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- W2320290007 abstract "Introduction: Patients aged ≥80 years are often excluded or under-represented in trials assessing treatment modalities in STEMI. We assessed in-patient outcomes in elderly patients undergoing contemporary primary PCI (PPCI). Methods: From Sept 2005 to July 2011 patients undergoing PPCI in our centre were identified. Demographic details, procedural data and in-patient outcomes were collated. Those aged ≥80 years were compared with those <80 years. Results: In the study period 1218 patients required PPCI of which 224 (18.4%) where ≥80 years. The elderly cohort were more likely to be female (44.3% vs 20.3%, p < 0.001), and have significant comorbidities. First medical contact – TIMI 3 times were similar between the two groups (median 102 min vs 109 min, p = 0.19). There was no difference in rates of PCI success (97.3% vs 98.3%, p = 0.24), drug eluting stent use (63.5% vs 63.3%, p = 1.00) and number of stents used. In-patient outcomes were worse in the elderly cohort with significantly higher rates of death (11.2% vs 3.7%, p < 0.001) and acute renal failure (12.9% vs 4.0%, p < 0.001), with a trend towards more post procedure CVA, access site complications and re-infarction. Length of stay was significantly longer in the elderly cohort (median days 5 vs 3, p < 0.001). Conclusion: Important demographic differences exist in very elderly patients presenting with STEMI compared to younger patients though procedural data and PCI success rates are similar between the two groups. Those aged ≥80 years have significantly worse in-patient outcomes though death rates are not as high as historical data suggests." @default.
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- W2320290007 date "2012-01-01" @default.
- W2320290007 modified "2023-09-27" @default.
- W2320290007 title "Procedural and In-patient Outcomes in Patients Aged 80 Years or Older Undergoing Contemporary Primary Percutaneous Coronary Intervention" @default.
- W2320290007 doi "https://doi.org/10.1016/j.hlc.2012.05.421" @default.
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