Key result
Presenting with ≥3 cardiac and ≥1 noncardiac conditions in AMI predicts highest complication and rehospitalization risks.
Why the study?
The impact of cardiac- and noncardiac-related conditions on the risk of hospital complications and 7- and 30-day rehospitalizations in older patients with AMI needed examination.
Does the burden of cardiac and noncardiac conditions increase the risk of hospital complications and rehospitalizations in older adults with AMI?
Population
3863 adults aged 65 years and older hospitalized with AMI in Worcester, Massachusetts
Comparison
Four groups based on combinations of previously diagnosed cardiac and noncardiac conditions
Design
Observational study
Follow-up
30-day
Authors
Loading...
Multiple cardiac and noncardiac conditions identify highest-risk older AMI patients for complications and readmission; leaves open whether targeted strategies improve outcomes.
Cohort (n=3,863)
Does the burden of cardiac and noncardiac conditions increase the risk of hospital complications and rehospitalizations in older adults with AMI?
Older adults with AMI and a high burden of both cardiac and noncardiac comorbidities have the highest risk of short-term adverse outcomes and are less likely to receive evidence-based therapies.
Tisminetzky et al. (2019) conducted a cohort in acute myocardial infarction (n=3,863). Multiple cardiac and noncardiac conditions vs. Fewer or no cardiac and noncardiac conditions was evaluated on Hospital complications and 7- and 30-day rehospitalizations. Older adults hospitalized with AMI who presented with ≥3 cardiac and ≥1 noncardiac conditions (31% of the cohort) were at greatest risk for hospital complications and 7- and 30-day rehospitalizations.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: