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dc.contributor.authorTisminetzky, Mayra
dc.contributor.authorErskine, Nathaniel A.
dc.contributor.authorChen, Han-Yang
dc.contributor.authorGore, Joel M.
dc.contributor.authorGurwitz, Jerry H.
dc.contributor.authorYarzebski, Jorge L.
dc.contributor.authorJoffe, Samuel W.
dc.contributor.authorShaw, Peter
dc.contributor.authorGoldberg, Robert J.
dc.date2022-08-11T08:08:34.000
dc.date.accessioned2022-08-23T15:59:39Z
dc.date.available2022-08-23T15:59:39Z
dc.date.issued2015-05-01
dc.date.submitted2016-06-15
dc.identifier.citationJ Am Geriatr Soc. 2015 May;63(5):925-31. doi: 10.1111/jgs.13399. Epub 2015 May 4. <a href="http://dx.doi.org/10.1111/jgs.13399">Link to article on publisher's site</a>
dc.identifier.issn0002-8614 (Linking)
dc.identifier.doi10.1111/jgs.13399
dc.identifier.pmid25940950
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30718
dc.description.abstractOBJECTIVES: To describe decade- long trends (1999-2009) in the rates of not undergoing cardiac catheterization and percutaneous coronary intervention (PCI) in individuals aged 65 and older presenting with an ST-segment elevation acute myocardial infarction (STEMI) and factors associated with not undergoing these procedures. DESIGN: Observational population-based study. SETTING: Worcester, Massachusetts, metropolitan area. PARTICIPANTS: Individuals aged 65 and older hospitalized for an STEMI in six biennial periods between 1999 and 2009 at 11 central Massachusetts medical centers (N=960). MEASUREMENTS: Analyses were conducted to examine the characteristics of people who did not undergo cardiac catheterization overall and stratified into two age strata (65-74, > /=75). RESULTS: Between 1999 and 2009, dramatic declines (from 59.4% to 7.5%) were observed in the proportion of older adults who did not undergo cardiac catheterization at all greater Worcester hospitals. These declines were observed in individuals aged 65 to 74 (58.4-6.7%) and in those aged 75 and older (69.4-13.5%). The proportion of individuals not undergoing PCI after undergoing cardiac catheterization decreased from 36.6% in 1999 to 6.5% in 2009. Women, individuals with a prior MI, those with do-not-resuscitate orders, and those with various comorbidities were less likely to have undergone these procedures than comparison groups. CONCLUSION: Older adults who develop an STEMI are increasingly likely to undergo cardiac catheterization and PCI, but several high-risk groups remain less likely to undergo these procedures.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=25940950&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4439287/
dc.subjectST-segment elevation acute myocardial infarction
dc.subjectcardiac catheterization
dc.subjectelderly adults
dc.subjectCardiology
dc.subjectCardiovascular Diseases
dc.subjectClinical Epidemiology
dc.subjectEpidemiology
dc.subjectGeriatrics
dc.titleChanging Trends in, and Characteristics Associated with, Not Undergoing Cardiac Catheterization in Elderly Adults Hospitalized with ST-Segment Elevation Acute Myocardial Infarction
dc.typeJournal Article
dc.source.journaltitleJournal of the American Geriatrics Society
dc.source.volume63
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/997
dc.identifier.contextkey8734749
html.description.abstract<p>OBJECTIVES: To describe decade- long trends (1999-2009) in the rates of not undergoing cardiac catheterization and percutaneous coronary intervention (PCI) in individuals aged 65 and older presenting with an ST-segment elevation acute myocardial infarction (STEMI) and factors associated with not undergoing these procedures.</p> <p>DESIGN: Observational population-based study.</p> <p>SETTING: Worcester, Massachusetts, metropolitan area.</p> <p>PARTICIPANTS: Individuals aged 65 and older hospitalized for an STEMI in six biennial periods between 1999 and 2009 at 11 central Massachusetts medical centers (N=960).</p> <p>MEASUREMENTS: Analyses were conducted to examine the characteristics of people who did not undergo cardiac catheterization overall and stratified into two age strata (65-74, > /=75).</p> <p>RESULTS: Between 1999 and 2009, dramatic declines (from 59.4% to 7.5%) were observed in the proportion of older adults who did not undergo cardiac catheterization at all greater Worcester hospitals. These declines were observed in individuals aged 65 to 74 (58.4-6.7%) and in those aged 75 and older (69.4-13.5%). The proportion of individuals not undergoing PCI after undergoing cardiac catheterization decreased from 36.6% in 1999 to 6.5% in 2009. Women, individuals with a prior MI, those with do-not-resuscitate orders, and those with various comorbidities were less likely to have undergone these procedures than comparison groups.</p> <p>CONCLUSION: Older adults who develop an STEMI are increasingly likely to undergo cardiac catheterization and PCI, but several high-risk groups remain less likely to undergo these procedures.</p>
dc.identifier.submissionpathfaculty_pubs/997
dc.contributor.departmentDepartment of Medicine, Division of Geriatric Medicine
dc.contributor.departmentMeyers Primary Care Institute
dc.contributor.departmentDepartment of Medicine, Division of Cardiovascular Medicine
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages925-31


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