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June 27, 2026Clinical Interventions in AgingOpen Access

Native Platelet Function and Clinical Outcomes in Very Elderly Patients: A Retrospective Cohort Study

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Why the study?

The study examined native platelet function, its correlation with routine laboratory parameters, and factors linked to poor 90-day outcomes in very elderly patients not on antiplatelet or anticoagulant therapy.

Population

94 very elderly inpatients (≥ 80 years) not on antiplatelet or anticoagulant therapy

Comparison

Patients aged 80–89 years vs ≥ 90 years

Design

Retrospective cohort study

Follow-up

90 days

Key result

In very elderly patients not on antithrombotic therapy, age ≥90 years was not significantly associated with poor 90-day clinical outcomes compared to age 80-89 years (OR 2.86).

Authors

YNYang NanZhuXZXiuyuan ZhaoXLXin Li

Discussion

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Overview

Suggests advanced age alone does not alter baseline platelet function; leaves open whether larger cohorts might.

Key Points

  • The study aims to explore the relationship between native platelet function and clinical outcomes in very elderly patients not on anticoagulant therapy.
  • Retrospective cohort study involving 94 inpatients aged 80 years and older.
  • Excluded patients on antiplatelet, anticoagulant, or glucocorticoid therapy within 7 days before admission.
  • Used Spearman correlation and Firth penalized logistic regression to analyze data.
  • No differences in platelet count or aggregation rates between age groups (all P > 0.05).
  • Prothrombin time was significantly longer in patients aged ≥ 90 years (P < 0.001).
  • No significant predictors of poor outcomes identified (age ≥ 90 years OR=2.86, P=0.090; coronary heart disease OR=1.61, P=0.424).

Study Design

Type

Cohort (n=94)

Multicenter

No

Structured PICO

P
Population
94 very elderly inpatients aged 80 years and older, not receiving antiplatelet or anticoagulant therapy, followed for 90 days to assess clinical outcomes.
O
Outcome
Native platelet function (ADP- and AA-induced aggregation, platelet count) and poor 90-day outcomes

Main Result

Odds Ratio: 2.86 (95% CI 0.85–9.62)

Absolute Event Rate: 20.5% vs 8%

p-value: p=0.090

In very elderly patients not on antithrombotic therapy, native platelet function does not differ between octogenarians and nonagenarians and does not predict 90-day outcomes, though limited by small sample size.

Limitations

  • Single-center retrospective design
  • Small sample size with only 13 outcome events limiting statistical power
  • Short 90-day follow-up period
  • Potential unmeasured confounders such as SSRI or NSAID use
  • Assessment of platelet function confined to conventional aggregation measures
  • Study population consisted of relatively stable, community-dwelling individuals
  • Small number of outcome events (n=13) limits statistical power

Cite This Study

NanZhu et al. (2026) conducted a cohort in Very elderly patients not on antiplatelet or anticoagulant therapy (n=94). Age ≥90 years vs. Age 80-89 years was evaluated on Poor 90-day clinical outcomes (all-cause mortality, severe disability, or hospital readmission due to MACE) (OR 2.86, 95% CI 0.85-9.62, p=0.090). In very elderly patients not on antithrombotic therapy, age ≥90 years was not significantly associated with poor 90-day clinical outcomes compared to age 80-89 years (OR 2.86).

synapsesocial.com/papers/6a3f97f8125782b61d865bc6https://doi.org/10.2147/cia.s611696
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