ACS, Elderly Patient, Frail Elderly Syndrome
Conditions
Brief summary
This is a prospective observational clinical trail which will recruit 1000-1500 participants over 65 years with frailty and acute coronary syndrome (ACS) in Beijing Friendship hospital. The investigators will conduct frailty assessment (FRAIL scale, CFS, SPPB), comorbidities, functional status (Barthel index, ADL, IADL), nutritional risk (MNA-SF), and then observe the clinical outcomes of elderly ACS participants with frailty. Then, the investigators will follow-up these participants separately in 1,3,6 and 12months, the anticipate follow-up time is 1 year. According to the follow-up results, investigators will evaluate the impact of frailty and other senile syndromes on the short-term and long-term prognosis of ACS, and develop a scoring system for the prognosis evaluation of elderly ACS participants.
Interventions
this is an observational study with none intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* Elderly participants over 65 * Clinical diagnosis of acute coronary syndrome * Must be able to follow-up * Sign in the informed consent
Exclusion criteria
* Myocardial infarction caused by other acute disease * Mental disorders who cannot cooperate to complete the assessment * Severe liver dysfunction, kidney disease (CKD 5), end-stage malignant tumor * Totally disabled and bedridden
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Death | During hospitalization, assessed up to 2 months | All-cause death and cardiac death events |
| Major Adverse Cardiac and Cerebrovascular events | During hospitalization, assessed up to 2 months | Major Adverse Cardiac and Cerebrovascular events including heart failure, cardiac shock, malignant arrhythmia, myocardial infarction, revascularization, and cerebral infarction |
Countries
China