Cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non-cardiac illness
Background: Atypical presentations of acute coronary syndrome (ACS) delay its recognition and treatment in the elderly patients. Functional decline and delirium which are common to the elderly during hospitalization, leads to cognitive impairment and poor health outcomes. Steps taken for its prevent...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of the Indian Academy of Geriatrics |
| Subjects: | |
| Online Access: | http://www.jiag.in/article.asp?issn=0974-3405;year=2023;volume=19;issue=1;spage=29;epage=35;aulast=Vijayakumar |
| _version_ | 1797775564658966528 |
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| author | Priya Vijayakumar Arun David M Vijayakumar |
| author_facet | Priya Vijayakumar Arun David M Vijayakumar |
| author_sort | Priya Vijayakumar |
| collection | DOAJ |
| description | Background: Atypical presentations of acute coronary syndrome (ACS) delay its recognition and treatment in the elderly patients. Functional decline and delirium which are common to the elderly during hospitalization, leads to cognitive impairment and poor health outcomes. Steps taken for its prevention is usually not considered the top priority by the cardiologist. The present study was conducted to identify cognitive decline among elderly patients who developed ACS during hospitalization for noncardiac illness and their outcome. Materials and Methods: Three hundred and ten elderly patients above 60 years of age with ACS were included from June 26, 2020 to October 13, 2020. Subjects were divided into those admitted primarily due to an ACS (Group I, n = 94) and those developing ACS following admission for noncardiac illness (Group II, n = 216). Co-morbidities, medications, investigations, management, clinical outcome, and Montreal Cognitive Assessment scale were compared between the two groups at the time of admission, after 30 days and after 6 months. Results: Majority of the subjects were admitted due to acute kidney injury (27.1%) in Group II and had a non-ST elevation ACS (90.2%). Optimum management was given to a lesser extent due to the clinical condition of these patients. Poor clinical outcome, cognitive impairment during hospitalization and cognitive decline during follow-up was more in Group II. Conclusion: Clinicians must be vigilant for the development of cognitive impairment and cognitive decline when an elderly patient is admitted to the hospital, as early detection and optimum management provides better clinical and cognitive outcome. |
| first_indexed | 2024-03-12T22:37:27Z |
| format | Article |
| id | doaj.art-861eabb673574189b6c5d3ecd2f1652d |
| institution | Directory Open Access Journal |
| issn | 0974-3405 0974-2484 |
| language | English |
| last_indexed | 2024-03-12T22:37:27Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Indian Academy of Geriatrics |
| spelling | doaj.art-861eabb673574189b6c5d3ecd2f1652d2023-07-21T11:37:30ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Geriatrics0974-34050974-24842023-01-01191293510.4103/jiag.jiag_63_22Cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non-cardiac illnessPriya VijayakumarArun DavidM VijayakumarBackground: Atypical presentations of acute coronary syndrome (ACS) delay its recognition and treatment in the elderly patients. Functional decline and delirium which are common to the elderly during hospitalization, leads to cognitive impairment and poor health outcomes. Steps taken for its prevention is usually not considered the top priority by the cardiologist. The present study was conducted to identify cognitive decline among elderly patients who developed ACS during hospitalization for noncardiac illness and their outcome. Materials and Methods: Three hundred and ten elderly patients above 60 years of age with ACS were included from June 26, 2020 to October 13, 2020. Subjects were divided into those admitted primarily due to an ACS (Group I, n = 94) and those developing ACS following admission for noncardiac illness (Group II, n = 216). Co-morbidities, medications, investigations, management, clinical outcome, and Montreal Cognitive Assessment scale were compared between the two groups at the time of admission, after 30 days and after 6 months. Results: Majority of the subjects were admitted due to acute kidney injury (27.1%) in Group II and had a non-ST elevation ACS (90.2%). Optimum management was given to a lesser extent due to the clinical condition of these patients. Poor clinical outcome, cognitive impairment during hospitalization and cognitive decline during follow-up was more in Group II. Conclusion: Clinicians must be vigilant for the development of cognitive impairment and cognitive decline when an elderly patient is admitted to the hospital, as early detection and optimum management provides better clinical and cognitive outcome.http://www.jiag.in/article.asp?issn=0974-3405;year=2023;volume=19;issue=1;spage=29;epage=35;aulast=Vijayakumaracute coronary syndromeatypical presentationcognitive declinecognitive impairmentgeriatrics |
| spellingShingle | Priya Vijayakumar Arun David M Vijayakumar Cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non-cardiac illness Journal of the Indian Academy of Geriatrics acute coronary syndrome atypical presentation cognitive decline cognitive impairment geriatrics |
| title | Cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non-cardiac illness |
| title_full | Cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non-cardiac illness |
| title_fullStr | Cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non-cardiac illness |
| title_full_unstemmed | Cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non-cardiac illness |
| title_short | Cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non-cardiac illness |
| title_sort | cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non cardiac illness |
| topic | acute coronary syndrome atypical presentation cognitive decline cognitive impairment geriatrics |
| url | http://www.jiag.in/article.asp?issn=0974-3405;year=2023;volume=19;issue=1;spage=29;epage=35;aulast=Vijayakumar |
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