Conceptual analysis of postoperative frailty in elderly patients with coronary heart disease after percutaneous coronary intervention
XU Haiyue
SUN Wenxia
Abstract：Objective:To define the concept and connotation of postoperative frailty in elderly patients with coronary heart disease after percutaneous coronary intervention(PCI)using Walker and Avant's classic concept analysis method.Methods:Databases including EMbase,Web of Science,PubMed,CINAHL,CNKI,WanFang Database,VIP and SinoMed were systematically searched for literature related to postoperative frailty after PCI in elderly patients with coronary heart disease.The retrieval time was from the inception to December 19,2023.To analyze the antecedents and consequences and defining attributes of the concept of postoperative frailty after PCI.Results:A total of 34 articles were included.Postoperative frailty in elderly patients with coronary heart disease after PCI included 4 attributes:elderly patients after PCI,high cardiovascular risk factors,heavy comorbidity burden and high risk of adverse outcomes.The antecedents included demographic data,poor individual health status,unhealthy lifestyle,PCI treatment factors and low family care.The consequences included increased adverse events,psychosocial effects,and consumption of health care resources.Conclusion:Clarifying the concept of postoperative frailty in elderly patients with coronary heart disease after PCI through concept analysis can help clinical medical staff identify the risk of frailty as soon as possible and give targeted measures,so as to improve the adverse outcomes and provide a reference for carrying out related research.
Keywords：the elderlypercutaneous coronary interventionfrailtyconcept analysis
Publication Date：2025-04-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1237-1241 )