Population
100 patients aged ≥ 80 years who met indications for chronic cardiac pacing and received permanent pacemaker…
Design
Cohort
Follow-up
4.0 ± 2.7 years
Key result
In patients aged 80 or older receiving a permanent pacemaker, an eGFR < 30 ml/min/1.73 m2 strongly predicted worse long-term survival (HR 4.07), as did low BMI, dyspnea, and longer hospital stay.
Authors
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eGFR <30, low BMI, dyspnea, and prolonged stay identify high-risk octogenarians post-pacemaker; hypothesis-generating for geriatric risk stratification.
Cohort (n=100)
No
Hazard Ratio: 4.07 (95% CI 1.95–8.52)
p-value: p=<0.001
In octogenarians undergoing permanent pacemaker implantation, longer pre-procedure hospital stay, eGFR < 30, BMI < 21, and dyspnea are independent predictors of worse long-term survival, highlighting the need for comprehensive geriatric assessment in these high-risk patients.
Cheng et al. (2018) conducted a cohort in Patients aged 80 or older requiring permanent pacemaker implantation (n=100). eGFR < 30 ml/min/1.73 m2 vs. eGFR > 60 ml/min/1.73 m2 was evaluated on All-cause mortality (HR 4.07, 95% CI 1.95-8.52, p=<0.001). In patients aged 80 or older receiving a permanent pacemaker, an eGFR < 30 ml/min/1.73 m2 strongly predicted worse long-term survival (HR 4.07), as did low BMI, dyspnea, and longer hospital stay.
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