Effect on Outcomes: Infections Complicating Percutaneous Coronary Interventions in Patients ≥80 Years of Age

Data on the prevalence of infections in patients who underwent percutaneous coronary intervention (PCI) and their impact on outcomes are scarce. In this study, a total of 644 patients ≥80 years of age who underwent PCI were stratified according to the presence/absence of infections requiring antibio...

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Bibliographic Details
Published in:The American journal of cardiology 2019-06, Vol.123 (11), p.1806-1811
Main Authors: Leistner, David Manuel, Münch, Charlotte, Steiner, Julia, Lauten, Alexander, Landmesser, Ulf, Stähli, Barbara Elisabeth
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Age
Age Factors
Aged, 80 and over
Antibiotics
Bacterial Infections - epidemiology
Bacterial Infections - etiology
Body mass index
Cardiac arrhythmia
Cardiovascular disease
Chronic obstructive pulmonary disease
Confidence intervals
Congestive heart failure
Coronary vessels
Cross Infection - epidemiology
Cross Infection - etiology
Diabetes
Female
Fibrillation
Gender
Heart
Heart attacks
Heart failure
Hospitalization
Humans
Hypertension
Infections
Intervention
Kidney diseases
Male
Mortality
Myocardial infarction
Nosocomial infections
Oldest old people
Patients
Percutaneous Coronary Intervention - adverse effects
Pneumonia
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Respiratory system
Retrospective Studies
Sepsis
Treatment Outcome
Urinary tract
Urinary tract diseases
Urinary tract infections
Urogenital system
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Summary:Data on the prevalence of infections in patients who underwent percutaneous coronary intervention (PCI) and their impact on outcomes are scarce. In this study, a total of 644 patients ≥80 years of age who underwent PCI were stratified according to the presence/absence of infections requiring antibiotic therapy. The primary end point was major adverse cardiovascular events (MACE) after discharge, a composite of all-cause mortality, nonfatal myocardial infarction, and rehospitalization for heart failure. Median follow-up was 1.2 (interquartile range 0.1 to 3.4) years. Of the 644 patients, 186 (28.9%) had infections during index hospitalization, with 84 (13%) and 59 (9.2%) patients having pneumonia and urinary tract infections, respectively. Patients with infections were older, more often women, and had an increased prevalence of atrial fibrillation and congestive heart failure. Infections prolonged hospital stay (10 [7 to 16] vs 5 [3 to 7] days, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2019.03.003