Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/418
Title: Primary percutaneous coronary intervention (PPCI) in octogenerians: Clinical characteristics and outcomes in an Australian regional setting
Authors: Johnson, M.
Thompson, C.
Lau, K.
Colburn, D.
Chacko, Y.
Willson, A.
Butterly, S.
Poulter, R.
Hayman, S. M.
Larsen, P.
Issue Date: 2015
Source: 131 , 2015, p. 154
Pages: 154
Journal: Cardiology (Switzerland)
Abstract: Background: The Sunshine Coast Hospital and Health Service (SCHHS), Queensland, Australia began a PPCI service in 2012. The region has a large elderly population with proportions of >65 year old residents projected to increase from 18% in 2011 to 21.8% by 2026 with >85 year olds trebling over this period. Aim: To compare PPCI characteristics and outcomes in the elderly (>80yrs) verses non-elderly (<80yrs) STEMI population treated within SCHHS. Methods & Results: Data on all PPCI patients since commencement to January 2015 were collected prospectively. Of 405 PPCI, 61(15%) were elderly. Compared to the younger cohort, the elderly were more likely to be female (38%v22%, p=0.01), had previous CABG (10%v3%, p=0.002), and have hypertension (67%v44%, p=0.002). Elderly patients had marginally longer (non-significant) median [interquartile range] door-to-balloon times (DTBT) (50 [63] v 45 [50] mins, p=0.27), were less likely to receive ticagrelor (48%v62%, p=0.13) or IIb/IIIa inhibitor (38%v56%, p=0.013) and more likely to receive bare metal stents (36%v20%) or no stent (26%v23%). Thirty-day mortality in the elderly cohort was higher (18%v3%, p<0.001). Of the eleven elderly deaths, four had cardiac arrest, three arrived intubated and ventilated, three had LMCA culprit and only five received PCI. For those receiving PCI who subsequently died, median DTBT was 106 [99] mins. Conclusion: Octogenarians represent a substantial proportion of referrals for primary PCI and is expected to increase. Timely PPCI is feasible in this inherently high-risk group however mortality is higher compared to a younger cohort.
Resources: http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L71972172http://linksource.ebsco.com/ls.b6e6cc08-c492-42af-aec4-c6084e18e68c.true/linking.aspx?sid=EMBASE&issn=00086312&id=doi:&atitle=Primary+percutaneous+coronary+intervention+%28PPCI%29+in+octogenerians%3A+Clinical+characteristics+and+outcomes+in+an+Australian+regional+setting&stitle=Cardiology&title=Cardiology+%28Switzerland%29&volume=131&issue=&spage=154&epage=&aulast=Hayman&aufirst=S.M.&auinit=S.M.&aufull=Hayman+S.M.&coden=&isbn=&pages=154-&date=2015&auinit1=S&auinitm=M.
Keywords: ticagrelorpercutaneous coronary intervention;Australian;cardiology;heart disease;human;aged;mortality;Australia;population;patient;stent;health service;female;heart arrest;hypertension;bare metal stent;hospital;seashore;death;very elderly;high risk population
Type: Article
Appears in Sites:Sunshine Coast HHS Publications

Show full item record

Page view(s)

1,534
checked on Feb 26, 2024

Google ScholarTM

Check


Items in DORA are protected by copyright, with all rights reserved, unless otherwise indicated.