Comparison of functional recovery following percutaneous coronary intervention for st elevation myocardial infarction in three age groups (<70, 70 to 79, and ≥80 Years)

Ellen C. Christiansen, Kelly K. Wickstrom, Timothy D. Henry, Ross F. Garberich, Stephanie C. Rutten-Ramos, David M. Larson, Elizabeth Z. Grey, Norma L. Thiessen, Robert G. Hauser, Marc C. Newell

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)330-335
Number of pages6
JournalAmerican Journal of Cardiology
Volume112
Issue number3
DOIs
StatePublished - Aug 1 2013

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