Comparison of Outcomes After Percutaneous Coronary Intervention in Elderly Patients, Including 10 628 Nonagenarians: Insights From a Japanese Nationwide Registry (J-PCI Registry)

Journal of the American Heart Association
Yohei NumasawaJ‐PCI Registry Investigators

Abstract

Background Scarce data exist about the outcomes after percutaneous coronary intervention ( PCI ) in old patients. This study sought to provide an overview of PCI in elderly patients, especially nonagenarians, in a Japanese large prospective nationwide registry. Methods and Results We analyzed 562 640 patients undergoing PCI (≥60 years of age) from 1018 Japanese hospitals between 2014 and 2016 in the J-PCI (Japanese percutaneous coronary intervention) registry. Among them, 10 628 patients (1.9%), including 6780 (1.2%) with acute coronary syndrome ( ACS ) and 3848 (0.7%) with stable coronary artery disease, were ≥90 years of age. We investigated differences in characteristics and in-hospital outcomes among sexagenarians, septuagenarians, octogenarians, and nonagenarians. Older patients were more frequently women and had a greater frequency of heart failure and chronic kidney disease than younger patients. In addition, older patients had a higher rate of in-hospital mortality, cardiac tamponade, cardiogenic shock after PCI , and bleeding complications requiring blood transfusion. Nonagenarians had the highest risk of in-hospital mortality (odds ratio, 3.60; 95% CI , 3.10-4.18 in ACS ; odds ratio , 6.24; 95% CI, 3.82-10.20 in non- ...Continue Reading

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Mar 7, 2020·European Heart Journal. Quality of Care & Clinical Outcomes·Kensaku NishihiraYoshisato Shibata
Apr 24, 2020·European Heart Journal. Acute Cardiovascular Care·Kensaku NishihiraYoshisato Shibata
May 23, 2020·Cardiovascular Intervention and Therapeutics·Mitsuaki SawanoTetsuya Amano
Jun 27, 2020·Journal of Clinical Medicine·Yohei NumasawaShun Kohsaka
Oct 25, 2020·Journal of Clinical Medicine·Jacek PiegzaMariusz Gąsior
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Nov 3, 2021·Scientific Reports·Hirokazu NaganawaTakeshi Suzuki

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

R

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