Please use this identifier to cite or link to this item: https://hdl.handle.net/11000/32306
Full metadata record
DC FieldValueLanguage
dc.contributor.authorAriza-Solé, Albert-
dc.contributor.authorAlegre, Oriol-
dc.contributor.authorElola, Francisco Javier-
dc.contributor.authorFernández, Cristina-
dc.contributor.authorFormiga, Francesc-
dc.contributor.authorMartínez-Sellés, Manuel-
dc.contributor.authorBernal, José L-
dc.contributor.authorSegura-Heras, José Vicente-
dc.contributor.authorIñíguez, Andrés-
dc.contributor.authorBertomeu-González, Vicente-
dc.contributor.authorSalazar-Mendiguchía, Joel-
dc.contributor.authorSánchez Salado, José C-
dc.contributor.authorLorente, Victòria-
dc.contributor.authorCequier, Ángel-
dc.contributor.otherDepartamentos de la UMH::Estadística, Matemáticas e Informáticaes_ES
dc.date.accessioned2024-06-14T07:58:46Z-
dc.date.available2024-06-14T07:58:46Z-
dc.date.created2019-
dc.identifier.citationEuropean Heart Journal: Acute Cardiovascular Care, 2019, Vol. 8(3) 242–251es_ES
dc.identifier.issn1522-9645-
dc.identifier.issn0195-668X-
dc.identifier.urihttps://hdl.handle.net/11000/32306-
dc.description.abstractBackground: We aimed to assess the impact of implementation of reperfusion networks, the type of hospital and specialty of the treating physician on the management and outcomes of ST segment elevation myocardial infarction in patients aged ⩾75 years. Methods: We analysed data from the Minimum Basic Data Set of the Spanish public health system, assessing hospital discharges between 2004 and 2013. Discharges were distributed in three groups depending on the clinical management: percutaneous coronary intervention, thrombolysis or no reperfusion. Primary outcome measure was all cause in-hospital mortality. For risk adjustment, patient comorbidities were identified for each index hospitalization. Results: We identified 299,929 discharges, of whom 107,890 (36%) were in-patients aged ⩾75 years. Older patients had higher prevalence of comorbidities, were less often treated in high complexity hospitals and were less frequently managed by cardiologists (p<0.001). Both percutaneous coronary intervention and fibrinolysis were less often performed in elderly patients (p<0.001). A progressive increase in the rate of percutaneous coronary intervention was observed in the elderly across the study period (from 17% in 2004 to 45% in 2013, p<0.001), with a progressive reduction of crude mortality (from 23% in 2004 to 19% in 2013, p<0.001). Adjusted analysis showed an association between being treated in high complexity hospitals, being treated by cardiologists and lower in-hospital mortality (p <0.001). Conclusions: Elderly patients with ST segment elevation myocardial infarction are less often managed in high complexity hospitals and less often treated by cardiologists. Both factors are associated with higher in-hospital mortality.es_ES
dc.formatapplication/pdfes_ES
dc.format.extent10es_ES
dc.language.isoenges_ES
dc.publisherOxford University Presses_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectMyocardial infarctiones_ES
dc.subjectelderlyes_ES
dc.subjectmortalityes_ES
dc.subjectpercutaneous coronary interventiones_ES
dc.subject.otherCDU::6 - Ciencias aplicadases_ES
dc.titleManagement of myocardial infarction in the elderly. Insights from Spanish Minimum Basic Data Setes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.publisherversionhttps://doi.org/10.1177/2048872617719651es_ES
Appears in Collections:
Artículos Estadística, Matemáticas e Informática


Thumbnail

View/Open:
 ehjacc0242.pdf

542,04 kB
Adobe PDF
Share:


Creative Commons ???jsp.display-item.text9???