Outcomes of Elderly Patients Undergoing Primary PCI
Author Information
Author(s): Hassan Ahmed, Emam Amr Yosry, Thabet Mohammed, Osman Ahmed, Shams Khaled Ahmed, Labib Mina Samir, Elguindy Ahmed
Primary Institution: Cairo University, Egypt
Hypothesis
What are the clinical characteristics and in-hospital outcomes of elderly patients undergoing primary percutaneous coronary intervention (pPCI) for STEMI?
Conclusion
Elderly patients undergoing pPCI have higher rates of complications and in-hospital mortality compared to younger patients.
Supporting Evidence
- Elderly patients had a higher prevalence of hypertension (57.7% vs. 40.9%) and chronic kidney disease (37.6% vs. 8.2%) compared to younger patients.
- In-hospital mortality was significantly higher in the elderly group (14.1% vs. 4%).
- Octogenarians had an even higher mortality rate of 23.3%.
- Killip class ≥II was an independent predictor of increased hospital mortality across all age groups.
Takeaway
Older people who have heart attacks and get a special procedure called pPCI are more likely to have problems and die in the hospital than younger people.
Methodology
This observational cohort study analyzed data from a pPCI registry at a tertiary cardiac center in upper Egypt, including 3,627 patients from January 2014 to June 2023.
Potential Biases
The study may not represent all elderly patients as it only includes those who underwent pPCI at a specific center.
Limitations
The study is based on a single center's data and lacks long-term follow-up.
Participant Demographics
The elderly group (≥70 years) included 575 patients, with a higher proportion of women and comorbidities like hypertension and chronic kidney disease.
Statistical Information
P-Value
<0.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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