The effect of older age on receipt and outcomes of care in patients with acute coronary syndromes: a cohort study of 68,025 patients from the national acute coronary syndrome register of England/Wales

M. Justin  Zaman; Lee Shepstone; Susan Stirling; Max O Bachmann; Phyo Kyaw Myint

doi:10.1093/eurheartj/eht307.P444

The effect of older age on receipt and outcomes of care in patients with acute coronary syndromes: a cohort study of 68,025 patients from the national acute coronary syndrome register of England/Wales

M. Justin Zaman, Lee Shepstone, Susan Stirling, Max O Bachmann, Phyo Kyaw Myint

Research output: Contribution to journal › Abstract › peer-review

Abstract

Purpose: To determine the effect of older age on receipt of care and mortality in STEMI patients from the national register of England and Wales.

Methods: We analysed 68,025 patients between 2006 and 2010 using the Myocardial Ischaemia National Audit Project (MINAP) with one-year all-cause mortality follow-up.

Results: Older patients were incrementally less likely to receive secondary prevention and primary reperfusion (angioplasty or thrombolysis)- OR (95% CI) for receiving reperfusion in patients over the 85 compared to those under 65 was 0.24 (0.23,0.25), OR for receiving statin was 0.31 (0.29,0.32). Reperfusion reduced mortality compared to medical treatment in all age groups, with a trend towards a reduced benefit for older patients.

Original language	English
Article number	P444
Pages (from-to)	76
Number of pages	1
Journal	European Heart Journal
Volume	34
Issue number	Suppl. 1
DOIs	https://doi.org/10.1093/eurheartj/eht307.P444
Publication status	Published - 1 Aug 2013

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Zaman, M. J., Shepstone, L., Stirling, S., Bachmann, M. O., & Myint, P. K. (2013). The effect of older age on receipt and outcomes of care in patients with acute coronary syndromes: a cohort study of 68,025 patients from the national acute coronary syndrome register of England/Wales. European Heart Journal, 34(Suppl. 1), 76. Article P444. https://doi.org/10.1093/eurheartj/eht307.P444

The effect of older age on receipt and outcomes of care in patients with acute coronary syndromes: a cohort study of 68,025 patients from the national acute coronary syndrome register of England/Wales. / Zaman, M. Justin ; Shepstone, Lee; Stirling, Susan et al.
In: European Heart Journal, Vol. 34, No. Suppl. 1, P444, 01.08.2013, p. 76.

Research output: Contribution to journal › Abstract › peer-review

Zaman, MJ, Shepstone, L, Stirling, S, Bachmann, MO & Myint, PK 2013, 'The effect of older age on receipt and outcomes of care in patients with acute coronary syndromes: a cohort study of 68,025 patients from the national acute coronary syndrome register of England/Wales', European Heart Journal, vol. 34, no. Suppl. 1, P444, pp. 76. https://doi.org/10.1093/eurheartj/eht307.P444

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abstract = "Purpose: To determine the effect of older age on receipt of care and mortality in STEMI patients from the national register of England and Wales.Methods: We analysed 68,025 patients between 2006 and 2010 using the Myocardial Ischaemia National Audit Project (MINAP) with one-year all-cause mortality follow-up.Results: Older patients were incrementally less likely to receive secondary prevention and primary reperfusion (angioplasty or thrombolysis)- OR (95% CI) for receiving reperfusion in patients over the 85 compared to those under 65 was 0.24 (0.23,0.25), OR for receiving statin was 0.31 (0.29,0.32). Reperfusion reduced mortality compared to medical treatment in all age groups, with a trend towards a reduced benefit for older patients.",

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AU - Myint, Phyo Kyaw

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N2 - Purpose: To determine the effect of older age on receipt of care and mortality in STEMI patients from the national register of England and Wales.Methods: We analysed 68,025 patients between 2006 and 2010 using the Myocardial Ischaemia National Audit Project (MINAP) with one-year all-cause mortality follow-up.Results: Older patients were incrementally less likely to receive secondary prevention and primary reperfusion (angioplasty or thrombolysis)- OR (95% CI) for receiving reperfusion in patients over the 85 compared to those under 65 was 0.24 (0.23,0.25), OR for receiving statin was 0.31 (0.29,0.32). Reperfusion reduced mortality compared to medical treatment in all age groups, with a trend towards a reduced benefit for older patients.

AB - Purpose: To determine the effect of older age on receipt of care and mortality in STEMI patients from the national register of England and Wales.Methods: We analysed 68,025 patients between 2006 and 2010 using the Myocardial Ischaemia National Audit Project (MINAP) with one-year all-cause mortality follow-up.Results: Older patients were incrementally less likely to receive secondary prevention and primary reperfusion (angioplasty or thrombolysis)- OR (95% CI) for receiving reperfusion in patients over the 85 compared to those under 65 was 0.24 (0.23,0.25), OR for receiving statin was 0.31 (0.29,0.32). Reperfusion reduced mortality compared to medical treatment in all age groups, with a trend towards a reduced benefit for older patients.

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The effect of older age on receipt and outcomes of care in patients with acute coronary syndromes: a cohort study of 68,025 patients from the national acute coronary syndrome register of England/Wales

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