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December 21, 2012Geriatrics and gerontology international/Geriatrics & gerontology international

Trends in mortality rates in elderly ST elevation myocardial infarction patients submitted to primary percutaneous coronary intervention: A 7‐year single‐center experience

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Why the study?

Does the time period of primary PCI (2007-2010 vs 2004-2006) affect mortality rates in elderly STEMI patients?

Population

404 unselected STEMI patients aged ≥ 75 years consecutively admitted to an Intensive Cardiac Care Unit and…

Comparison

Primary PCI during the later period (2007-2010) vs Primary PCI during the earlier period (2004-2006)

Design

Cohort

Follow-up

1 year

Authors

CLChiara LazzeriSVSerafina ValenteMCMarco Chiostri

Discussion

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Member takes

Overview

Stable outcomes despite rising complexity in elderly STEMI PCI patients; hypothesis-generating for care advances and requires prospective confirmation.

Structured PICO

Does the time period of primary PCI (2007-2010 vs 2004-2006) affect mortality rates in elderly STEMI patients?

P
Population
404 unselected STEMI patients aged ≥ 75 years consecutively admitted to an Intensive Cardiac Care Unit and submitted to primary percutaneous coronary intervention (PCI) from 2004 to 2010.
I
Intervention
Primary PCI during the later period (2007-2010)
C
Comparator
Primary PCI during the earlier period (2004-2006)
O
Outcome
Mortality rates (in-hospital and 1-year post-discharge)hard clinical

Despite an increase in age and comorbidities over a 6-year period, early and 1-year mortality remained unchanged in elderly STEMI patients undergoing primary PCI, potentially due to a reduction in bleeding events.

Cite This Study

Lazzeri et al. (2012) studied this question.

synapsesocial.com/papers/6a6fb7226ceb2bbd16dfb7efhttps://doi.org/10.1111/ggi.12005
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