Does Patient Dementia Limit the Use of Cardiac Catheterization in St-Elevated Myocardial Infarction?

详细信息   

• 作者：Chanti-Ketterl ; Marianne ; M.S.P.H.
• 学历：M.S.P.H.
• 年：2010
• 关键词：Alzheimer's ; Cardiovascular ; Disparity ; Elderly ; S
• 导师：Pathak, Elizabeth
• 毕业院校：University of South Florida
• Department：Epidemiology and Biostatistics
• 专业：Gerontology, Medicine, Epidemiology
• ISBN：9781124344805
• CBH：1483088
• Country：USA
• 语种：English
• FileSize：3720726
• Pages：157

文摘

Regardless of age or mental capacity, percutaneous coronary intervention (PCI) is the first line of treatment for ST-elevated myocardial infarction (STEMI). This study evaluates the disparities in the use of diagnostic cardiac catheterization and PCI in STEMI patients with dementia. A retrospective analysis was performed of Florida?s comprehensive inpatient surveillance system for the years 2006-2007 with admission diagnosis of STEMI. Logistic regression analysis was used to identify disparities in the use of intervention among all STEMI patients. A total of 8,331 STEMI patients met the inclusion criteria. Of these, 77% were catheterized and of these 67% received PCI. A total of 605 (7.3%) were demented. Patients with dementia were less likely to be catheterized (RR 0.4, 95% CI 0.3-0.5) and less likely to receive PCI within 24 hours (RR 0.5, 95% CI 0.4-0.6). This study concludes that STEMI patients with dementia were much less likely to receive cardiovascular interventions.