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- Title
Investigation of Risk Factors for Acute Coronary Syndrome in Geriatric Patients.
- Authors
YILMAZ, Nida; TAŞLIDERE, Bahadır
- Abstract
Introduction: Acute coronary syndrome may present with symptoms such as chest pain, shortness of breath, and sweating. In this study, we investigated the effects of risk factors on mortality in geriatric patients diagnosed with acute coronary syndrome. Method: This study was conducted retrospectively in accordance with the Helsinki criteria with approval from the ethics committee dated 03.05.2023 and numbered 09. The study was conducted in the emergency department of Bezmialem Vakıf University, Faculty of Medicine Hospital between 01.01.2022 and 31.12.2022 by examining patients aged 65 years and over. GRACE scores of the patients were calculated, and comorbidities and the outcome of the patients were compared. Results: Data of 326 patients (71.9±5.40 years), 230 males (70.5%), and 96 females (29.5%) were included in the study. Troponin values (169±280), hospital admission complaints, GRACE score (159±13.7), gender, comorbid diseases, and smoking were analyzed to investigate the effects of these factors on mortality. Patients were divided into two groups: those with a GRACE score below 140 (277, 85%) and those with a GRACE score of 140 and above (49, 15%). The GRACE score was found to be a statistically significant variable on mortality (p=0.005). Patients' typical/atypical complaints were also found to be statistically significant on mortality (p=0.01). The effect of smoking on mortality was found to be very close to statistical significance (p=0.07). Conclusion: According to the results of the study, statistically significant factors in mortality prognosis are: GRACE score and patient's presentation with typical/atypical symptoms. The effect of patient smoking on mortality was statistically more effective than the presence of comorbid diseases.
- Subjects
ACUTE coronary syndrome; CHEST pain; MORTALITY risk factors; COMORBIDITY
- Publication
Bezmialem Science, 2024, Vol 13, pS41
- ISSN
2148-2373
- Publication type
Abstract