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dc.contributor.authorTisminetzky, Mayra
dc.contributor.authorNguyen, Hoa L
dc.contributor.authorGurwitz, Jerry H.
dc.contributor.authorMcManus, David D.
dc.contributor.authorGore, Joel M.
dc.contributor.authorSingh, Sonal
dc.contributor.authorYarzebski, Jorge L.
dc.contributor.authorGoldberg, Robert J.
dc.date2022-08-11T08:09:51.000
dc.date.accessioned2022-08-23T16:45:52Z
dc.date.available2022-08-23T16:45:52Z
dc.date.issued2018-12-01
dc.date.submitted2018-10-05
dc.identifier.citation<p>Int J Cardiol. 2018 Dec 1;272:341-345. doi: 10.1016/j.ijcard.2018.08.062. Epub 2018 Aug 22. <a href="https://doi.org/10.1016/j.ijcard.2018.08.062">Link to article on publisher's site</a></p>
dc.identifier.issn0167-5273 (Linking)
dc.identifier.doi10.1016/j.ijcard.2018.08.062
dc.identifier.pmid30172472
dc.identifier.urihttp://hdl.handle.net/20.500.14038/40769
dc.description.abstractBACKGROUND: To examine age-specific differences in the frequency and impact of cardiac and non-cardiac conditions among patients aged 65years and older hospitalized with acute myocardial infarction (AMI). METHODS: Study population consisted of 3863 adults hospitalized with AMI at 11 medical centers in central Massachusetts on a biennial basis between 2001 and 2011. The presence of 11 chronic conditions (five cardiac and six non-cardiac) was based on the review of hospital medical records. RESULTS: Participants' median age was 79years, 49% were men, and had an average of three chronic conditions (average of cardiac conditions: 2.6 and average of non-cardiac conditions: 1.0). Approximately one in every two patients presented with two or more cardiac related conditions whereas one in every three patients presented with two or more non-cardiac related conditions. The most prevalent chronic conditions in our study population were hypertension, diabetes, heart failure, chronic kidney disease, and peripheral vascular disease. Patients across all age groups with a greater number of previously diagnosed cardiac or non-cardiac conditions were at higher risk for developing important clinical complications or dying during hospitalization as compared to those with 0-1 condition. CONCLUSIONS: The prevalence of multimorbidity among older adults hospitalized with AMI is high and associated with worse outcomes that should be considered in the management of this vulnerable population.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=30172472&dopt=Abstract">Link to Article in PubMed</a></p>
dc.rights© 2018 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectUMCCTS funding
dc.subjectMultiple chronic conditions
dc.subjectMyocardial infarction
dc.subjectCardiology
dc.subjectCardiovascular Diseases
dc.subjectClinical Epidemiology
dc.subjectEpidemiology
dc.subjectGeriatrics
dc.subjectHealth Services Research
dc.subjectPathological Conditions, Signs and Symptoms
dc.titleMagnitude and impact of multiple chronic conditions with advancing age in older adults hospitalized with acute myocardial infarction
dc.typeJournal Article
dc.source.journaltitleInternational journal of cardiology
dc.source.volume272
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=4584&amp;context=oapubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/3572
dc.identifier.contextkey13027749
refterms.dateFOA2022-08-23T16:45:53Z
html.description.abstract<p>BACKGROUND: To examine age-specific differences in the frequency and impact of cardiac and non-cardiac conditions among patients aged 65years and older hospitalized with acute myocardial infarction (AMI).</p> <p>METHODS: Study population consisted of 3863 adults hospitalized with AMI at 11 medical centers in central Massachusetts on a biennial basis between 2001 and 2011. The presence of 11 chronic conditions (five cardiac and six non-cardiac) was based on the review of hospital medical records.</p> <p>RESULTS: Participants' median age was 79years, 49% were men, and had an average of three chronic conditions (average of cardiac conditions: 2.6 and average of non-cardiac conditions: 1.0). Approximately one in every two patients presented with two or more cardiac related conditions whereas one in every three patients presented with two or more non-cardiac related conditions. The most prevalent chronic conditions in our study population were hypertension, diabetes, heart failure, chronic kidney disease, and peripheral vascular disease. Patients across all age groups with a greater number of previously diagnosed cardiac or non-cardiac conditions were at higher risk for developing important clinical complications or dying during hospitalization as compared to those with 0-1 condition.</p> <p>CONCLUSIONS: The prevalence of multimorbidity among older adults hospitalized with AMI is high and associated with worse outcomes that should be considered in the management of this vulnerable population.</p>
dc.identifier.submissionpathoapubs/3572
dc.contributor.departmentDivision of Cardiovascular Medicine, Department of Medicine
dc.contributor.departmentDivision of Geriatrics, Department of Medicine
dc.contributor.departmentMeyers Primary Care Institute
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages341-345


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© 2018 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as © 2018 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).