Tom 12, Nr 6 (2017)
Artykuł przeglądowy
Opublikowany online: 2017-12-29
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Zwiększanie przez zespół kruchości częstości występowania powikłań u pacjentów poddawanych zabiegom kardiologii inwazyjnej i operacjom kardiochirurgicznym
DOI: 10.5603/FC.2017.0106
Folia Cardiologica 2017;12(6):557-564.
Streszczenie
Zespół kruchości (FS) jest powszechnym problemem u osób w podeszłym wieku silnie wpływającym na gorsze rokowanie pacjentów. Mimo coraz większego zainteresowania brakuje wystandaryzowanych metod pozwalających na identyfikację osób z tym zespołem. Choroby układu sercowo-naczyniowego są jednym z dominujących problemów pacjentów w starszym wieku. Dzięki dynamicznemu rozwojowi medycyny niejednokrotnie największe korzyści terapeutyczne u chorych powyżej 65. roku życia można osiągnąć za pomocą zabiegów kardiologii inwazyjnej i kardiochirurgii. Warunkiem takiego postępowania jest odpowiednia stratyfikacja ryzyka związanego z procedurą inwazyjną. Podstawą większości skal stosowanych w kardiologii jest wiek chronologiczny chorego. Diagnostyka w kierunku FS umożliwi określenie wieku biologicznego pacjenta, dlatego stanowi ona cenne uzupełnienie powszechnie stosowanych metod oceny ryzyka zabiegów inwazyjnych u chorych w podeszłym wieku.
W pracy przedstawiono definicję, najczęściej stosowane narzędzia do rozpoznawania FS oraz wnioski z wybranych badań nad kruchością u pacjentów poddawanych zabiegom kardiologii inwazyjnej i operacjom kardiochirurgicznym.
Słowa kluczowe: zespół kruchościpodeszły wiekchoroby układu sercowo-naczyniowegozabiegi kardiologii inwazyjnejoperacje kardiochirurgiczne
Referencje
- Fried LP, Tangen CM, Walston J, et al. Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001; 56(3): M146–M156.
- Fried LP, Walston J. Frailty and failure to thrive. Wyd 5. In: Hazzard W, Blass JP, Halter JB. ed. Principles of Geriatric Medicine and Gerontology. McGraw-Hill, New York 2003: 1487–1502.
- Orme JG, Reis J, Herz EJ. Factorial and discriminant validity of the Center for Epidemiological Studies Depression (CES-D) scale. J Clin Psychol. 1986; 42(1): 28–33, doi: 10.1002/1097-4679(198601)42:1<28::aid-jclp2270420104>3.0.co;2-t.
- Taylor HL, Jacobs DR, Schucker B, et al. A questionnaire for the assessment of leisure time physical activities. J Chronic Dis. 1978; 31(12): 741–755.
- Studenski S, Hayes RP, Leibowitz RQ, et al. Clinical Global Impression of Change in Physical Frailty: development of a measure based on clinical judgment. J Am Geriatr Soc. 2004; 52(9): 1560–1566.
- Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005; 173(5): 489–495.
- Rockwood K, Hogan D, MacKnight C. Conceptualisation and Measurement of Frailty in Elderly People. Drugs Aging. 2000; 17(4): 295–302.
- Abellan van Kan G, Rolland YM, Morley JE, et al. Frailty: toward a clinical definition. J Am Med Dir Assoc. 2008; 9(2): 71–72.
- Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, et al. American College of Sports Medicine. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009; 41(7): 1510–1530.
- Gobbens RJJ, van Assen MA, Luijkx KG, et al. The predictive validity of the Tilburg Frailty Indicator: disability, health care utilization, and quality of life in a population at risk. Gerontologist. 2012; 52(5): 619–631.
- Goldfarb M, Sheppard R, Afilalo J. Prognostic and Therapeutic Implications of Frailty in Older Adults with Heart Failure. Curr Cardiol Rep. 2015; 17(11): 92.
- Leng S, Chaves P, Koenig K, et al. Serum interleukin-6 and hemoglobin as physiological correlates in the geriatric syndrome of frailty: a pilot study. J Am Geriatr Soc. 2002; 50(7): 1268–1271.
- Leng S, Cappola A, Andersen R, et al. Serum levels of insulin-like growth factor-I (IGF-I) and dehydroepiandrosterone sulfate (DHEA-S), and their relationships with serum interleukin-6, in the geriatric syndrome of frailty. Aging Clinical and Experimental Research. 2013; 16(2): 153–157.
- Sokołowski R, Ciesielska N, Czajkowska A, et al. Patogeneza zespołu kruchości. J Health Sciences. 2014; 4(9): 197–204.
- Uchmanowicz I, Lisiak M, Wontor R, et al. Frailty Syndrome in cardiovascular disease: clinical significance and research tools. Eur J Cardiovasc Nurs. 2015; 14(4): 303–309.
- Newman AB, Gottdiener JS, Mcburnie MA, et al. Cardiovascular Health Study Research Group. Associations of subclinical cardiovascular disease with frailty. J Gerontol A Biol Sci Med Sci. 2001; 56(3): M158–M166.
- Cacciatore F, Abete P, Mazzella F, et al. Frailty predicts long-term mortality in elderly subjects with chronic heart failure. Eur J Clin Invest. 2005; 35(12): 723–730.
- Walston J, McBurnie MA, Newman A, et al. Cardiovascular Health Study. Frailty and activation of the inflammation and coagulation systems with and without clinical comorbidities: results from the Cardiovascular Health Study. Arch Intern Med. 2002; 162(20): 2333–2341.
- Woods NF, LaCroix AZ, Gray SL, et al. Women's Health Initiative. Frailty: emergence and consequences in women aged 65 and older in the Women's Health Initiative Observational Study. J Am Geriatr Soc. 2005; 53(8): 1321–1330.
- Afilalo J, Alexander KP, Mack MJ, et al. Frailty assessment in the cardiovascular care of older adults. J Am Coll Cardiol. 2014; 63(8): 747–762.
- Conroy RM, Pyörälä K, Fitzgerald AP, et al. SCORE project group. Estimation of ten-year risk of fatal cardiovascular disease in Europe: the SCORE project. Eur Heart J. 2003; 24(11): 987–1003.
- D'Agostino RB, Vasan RS, Pencina MJ, et al. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation. 2008; 117(6): 743–753.
- Roques F, Nashef SA, Michel P, et al. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg. 1999; 16(1): 9–13.
- Fox KAA, Dabbous OH, Goldberg RJ, et al. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ. 2006; 333(7578): 1091.
- Pisters R, Lane DA, Nieuwlaat R, et al. A novel user-friendly score (HAS-BLED) to assess 1-year risk of major bleeding in patients with atrial fibrillation: the Euro Heart Survey. Chest. 2010; 138(5): 1093–1100.
- Avezum A, Makdisse M, Spencer F, et al. GRACE Investigators. Impact of age on management and outcome of acute coronary syndrome: observations from the Global Registry of Acute Coronary Events (GRACE). Am Heart J. 2005; 149(1): 67–73.
- Topol EJ, Califf RM, Van de Werf F, et al. Perspectives on large-scale cardiovascular clinical trials for the new millennium. The Virtual Coordinating Center for Global Collaborative Cardiovascular Research (VIGOUR) Group. Circulation. 1997; 95(4): 1072–1082.
- Ekerstad N, Swahn E, Janzon M, et al. Frailty is independently associated with short-term outcomes for elderly patients with non-ST-segment elevation myocardial infarction. Circulation. 2011; 124(22): 2397–2404.
- Huber CH, Goeber V, Berdat P, et al. Benefits of cardiac surgery in octogenarians--a postoperative quality of life assessment. Eur J Cardiothorac Surg. 2007; 31(6): 1099–1105.
- Lee DH, Buth KJ, Martin BJ, et al. Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery. Circulation. 2010; 121(8): 973–978.
- Sündermann S, Dademasch A, Rastan A, et al. Comprehensive assessment of frailty for elderly high-risk patients undergoing cardiac surgery. Eur J Cardiothorac Surg. 2011; 39(1): 33–37.
- Sündermann S, Dademasch A, Rastan A, et al. One-year follow-up of patients undergoing elective cardiac surgery assessed with the Comprehensive Assessment of Frailty test and its simplified form. Interact Cardiovasc Thorac Surg. 2011; 13(2): 119–23; discussion 123.
- Afilalo J, Eisenberg MJ, Morin JF, et al. Gait speed as an incremental predictor of mortality and major morbidity in elderly patients undergoing cardiac surgery. J Am Coll Cardiol. 2010; 56(20): 1668–1676.
- Afilalo J, Mottillo S, Eisenberg MJ, et al. Addition of frailty and disability to cardiac surgery risk scores identifies elderly patients at high risk of mortality or major morbidity. Circ Cardiovasc Qual Outcomes. 2012; 5(2): 222–228.
- Green P, Cohen DJ, Généreux P, et al. Relation between six-minute walk test performance and outcomes after transcatheter aortic valve implantation (from the PARTNER trial). Am J Cardiol. 2013; 112(5): 700–706.
- Green P, Arnold SV, Cohen DJ, et al. Relation of frailty to outcomes after transcatheter aortic valve replacement (from the PARTNER trial). Am J Cardiol. 2015; 116(2): 264–269.
- Puls M, Sobisiak B, Bleckmann A, et al. Impact of frailty on short- and long-term morbidity and mortality after transcatheter aortic valve implantation: risk assessment by Katz Index of activities of daily living. EuroIntervention. 2014; 10(5): 609–619.
- Stortecky S, Schoenenberger AW, Moser A, et al. Evaluation of multidimensional geriatric assessment as a predictor of mortality and cardiovascular events after transcatheter aortic valve implantation. JACC Cardiovasc Interv. 2012; 5(5): 489–496.
