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This observational study evaluated the relationship between physical activity level and prognosis in geriatric patients admitted to the emergency department with acute coronary syndrome (ACS). A total of 207 patients aged 65 years and older were included. Physical activity level was assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF) and compared with clinical outcomes and risk scores (TIMI, HEART, SVEAT). Results showed that patients with higher physical activity levels had lower rates of major adverse cardiac events (MACE) and mortality, as well as lower risk scores. The findings suggest that physical activity is an independent protective factor that improves prognosis in older patients with ACS.
Acute coronary syndrome (ACS) in elderly patients is associated with high morbidity and mortality, and identifying prognostic factors is clinically important. Physical activity is known to have protective cardiovascular effects, but its prognostic role in geriatric ACS patients remains unclear.
This observational study will include 207 patients aged 65 years and older who present to the emergency department with ACS. Physical activity levels will be measured using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Activity scores will then be compared with clinical outcomes, including major adverse cardiac events (MACE), mortality, and risk stratification scores (TIMI, HEART, SVEAT).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Geriatric ACS Patients | This cohort consists of 207 patients aged 65 years and older who presented to the emergency department with acute coronary syndrome (ACS). No intervention was performed. Physical activity levels were assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF), and outcomes were compared with major adverse cardiac events (MACE), mortality, and risk scores (TIMI, HEART, SVEAT). |
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| Measure | Description | Time Frame |
|---|---|---|
| Major Adverse Cardiac Events (MACE) | Occurrence of major adverse cardiac events (MACE) including STEMI, NSTEMI, unstable angina, or cardiovascular mortality. | Within 30 days after emergency department admission |
| Measure | Description | Time Frame |
|---|---|---|
| Physical Activity Score (IPAQ-SF) | Physical activity level measured using the International Physical Activity Questionnaire Short Form (IPAQ-SF). Score range: 0 to 1920 MET-minutes/week. Higher scores indicate greater levels of physical activity. | At baseline (hospital admission, emergency department evaluation) |
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Inclusion Criteria:
Exclusion Criteria:
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The study population consisted of 207 geriatric patients aged 65 years and older who were admitted to the emergency department with a diagnosis of acute coronary syndrome (ACS)
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Balıkesir University Faculty of Sport Sciences / Department of Coaching Education | Balıkesir | Balıkesir | 10145 | Turkey (Türkiye) |
Individual participant data (IPD) will not be shared because the study is retrospective and based on hospital records, and data sharing is restricted due to patient privacy and ethical considerations.
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| ID | Term |
|---|---|
| D054058 | Acute Coronary Syndrome |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| TIMI Risk Score |
Thrombolysis in Myocardial Infarction (TIMI) Risk Score. Risk stratification assessed using the TIMI Risk Score, which is based on clinical history, electrocardiogram findings, troponin levels, and cardiovascular risk factors. Score range: 0 to 7. Higher scores indicate greater risk and worse prognosis. |
| At baseline (emergency department evaluation) |
| HEART Risk Score | HEART Risk Score (History, Electrocardiogram, Age, Risk factors, Troponin). Risk stratification assessed using the HEART Risk Score, which is based on patient history, electrocardiogram findings, age, cardiovascular risk factors, and troponin levels. Score range: 0 to 10. Higher scores indicate increased risk of major adverse cardiac events (worse prognosis). | At baseline (emergency department evaluation) |
| SVEAT Risk Score | SVEAT Risk Score (Symptoms, Vascular disease, Electrocardiogram, Age, Troponin). Risk stratification assessed using the SVEAT Risk Score, based on symptoms, history of vascular disease, electrocardiogram findings, age, and troponin levels. Score range: 0 to 10. Higher scores indicate increased cardiovascular risk and worse prognosis. | At baseline (emergency department evaluation) |
| All-cause Mortality | Death from any cause among study participants after acute coronary syndrome. | Within 30 days after admission |
| D001519 |
| Behavior |