Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, Katowice 40-635, Poland.
Department of Electrocardiology, Upper Silesian Heart Centre, Katowice 40-635, Poland.
Int J Environ Res Public Health. 2020 Mar 17;17(6):1954. doi: 10.3390/ijerph17061954.
Frailty syndrome may cause cognitive decline and increased sensitivity to stressors. This can result in an increased incidence of anxiety and depression, and thus, concerns about life with an implantable cardioverter defibrillator (ICD). The aim of the study was to assess the impact of frailty syndrome on the increase in the number of device-related concerns after the implantation of an ICD.
The study sample was a group of 103 consecutive patients (85 M; aged 71.6 ± 8.2) with an implanted ICD. The ICD Concerns Questionnaire (ICDC) was used to analyze their concerns about life with an ICD, and the Tilburg Frailty Indicator scale (TFI) was used to diagnose frailty.
In the group of patients with an ICD implanted, 73% had recognized frailty (83.3% women, 74.1% men); the average point value was 6.55 ± 2.67. The total ICDC questionnaire score for the patients with an implanted cardioverter defibrillator was 34.06 ± 18.15. Patients with frailty syndrome had statistically ( = 0.039) higher scores (36.14 ± 17.08) compared to robust patients (27.56 ± 20.13). In the logistic regression analysis, the presence of frailty was strongly associated with the total questionnaire score (OR = 1.0265, = 0.00426), the severity of the concerns (OR = 1.0417, = 0.00451), and device-specific concerns (OR = 1.0982, = 0.00424).
Frailty syndrome occurs in about 80% of patients after ICD implantation. The presence of frailty syndrome was strongly associated with concerns about an implantable cardioverter defibrillator.
评估衰弱综合征对植入埋藏式心脏转复除颤器（ICD）后患者器械相关担忧增加的影响。
研究对象为 103 例连续植入 ICD 的患者（85 例男性；年龄 71.6±8.2 岁），使用 ICD 相关担忧问卷（ICDC）分析患者对 ICD 生活的担忧，使用 Tilburg 衰弱指数量表（TFI）诊断衰弱。
植入 ICD 的患者中，73%存在衰弱（女性 83.3%，男性 74.1%），平均得分 6.55±2.67。植入 ICD 患者的 ICDC 总问卷评分为 34.06±18.15。衰弱综合征患者的评分（36.14±17.08）明显高于健康患者（27.56±20.13）（ =0.039）。逻辑回归分析显示，衰弱与总问卷评分（OR=1.0265， =0.00426）、担忧严重程度（OR=1.0417， =0.00451）和器械相关担忧（OR=1.0982， =0.00424）显著相关。
植入 ICD 后约 80%的患者出现衰弱综合征。衰弱综合征与对 ICD 的担忧密切相关。
