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Centre for Policy on Ageing | |
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How should age affect management of acute myocardial infarction?
— a prospective cohort study | | Author(s) | Khalid Barakat, Paul Wilkinson, Andrew Deaner |
| Journal title | The Lancet, vol 353, no 9157, 20 March 1999 |
| Pages | pp 955-959 |
| Keywords | Heart disease ; Admission [hospitals] ; Age groups [elderly] ; Therapeutics ; Death rate [statistics] ; Social surveys ; Newham. |
| Annotation | About 75% of patients with acute myocardial infarction are older than 75 years, but patients in this age group are commonly treated less vigorously than younger patients. The authors examined how age does and should affect the management of patients and risk stratification in acute myocardial infarction, based on 1225 admissions to Newham General Hospital, in east London. Tabulation and regression methods were used to analyse the association between age group and clinical variables. Patients aged 70 or older took longer to arrive in hospital, and were less likely to receive thrombolysis or discharge beta blockers than patients younger than 60. Left-ventricular failure was the strongest independent predictor of death within one year of infarction. Patients aged 70 or over without left-ventricular failure had significantly better survival at one year after acute myocardial infarction than those under 60 with left-ventricular failure. 70.8% of the older patients who survived to hospital discharge were still alive 3 years later. The study concludes that in planning risk-based management, consideration of age independently of clinical status is inappropriate. (RH). |
| Accession Number | CPA-990423204 A |
| Classmark | CQH: LD:QKH: BB: LL: S5: 3F: 82LQ * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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