Temporal Trends and Outcomes of Percutaneous Coronary Interventions in Nonagenarians: A National Perspective

JACC. Cardiovascular Interventions
Kashish GoelDavid R Holmes

Abstract

This study sought to assess temporal trends and outcomes of percutaneous coronary intervention (PCI) in nonagenarians. With increasing life expectancy, nonagenarians requiring PCI are increasing even though outcomes data are limited. The National Inpatient Sample was used to identify all hospitalizations for PCI in patients aged ≥90 years from January 1, 2003, to December 31, 2014. The primary outcome was in-hospital mortality. Nonagenarians (n = 69,271) constituted 0.9% of all PCI hospitalizations, increasing from 0.6% in 2003 to 2004 to 1.4% in 2013 to 2014 (ptrend < 0.001). From 2003-2004 to 2013-2014, the proportion of PCIs performed for ST-segment elevation myocardial infarction (STEMI) (23.1% to 30.9%) and non-ST-segment elevation acute coronary syndromes (49.6% to 52.6%) increased, whereas those for stable ischemic heart disease (SIHD) decreased (27.3% to 16.5%), respectively (ptrend < 0.001 for all). Overall in-hospital mortality after PCI for STEMI, non-ST-segment elevation acute coronary syndromes, and SIHD were 16.4%, 4.2%, and 1.8%, respectively. After multivariable risk adjustment for demographics, comorbidities, and hospital-level characteristics, in-hospital mortality remained unchanged in STEMI (odds ratio: 1.04...Continue Reading

Citations

Nov 13, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Fahad AlqahtaniMohamad Alkhouli
Oct 4, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Venkata S PajjuruAndrew M Goldsweig
Dec 17, 2020·BMJ Case Reports·Sharath Babu Nelagondanahalli ManjunathOommen Kattunilam George
Jan 14, 2021·BMC Cardiovascular Disorders·Mohammed M N MeahSuneil K Aggarwal
Jan 8, 2021·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Luke P DawsonUNKNOWN Melbourne Interventional Group (MIG) Investigators
Jan 23, 2021·Heart, Lung & Circulation·Stavroula PapapostolouUNKNOWN Melbourne Interventional Group Investigators
Jun 24, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Laura Pannell, Steve Ramcharitar
Jul 2, 2021·Journal of the American Medical Directors Association·Pedro Luis Cepas-GuillénManel Sabate

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