000095570 001__ 95570
000095570 005__ 20230914083259.0
000095570 0247_ $$2doi$$a10.1136/openhrt-2019-001169
000095570 0248_ $$2sideral$$a119716
000095570 037__ $$aART-2020-119716
000095570 041__ $$aeng
000095570 100__ $$aFernandez-Berges, D.
000095570 245__ $$aBenefit of primary percutaneous coronary interventions in the elderly with ST segment elevation myocardial infarction
000095570 260__ $$c2020
000095570 5060_ $$aAccess copy available to the general public$$fUnrestricted
000095570 5203_ $$aObjective: Primary percutaneous coronary intervention (P-PCI) has demonstrated its efficacy in patients with ST segment elevation myocardial infarction (STEMI). However, patients with STEMI >= 75 years receive less P-PCI than younger patients despite their higher in-hospital morbimortality. The objective of this analysis was to determine the effectiveness of P-PCI in patients with STEMI >= 75 years.
Methods: We included 979 patients with STEMI >= 75 years, from the ATencion HOspitalaria del Sindrome 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.
000095570 536__ $$9info:eu-repo/grantAgreement/ES/FEDER/FIS-CP12-03287$$9info:eu-repo/grantAgreement/ES/FEDER/FIS-INTRASALUD-PI1101801$$9info:eu-repo/grantAgreement/ES/FEDER/FIS-PI081327$$9info:eu-repo/grantAgreement/ES/FEDER/FIS-14-00449$$9info:eu-repo/grantAgreement/ES/ISCIII/CP12-03287$$9info:eu-repo/grantAgreement/ES/ISCIII/RD06-0018$$9info:eu-repo/grantAgreement/ES/ISCIII/RD12-0042-HERACLES
000095570 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000095570 592__ $$a1.05$$b2020
000095570 593__ $$aCardiology and Cardiovascular Medicine$$c2020$$dQ1
000095570 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000095570 700__ $$aDegano, I.R.
000095570 700__ $$aFernandez, R.G.
000095570 700__ $$aSubirana, I.
000095570 700__ $$aVila, J.
000095570 700__ $$aJimenez-Navarro, M.
000095570 700__ $$aPerez-Fernandez, S.
000095570 700__ $$aRoque, M.
000095570 700__ $$aBayes-Genis, A.
000095570 700__ $$aFernandez-Aviles, F.
000095570 700__ $$aMayorga, A.
000095570 700__ $$aBertomeu-Gonzalez, V.
000095570 700__ $$aSanchis, J.
000095570 700__ $$aEsteban, M.R.
000095570 700__ $$aSanchez-Hidalgo, A.
000095570 700__ $$aSanchez-Insa, E.
000095570 700__ $$aElorriaga, A.
000095570 700__ $$aAbu Assi, E.
000095570 700__ $$aNunez, A.
000095570 700__ $$aRuiz, J.M.G.
000095570 700__ $$aValdeolmillos, P.M.
000095570 700__ $$aBosch-Portell, D.
000095570 700__ $$aLekuona, I.
000095570 700__ $$aCarrillo-Lopez, A.
000095570 700__ $$aZamora, A.
000095570 700__ $$aVega-Hernandez, B.
000095570 700__ $$aSerrano, J.A.
000095570 700__ $$aRubert, C.
000095570 700__ $$aRuiz-Valdepenas, L.
000095570 700__ $$aQuintas, L.
000095570 700__ $$aRodriguez-Padial, L.
000095570 700__ $$aVaquero, J.
000095570 700__ $$aMartinez Dolz, L.
000095570 700__ $$aBarrabes, J.A.
000095570 700__ $$aSanchez, P.L.
000095570 700__ $$aSionis, A.
000095570 700__ $$aMarti-Almor, J.
000095570 700__ $$aElosua, R.
000095570 700__ $$aLidon, R.M.
000095570 700__ $$aGarcia-Dorado, D.
000095570 700__ $$aMarrugat, J.
000095570 773__ $$g7, 2 (2020), e001169 [7 pp]$$tOpen Heart$$x2053-3624
000095570 8564_ $$s403879$$uhttps://zaguan.unizar.es/record/95570/files/texto_completo.pdf$$yVersión publicada
000095570 8564_ $$s125031$$uhttps://zaguan.unizar.es/record/95570/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000095570 909CO $$ooai:zaguan.unizar.es:95570$$particulos$$pdriver
000095570 951__ $$a2023-09-13-10:52:22
000095570 980__ $$aARTICLE