In-hospital outcomes of contemporary percutaneous coronary interventions in the very elderly
| العنوان: | In-hospital outcomes of contemporary percutaneous coronary interventions in the very elderly |
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| المؤلفون: | Olga Dynina, Warren Sherman, Babak A. Vakili, Timothy A. Sanborn, Stephen J. Green, James Slater, David L. Brown, Kumar L. Ravi |
| المصدر: | Catheterization and Cardiovascular Interventions. 58:351-357 |
| بيانات النشر: | Wiley, 2003. |
| سنة النشر: | 2003 |
| مصطلحات موضوعية: | Male, Pediatrics, medicine.medical_specialty, medicine.medical_treatment, Coronary Artery Disease, Coronary artery disease, Postoperative Complications, Pharmacotherapy, Predictive Value of Tests, Risk Factors, Angioplasty, Outcome Assessment, Health Care, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Hospital Mortality, Angioplasty, Balloon, Coronary, Stroke, Aged, Retrospective Studies, Cause of death, Aged, 80 and over, business.industry, Age Factors, Hemodynamics, Retrospective cohort study, General Medicine, Middle Aged, medicine.disease, Databases as Topic, Predictive value of tests, Conventional PCI, Female, Cardiology and Cardiovascular Medicine, business |
| الوصف: | Coronary heart disease is the leading cause of death among the elderly (65 years) and the very elderly (85 years). Little information is available regarding the outcome of very elderly patients referred for PCI in the current era of improved techniques, devices, and pharmacotherapy. The objective of the current study was to evaluate the clinical characteristics and outcomes of very elderly patientsor = 85 years of age in a large, contemporary, multi-institutional PCI database. Five hospitals in the New York City metropolitan area contributed these prospectively defined data elements on consecutive patients undergoing PCI from 1 January 1998 to 1 October 1999. Of 10,847 patients, 5,341 (49%) were younger than 65 years, 3,342 (31%) were 65-74 years, 1,885 (17%) were 75-84 years, and 279 (2.6%) were at least 85 years of age. Following PCI, the very elderly developed stroke (P0.001) and renal failure requiring dialysis (P = 0.002) more commonly than younger patients following PCI. The very elderly had a significantly increased in-hospital mortality rate at 2.5% (P0.001). However, on multivariate analysis, ageor = 85 years was not an independent predictor of in-hospital mortality (OR = 1.22; 95% CI = 0.37-4.07). The very elderly should not be refused PCI on the basis of advanced age alone. |
| تدمد: | 1522-726X 1522-1946 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::36a1fcd8f528c4da273c1dff45c31c9b https://doi.org/10.1002/ccd.10437 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....36a1fcd8f528c4da273c1dff45c31c9b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1522726X 15221946 |
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