Why the study?
Does initial admission to a coronary care unit improve the rate of thrombolytic administration in elderly patients with acute myocardial infarction compared to admission to a geriatric medical ward?
Population
100 patients aged 75 or over with proven acute myocardial infarction admitted initially to either the…
Comparison
Initial admission to the coronary care unit (CCU) vs Initial admission to a geriatric medical ward
Design
Cohort
Authors
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CCU admission was associated with higher thrombolysis rates in elderly AMI; leaves open whether direct admission improves outcomes or warrants triage changes.
Does initial admission to a coronary care unit improve the rate of thrombolytic administration in elderly patients with acute myocardial infarction compared to admission to a geriatric medical ward?
Elderly patients with acute myocardial infarction are significantly less likely to receive guideline-directed therapies like thrombolysis and aspirin if initially admitted to a geriatric ward rather than a coronary care unit.
T A Farnsworth (1993) studied this question.