Key result
Older adults (≥75 years) with ST-elevation acute coronary syndrome underwent percutaneous coronary intervention significantly less often than younger patients (31.1% vs 68.9%, p<0.001), despite having a higher predicted mortality risk.
Why the study?
Does advanced age affect the frequency of percutaneous coronary interventions and quality of care in patients with acute coronary syndrome?
Observational (n=33,893)
Yes
Does advanced age affect the frequency of percutaneous coronary interventions and quality of care in patients with acute coronary syndrome?
Absolute Event Rate: 31.1% vs 68.9%
p-value: p=<0.001
Elderly patients with acute coronary syndrome are significantly less likely to receive percutaneous coronary interventions compared to younger patients, highlighting a gap in guideline-directed care that may contribute to higher mortality.
Older adults with STEMI receive PCI less often despite higher risk; hypothesis-generating for age-related disparities and requires prospective confirmation.
The frequency of cardiovascular diseases is increasing progressively with age, and the global aging of the population poses the problem of treatment of patients of older age groups in a row with other relevant medical and socio-economic problems. Aim. In the present study was to investigate the quality of medical care for patients with acute coronary syndrome (ACS) old age and compliance of the treatment current guidelines. The data is exported from the system of the Federal register OKS. Materials and methods. Analyzed medical history 33 893 patients with ACS entered in the system registry of ACS for the period from 01.01.2016 to 31.12.2016. a comparison was made of the quality of care in patients with ACS elderly (75 years and older, n=8773) and in younger patients. Results. The results of the study showed that in patients of senile age, when compared with younger patients, comorbid conditions are significantly more often observed, as well as a significantly higher risk of hospital and 6-month death, calculated on the GRACE scale. Conclusion. Patients of senile age with ACS are almost twice less likely to undergo percutaneous coronary interventions than younger ones, which worsens the prognosis in these patients and increases mortality.
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Ocshepkova et al. (2018) conducted an observational in Acute Coronary Syndrome (n=33,893). Older age (≥75 years) vs. Younger age (18-74 years) was evaluated on Frequency of percutaneous coronary intervention (PCI) in patients with ST-segment elevation acute coronary syndrome (p=<0.001). Older adults (≥75 years) with ST-elevation acute coronary syndrome underwent percutaneous coronary intervention significantly less often than younger patients (31.1% vs 68.9%, p<0.001), despite having a higher predicted mortality risk.
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