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 journalAbstract

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 languageEnglish
Article numberP444
Pages (from-to)76
Number of pages1
JournalEuropean Heart Journal
Volume34
Issue numberSuppl. 1
DOIs
Publication statusPublished - 1 Aug 2013

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Wales
Acute Coronary Syndrome
England
Patient Care
Cohort Studies
Reperfusion
Mortality
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Secondary Prevention
Angioplasty
Myocardial Ischemia
Age Groups

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

In: European Heart Journal, Vol. 34, No. Suppl. 1, P444, 01.08.2013, p. 76.

Research output: Contribution to journalAbstract

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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 - Stirling, Susan

AU - Bachmann, Max O

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.

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