title: Comparison of functional recovery following percutaneous coronary intervention for ST elevation myocardial infarction in three age groups (<70, 70 to 79, and ≥80 years).
abstract: Functional outcomes of elderly patients ≥80 years who undergo percutaneous coronary intervention (PCI) for ST elevation myocardial infarction (STEMI) are unknown. Registry data indicate that up to 55% of elderly patients with STEMI do not receive reperfusion therapy despite a suggested mortality benefit, and only limited data are available regarding outcomes in elderly patients treated with primary PCI. Therefore, prospective data from a regional STEMI transfer program were analyzed to determine major adverse cardiac events, length of stay, and discharge status of consecutive patients with STEMI ≥80 years from March 2003 to November 2006. Of the 1,323 consecutive patients with STEMI treated in this regional STEMI system from March 2003 to November 2006, 199 (15.0%) were ≥80 years old. In-hospital mortality in elderly patients was 11.6%, with a 1-year mortality rate of 25.6%. Of the 166 patients with age ≥80 who lived independently or in assisted living before hospital admission and survived, 150 (90.4%) were discharged to a similar living situation or projected to such a living situation after temporary nursing home care. The median length of hospital stay was 4 days for these patients. In conclusion, elderly patients with age ≥80 receiving PCI for STEMI in a regional STEMI program have short hospital stays and excellent functional recovery on the basis of a very high rate of return to a similar previous living situation.
authors: Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA.
authors: Ellen C
authors: EC
authors: Christiansen
authors: Kelly K
authors: KK
authors: Wickstrom
authors: Timothy D
authors: TD
authors: Henry
authors: Ross F
authors: RF
authors: Garberich
authors: Stephanie C
authors: SC
authors: Rutten-Ramos
authors: David M
authors: DM
authors: Larson
authors: Elizabeth Z
authors: EZ
authors: Grey
authors: Norma L
authors: NL
authors: Thiessen
authors: Robert G
authors: RG
authors: Hauser
authors: Marc C
authors: MC
authors: Newell
mesh_terms: D000203:Activities of Daily Living / Q000145:classification* / Q000523:psychology*; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000401:mortality / Q000523:psychology; D000925:Anticoagulants / Q000008:administration & dosage; D002037:Bundle-Branch Block / Q000401:mortality / Q000523:psychology / Q000628:therapy; D002423:Cause of Death; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D053208:Kaplan-Meier Estimate; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008910:Minnesota; D009203:Myocardial Infarction / Q000401:mortality / Q000523:psychology / Q000628:therapy*; D010360:Patient Transfer; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D015607:Stents; D015912:Thrombolytic Therapy
chemical_list: D000925:Anticoagulants