作者
Abdulla A Damluji, Karen Bandeen-Roche, Carol Berkower, Cynthia M Boyd, Mohammed S Al-Damluji, Mauricio G Cohen, Daniel E Forman, Rahul Chaudhary, Gary Gerstenblith, Jeremy D Walston, Jon R Resar, Mauro Moscucci
发表日期
2019/4/23
期刊
Journal of the American College of Cardiology
卷号
73
期号
15
页码范围
1890-1900
出版商
American College of Cardiology Foundation
简介
Background
Older adults ≥75 years of age carry an increased risk of mortality after ST-segment elevation myocardial infarction (STEMI) complicated by cardiogenic shock.
Objectives
The purpose of this study was to examine the use of percutaneous coronary intervention (PCI) in older adults with STEMI and shock and its influence on in-hospital mortality.
Methods
We used a large publicly available all-payer inpatient health care database sponsored by the Agency for Healthcare Research and Quality between 1999 and 2013. The primary outcome was in-hospital mortality. The influence of PCI on in-hospital mortality was assessed by quintiles of propensity score (PS).
Results
Of the 317,728 encounters with STEMI and shock in the United States, 111,901 (35%) were adults age ≥75 years. Of these, 53% were women and 83% were Caucasians. The median number of chronic conditions was 8 (interquartile range: 6 to …
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AA Damluji, K Bandeen-Roche, C Berkower, CM Boyd… - Journal of the American College of Cardiology, 2019