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Title: Percutaneous coronary intervention in the elderly: Results from the Thai National Percutaneous Coronary Intervention Registry (TPCIR)
Authors: Songsak Kiatchoosakun
Pattarapong Keelapang
Pinij Kaewsuwana
Chunhakasem Chotinaiwattarakul
Chumphol Piumsomboon
Khon Kaen University
Chiengmai-Rama Hospital
Maharaja Hospital
Mahidol University
Pramongkutklao Hospital
Keywords: Medicine
Issue Date: 1-Nov-2010
Citation: EuroIntervention. Vol.6, No.5 (2010), 611-615
Abstract: Aims: The objective of this study was to evaluate the outcomes and identify the risk factors of in-hospital mortality among elderly patients undergoing PCI in Thailand. Methods and results: Included in this study were 4,156 consecutive patients (comprising 639 elderly [age W75 years] and 3,517 non-elderly [age <75 years]) undergoing PCI between May 2006 and October 2007. The success rate of PCI was less favourable among elderly compared to the non-elderly patients (91.2% vs. 87.5%; p=0.003). Elderly patients had higher rate of post PCI renal failure (3.9% vs. 1.8%; p=0.001), Q-wave myocardial infarction (3.0 vs. 1.4%, p=0.003), and unadjusted in-hospital mortality (5.3% vs. 2.4%, p≤0.001), compared with non-elderly patients. After adjustment for baseline variables, acute coronary syndrome and heart failure were the two variables most associated with increased mortality (OR=5.95, 95% CI=3.22-11.01), p<0.001 and OR=5.73,95% CI=3.80-8.63), p<0.001, respectively). According to the multivariate analysis, age was not significantly related with increased mortality (OR=1.37, 95% CI=0.87-2.16, p=0.174). Conclusions: Our study highlights the safety and effectiveness of PCI in elderly patients since advanced age is not a predictor of in-hospital mortality. © Europa Edition 2010. All rights reserved.
ISSN: 19696213
Appears in Collections:Scopus 2006-2010

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