In-hospital outcomes of contemporary percutaneous coronary interventions in the very elderly

• Published in: Catheterization and cardiovascular interventions 2003-03, Vol.58 (3), p.351-357
• Main Authors: Dynina, Olga, Vakili, Babak A., Slater, James N., Sherman, Warren, Ravi, Kumar L., Green, Stephen J., Sanborn, Timothy A., Brown, David L.
• Format: Article
• Language: English
• Subjects: age; Age Factors; Aged; Aged, 80 and over; angioplasty; Angioplasty, Balloon, Coronary - adverse effects; Angioplasty, Balloon, Coronary - mortality; Angioplasty, Balloon, Coronary - statistics & numerical data; Biological and medical sciences; Coronary Artery Disease - mortality; Coronary Artery Disease - physiopathology; Coronary Artery Disease - therapy; Databases as Topic - statistics & numerical data; Diseases of the cardiovascular system; Female; Hemodynamics - physiology; Hospital Mortality; Humans; Male; Medical sciences; Middle Aged; Outcome Assessment (Health Care) - statistics & numerical data; outcomes; Postoperative Complications; Predictive Value of Tests; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Retrospective Studies; Risk Factors; stent
• ISSN: 1522-1946; 1522-726X
• DOI: 10.1002/ccd.10437

Coronary heart disease is the leading cause of death among the elderly (> 65 years) and the very elderly (> 85 years). Little information is available regarding the outcome of very elderly patients referred for PCI in the current era of improved techniques, devices, and pharmacotherapy. The objective of the current study was to evaluate the clinical characteristics and outcomes of very elderly patients ≥ 85 years of age in a large, contemporary, multi‐institutional PCI database. Five hospitals in the New York City metropolitan area contributed these prospectively defined data elements on consecutive patients undergoing PCI from 1 January 1998 to 1 October 1999. Of 10,847 patients, 5,341 (49%) were younger than 65 years, 3,342 (31%) were 65–74 years, 1,885 (17%) were 75–84 years, and 279 (2.6%) were at least 85 years of age. Following PCI, the very elderly developed stroke (P < 0.001) and renal failure requiring dialysis (P = 0.002) more commonly than younger patients following PCI. The very elderly had a significantly increased in‐hospital mortality rate at 2.5% (P < 0.001). However, on multivariate analysis, age ≥ 85 years was not an independent predictor of in‐hospital mortality (OR = 1.22; 95% CI = 0.37–4.07). The very elderly should not be refused PCI on the basis of advanced age alone. Cathet Cardiovasc Intervent 2003;58:351–357. © 2003 Wiley‐Liss, Inc.