Frontiers in medicine · 2026
The relationship between physical activity levels and prognosis in geriatric patients diagnosed with acute coronary syndrome.
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Taskin Gokhan, Kiyak Ramazan, Cakas Muhammet, Caglar Bahadir, Duman Evrim, Deniz Ismail Emre, Isik Ozkan
Аннотация
PURPOSE: This study aimed to investigate the relationship between Physical Activity (PA) levels and prognosis in geriatric patients diagnosed with Acute Coronary Syndrome (ACS) in the emergency department.
METHOD: Purposive sampling was used and 207 volunteer geriatric ACS patients were included. Since the obtained data did not follow a normal distribution, the Kruskal-Wallis H test, Dunn-Bonferroni test, Fisher-Freeman-Halton test, Spearman correlation coefficient, and receiver operating characteristic curve were used in the data analysis.
RESULTS: The findings revealed that the PA levels of patients diagnosed with major adverse cardiac events (MACE) in the emergency department was lower than that of patients diagnosed with non-MACE and patients who refused treatment/were discharged and diagnosed with MACE within 30 days (p = 0.001). Additionally, when comparing ACS risk scores (TIMI, HEART, and SVEAT), ACS risk scores were higher in patients diagnosed with MACE compared to patients diagnosed with non-MACE and patients who refused treatment or were diagnosed with MACE within 30 days after discharge (p = 0.001). Patients' PA levels were found to be negatively correlated with ACS risk scores TIMI (r = -0.202; p = 0.004), HEART (r = -0.387; p = 0.001), and SVEAT (r = -0.460; p = 0.001). ACS patients with high PA were found to have a lower MACE rate and mortality risk than patients with low and moderate PA (p = 0.001). Indeed, when examined patient prognosis, discharge, ward, coronary care unit, and intensive care unit services were directly related to PA (p = 0.001). These results indicate that higher PA may be associated with a reduced risk of ACS and mortality in geriatric individuals.
CONCLUSION: It is recommended that PA levels be considered when making treatment decisions in geriatric ACS patients, especially in borderline cases. Furthermore, PA may be a practical and potentially useful prognostic indicator in geriatric ACS patients; however, its integration into existing ACS risk scoring systems requires further validation in larger and prospective studies.
METHOD: Purposive sampling was used and 207 volunteer geriatric ACS patients were included. Since the obtained data did not follow a normal distribution, the Kruskal-Wallis H test, Dunn-Bonferroni test, Fisher-Freeman-Halton test, Spearman correlation coefficient, and receiver operating characteristic curve were used in the data analysis.
RESULTS: The findings revealed that the PA levels of patients diagnosed with major adverse cardiac events (MACE) in the emergency department was lower than that of patients diagnosed with non-MACE and patients who refused treatment/were discharged and diagnosed with MACE within 30 days (p = 0.001). Additionally, when comparing ACS risk scores (TIMI, HEART, and SVEAT), ACS risk scores were higher in patients diagnosed with MACE compared to patients diagnosed with non-MACE and patients who refused treatment or were diagnosed with MACE within 30 days after discharge (p = 0.001). Patients' PA levels were found to be negatively correlated with ACS risk scores TIMI (r = -0.202; p = 0.004), HEART (r = -0.387; p = 0.001), and SVEAT (r = -0.460; p = 0.001). ACS patients with high PA were found to have a lower MACE rate and mortality risk than patients with low and moderate PA (p = 0.001). Indeed, when examined patient prognosis, discharge, ward, coronary care unit, and intensive care unit services were directly related to PA (p = 0.001). These results indicate that higher PA may be associated with a reduced risk of ACS and mortality in geriatric individuals.
CONCLUSION: It is recommended that PA levels be considered when making treatment decisions in geriatric ACS patients, especially in borderline cases. Furthermore, PA may be a practical and potentially useful prognostic indicator in geriatric ACS patients; however, its integration into existing ACS risk scoring systems requires further validation in larger and prospective studies.