Benefit of primary percutaneous coronary interventions in the elderly with ST segment elevation myocardial infarction.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Fernández-Bergés Daniel, Degano Irene R, Gonzalez Fernandez Reyes, Subirana Isaac, Vila Joan, Jiménez-Navarro Manuel, Perez-Fernandez Silvia, Roqué Mercé, Bayes-Genis Antoni, Fernandez-Aviles Francisco, Mayorga Antonio, Bertomeu-Gonzalez Vicente, Sanchis Juan, Rodríguez Esteban Marcos, Sanchez-Hidalgo Antonio, Sanchez-Insa Esther, Elorriaga Ane, Abu Assi Emad, Nuñez Alberto, Garcia Ruiz Jose Manuel, Morrondo Valdeolmillos Pedro, Bosch-Portell Daniel, Lekuona Iñaki, Carrillo-Lopez Andres, Zamora Alberto, Vega-Hernandez Berta, Alameda Serrano Javier, Rubert Catalina, Ruiz-Valdepeñas Luis, Quintas Laura, Rodríguez-Padial Luis, Vaquero Jessica, Martinez Dolz Luis, Barrabes Jose A, Sanchez Pedro L, Sionis Alessandro, Martí-Almor Julio, Elosua Roberto, Lidon Rosa-María, Garcia-Dorado David, Marrugat Jaume, ATHOS investigators
Аннотация
METHODS: We included 979 patients with STEMI ≥75 years, from the ATención HOspitalaria del Síndrome coronario study, a registry of 8142 consecutive patients with acute coronary syndrome admitted at 31 Spanish hospitals in 2014-2016. We calculated a propensity score (PS) for the indication of P-PCI. Patients that received or not P-PCI were matched by PS. Using logistic regression, we compared the effectiveness of performing P-PCI versus non-performance for the composite primary event, which included death, reinfarction, acute pulmonary oedema or cardiogenic shock during hospitalisation.
RESULTS: Of the included patients, 81.5 % received P-PCI. The matching provided two groups of 169 patients with and without P-PCI. Compared with its non-performance, P-PCI presented a composite event OR adjusted by PS of 0.55 (95% CI 0.34 to 0.89).
CONCLUSIONS: Receiving a P-PCI was significantly associated with a reduced risk of major intrahospital complications in patients with STEMI aged 75 years or older.