Linked Life Data

12772238

Source:http://linkedlifedata.com/resource/pubmed/id/12772238

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2003-5-28
pubmed:abstractText
Elderly patients are increasingly referred to percutaneous coronary interventions (PCIs). Recent reports suggest complications rates are declining in the elderly. We sought to determine whether procedural and in-hospital outcomes are different in patients aged > or = 75 years undergoing nonemergent PCI as compared to patients age < 75 years. The outcome of 266 consecutive patients age > or = 75 years undergoing nonemergent PCI was compared to that of 1,681 consecutive patients age < 75 years. Compared with younger patients, greater proportions of elderly patients were women and had a history of hypertension, peripheral vascular disease, and cerebral vascular events. Elderly patients had more extensive coronary involvement. Procedural success was similar in both groups (94%). The in-hospital cardiac death rate was significantly higher in the elderly patients (2.3% vs. 0.7%; P = 0.03). Aged patients also had a significantly higher incidence of vascular and bleeding complications. Blood transfusion was required more often in the elderly group (4.5% vs. 2.6%; P = 0.07). The hospitalization length was significantly higher in the elderly group (4.1 +/- 6.0 vs. 2.5 +/- 4.3 day; P = 0.0004). By multivariate logistic regression (adjusted for baseline clinical and angiographic variables), age > or = 75 years was found to be an independent predictor of in-hospital cardiac death (odds ratio = 3.9; 95% CI = 1.3-11.5; P = 0.015). Although PCI is technically successful in patients aged > or = 75 years; it is associated with more acute cardiac and vascular complications and higher in-hospital cardiac mortality.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1522-1946
pubmed:author
pubmed:copyrightInfo
Copyright 2003 Wiley-Liss, Inc.
pubmed:issnType
Print
pubmed:volume
59
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
195-9
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:12772238-Age Factors, pubmed-meshheading:12772238-Aged, pubmed-meshheading:12772238-Aged, 80 and over, pubmed-meshheading:12772238-Angioplasty, Balloon, Coronary, pubmed-meshheading:12772238-Blood Vessel Prosthesis Implantation, pubmed-meshheading:12772238-Coronary Angiography, pubmed-meshheading:12772238-Coronary Disease, pubmed-meshheading:12772238-Death, pubmed-meshheading:12772238-Female, pubmed-meshheading:12772238-Hospital Mortality, pubmed-meshheading:12772238-Humans, pubmed-meshheading:12772238-Incidence, pubmed-meshheading:12772238-Length of Stay, pubmed-meshheading:12772238-Male, pubmed-meshheading:12772238-Middle Aged, pubmed-meshheading:12772238-Myocardial Infarction, pubmed-meshheading:12772238-Platelet Glycoprotein GPIIb-IIIa Complex, pubmed-meshheading:12772238-Postoperative Complications, pubmed-meshheading:12772238-Predictive Value of Tests, pubmed-meshheading:12772238-Retrospective Studies, pubmed-meshheading:12772238-Risk Factors, pubmed-meshheading:12772238-Stents, pubmed-meshheading:12772238-Treatment Outcome
pubmed:year
2003
pubmed:articleTitle
The dilemma of success: percutaneous coronary interventions in patients > or = 75 years of age-successful but associated with higher vascular complications and cardiac mortality.
pubmed:affiliation
Cardiac Catheterization Laboratory, Rabin Medical Center, Petach-Tikva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. aassali@netvision.net.il
pubmed:publicationType
Journal Article, Comparative Study