Turkish Journal of Geriatrics 2021 , Vol 24, Issue 3
ACUTE CORONARY SYNDROME IN GERIATRIC PATIENTS IN AN INTENSIVE CARE UNIT
Suzan KESKİN1, Arzu Neslihan AKGÜN1, Orçun ÇİFTÇİ1, İbrahim Haldun MÜDERRISOĞLU1
1Başkent University Ankara Education and Training Hospital, Cardiology, Ankara, Turkey DOI : 10.31086/tjgeri.2021.227 Objective: The advancing age of acute coronary syndrome and the ageing population are leading to an increase in the number of elderly patients with acute coronary syndrome in our clinical practice. In our study, we aimed to investigate the effect of acute coronary syndrome in the geriatric patient group.

Materials and Method: We retrospectively included geriatric patients who were in intensive care units because of different diagnoses, who also showed an acute coronary syndrome, and who had been diagnosed using the sequential organ failure assessment score. This score is used to describe the condition of a patient with sepsis and the extent of organ damage during treatment in an intensive care unit. We reviewed patients who were at Baskent University Faculty of Medicine between 25 March 2015 and 12 March 2020.

Results: We included 63 patients aged 77.27±7.65 years. There were 40 (63.5%) males and 23 (36.5%) females. A total of 42 (89.4%) patients died in the first 5 months, one (2.1%) died between the 6th and 10th months, two (4.3%) between the 11th and 20th months, and two (4.3%) between the 21st and 30th months. We found a significant relationship between the sequential organ failure assessment score and mortality rate (p<0.05). The sequential organ failure assessment score was reliable in predicting mortality in geriatric patients with acute coronary syndrome, with 57% sensitivity and 75% specificity.

Conclusion: Mortality of geriatric patients with acute coronary syndrome can be significantly determined using the sequential organ failure assessment scores. Keywords : Geriatrics; Acute coronary syndrome; Intensive Care Units; Mortality