The Influence of Frailty Syndrome and Dementia on the Convenience and Satisfaction with Oral Anticoagulation Treatment in Elderly Patients with Atrial Fibrillation

Katarzyna Lomper, Maria Łoboz-Rudnicka, Tomasz Bańkowski, Krystyna Łoboz-Grudzień and Joanna Jaroch
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Katarzyna Lomper: Department of Clinical Nursing, Medical University, 51-618 Wroclaw, Poland
Maria Łoboz-Rudnicka: Department of Cardiology, T. Marciniak Hospital, 54-049 Wroclaw, Poland
Tomasz Bańkowski: Department of Cardiology, T. Marciniak Hospital, 54-049 Wroclaw, Poland
Krystyna Łoboz-Grudzień: Department of Cardiology, T. Marciniak Hospital, 54-049 Wroclaw, Poland
Joanna Jaroch: Department of Clinical Nursing, Medical University, 51-618 Wroclaw, Poland

IJERPH, 2022, vol. 19, issue 9, 1-10

Abstract: Background: The impact of frailty syndrome (FS) and dementia on the convenience and satisfaction with oral anticoagulation (OAC) treatment in atrial fibrillation (AF) patients is not well-known. Aim: Assessment the impact of FS and dementia on the convenience and satisfaction with OAC treatment in 116 elderly (mean age 75.2, SD = 8.2) patients with AF. Methodology: A self-administered questionnaire was used in the study to collect basic socio-demographic and clinical data. Tilburg Frailty Indicator (TFI) questionnaire was used to assess the presence of FS, Mini Mental State Examination (MMSE) to assess cognitive impairment (CI), The Perception of Anticoagulant Treatment Questionnaire Part 2 (PACT-Q2) to assess convenience and satisfaction with OAC treatment, and the Arrhythmia-Specific Questionnaire in Tachycardia and Arrhythmia (ASTA) to assess quality of life (QoL). Results: Multivariable analysis as a significant, negative predictor of the convenience and satisfaction domain showed the occurrence of dementia (β = −0.34; p < 0.001, β = −0.41; p < 0.001, respectively) and prior major bleeding (β = −0.30; p < 0.001, β = −0.33; p < 0.001, respectively). Analysis showed a significant relationship between convenience and satisfaction and the overall result of the ASTA (r = −0.329; p < 0.001, r = −0.372; p < 0.001, respectively). Conclusions: Elements of geriatric syndrome, such as FS and dementia, adversely affect treatment convenience and satisfaction with OAC treatment in AF. It has been shown that better convenience and satisfaction with OAC treatment translates into better QoL. There were no differences between satisfaction and convenience and the type of OAC treatment (vitamin K antagonists (VKA) vs. novel oral anticoagulants (NOAC).

Keywords: atrial fibrillation; oral anticoagulation; treatment satisfaction; treatment convenience; geriatric elements (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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