjustment for baseline differences in other risk factors. Similarly, non-frail vulnerability was independently associated with higher mortality compared with those with preserved functional ability.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Myocardial infarction
- Clinical Frailty Scale
- Risk prediction
- Mortality
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Ekerstad, Niklas
-
Javadzadeh, Dari ...
-
Alexander, Karen ...
-
Bergström, Olle
-
Eurenius, Lars
-
Fredrikson, Mats
-
visa fler...
-
Gudnadottir, Gud ...
-
Held, Claes, 195 ...
-
Hellström Ängeru ...
-
Jahjah, Radwan
-
Jernberg, Tomas
-
Mattsson, Ewa
-
Melander, Kjell
-
Mellbin, Linda
-
Ohlsson, Monica
-
Ravn-Fischer, An ...
-
Svennberg, Lars
-
Yndigegn, Troels
-
Alfredsson, Joak ...
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Hälsovetenskap
-
och Omvårdnad
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Kardiologi
- Artiklar i publikationen
-
European Heart J ...
- Av lärosätet
-
Umeå universitet
-
Karolinska Institutet
-
Uppsala universitet
-
Linköpings universitet
-
Göteborgs universitet