PMID- 23642505 OWN - NLM STAT- MEDLINE DCOM- 20131031 LR - 20130722 IS - 1879-1913 (Electronic) IS - 0002-9149 (Linking) VI - 112 IP - 3 DP - 2013 Aug 1 TI - Comparison of functional recovery following percutaneous coronary intervention for ST elevation myocardial infarction in three age groups (<70, 70 to 79, and >/=80 years). PG - 330-5 LID - S0002-9149(13)00892-8 [pii] LID - 10.1016/j.amjcard.2013.03.031 [doi] AB - Functional outcomes of elderly patients >/=80 years who undergo percutaneous coronary intervention (PCI) for ST elevation myocardial infarction (STEMI) are unknown. Registry data indicate that up to 55% of elderly patients with STEMI do not receive reperfusion therapy despite a suggested mortality benefit, and only limited data are available regarding outcomes in elderly patients treated with primary PCI. Therefore, prospective data from a regional STEMI transfer program were analyzed to determine major adverse cardiac events, length of stay, and discharge status of consecutive patients with STEMI >/=80 years from March 2003 to November 2006. Of the 1,323 consecutive patients with STEMI treated in this regional STEMI system from March 2003 to November 2006, 199 (15.0%) were >/=80 years old. In-hospital mortality in elderly patients was 11.6%, with a 1-year mortality rate of 25.6%. Of the 166 patients with age >/=80 who lived independently or in assisted living before hospital admission and survived, 150 (90.4%) were discharged to a similar living situation or projected to such a living situation after temporary nursing home care. The median length of hospital stay was 4 days for these patients. In conclusion, elderly patients with age >/=80 receiving PCI for STEMI in a regional STEMI program have short hospital stays and excellent functional recovery on the basis of a very high rate of return to a similar previous living situation. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Christiansen, Ellen C AU - Christiansen EC AD - Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA. FAU - Wickstrom, Kelly K AU - Wickstrom KK FAU - Henry, Timothy D AU - Henry TD FAU - Garberich, Ross F AU - Garberich RF FAU - Rutten-Ramos, Stephanie C AU - Rutten-Ramos SC FAU - Larson, David M AU - Larson DM FAU - Grey, Elizabeth Z AU - Grey EZ FAU - Thiessen, Norma L AU - Thiessen NL FAU - Hauser, Robert G AU - Hauser RG FAU - Newell, Marc C AU - Newell MC LA - eng PT - Comparative Study PT - Journal Article DEP - 20130430 PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 RN - 0 (Anticoagulants) SB - IM MH - Activities of Daily Living/*classification/*psychology MH - Age Factors MH - Aged MH - Aged, 80 and over MH - *Angioplasty, Balloon, Coronary/mortality/psychology MH - Anticoagulants/administration & dosage MH - Bundle-Branch Block/mortality/psychology/therapy MH - Cause of Death MH - Female MH - Hospital Mortality MH - Humans MH - Kaplan-Meier Estimate MH - Length of Stay/statistics & numerical data MH - Male MH - Minnesota MH - Myocardial Infarction/mortality/psychology/*therapy MH - Patient Transfer MH - Prospective Studies MH - Quality of Life/*psychology MH - *Stents MH - Thrombolytic Therapy EDAT- 2013/05/07 06:00 MHDA- 2013/11/01 06:00 CRDT- 2013/05/07 06:00 PHST- 2012/12/18 00:00 [received] PHST- 2013/03/16 00:00 [revised] PHST- 2013/03/16 00:00 [accepted] PHST- 2013/05/07 06:00 [entrez] PHST- 2013/05/07 06:00 [pubmed] PHST- 2013/11/01 06:00 [medline] AID - S0002-9149(13)00892-8 [pii] AID - 10.1016/j.amjcard.2013.03.031 [doi] PST - ppublish SO - Am J Cardiol. 2013 Aug 1;112(3):330-5. doi: 10.1016/j.amjcard.2013.03.031. Epub 2013 Apr 30.