Evidence map›Paper›PMID 27931542›Full record

ArticleIndian heart journal

Risk profile and in-hospital prognosis in elderly patients presenting for acute ST-elevation myocardial infarction in the Tunisian context.

Walid Jomaa, Sonia Hamdi, Imen Ben Ali, Mohamed A Azaiez, Aymen El Hraiech, Khaldoun Ben Hamda, Faouzi Maatouk

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Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Walid JomaaCardiology B Department, Fattouma Bourguiba University Hospital and University of Monastir, Monastir, Tunisia. Electronic address: jomaa_w@hotmail.fr.
Sonia HamdiCardiology B Department, Fattouma Bourguiba University Hospital and University of Monastir, Monastir, Tunisia.
Imen Ben AliCardiology B Department, Fattouma Bourguiba University Hospital and University of Monastir, Monastir, Tunisia.
Mohamed A AzaiezCardiology B Department, Fattouma Bourguiba University Hospital and University of Monastir, Monastir, Tunisia.
Aymen El HraiechCardiology B Department, Fattouma Bourguiba University Hospital and University of Monastir, Monastir, Tunisia.
Khaldoun Ben HamdaCardiology B Department, Fattouma Bourguiba University Hospital and University of Monastir, Monastir, Tunisia.
Faouzi MaatoukCardiology B Department, Fattouma Bourguiba University Hospital and University of Monastir, Monastir, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLittle is known about the risk profile and in-hospital prognosis of elderly patients presenting for ST-elevation myocardial infarction (STEMI) in Tunisia. We sought to determine in-hospital prognosis of elderly patients with STEMI in a Tunisian center.

methodsThe study was carried out on a retrospective registry enrolling 1403 patients presenting with STEMI in a Tunisian center between January 1998 and January 2013. Patients ≥75 years old were considered elderly. Risk factors and in-hospital prognosis were compared between elderly and younger patients, and then predictive factors of in-hospital death were determined in elderly patients.

resultsOut of the overall population, 211 (15%) were part of the elderly group. Compared to younger patients, elderly patients were more likely to have arterial hypertension but less likely to be smokers and obese. Thrombolysis was significantly less utilized in the elderly group (22.3% vs. 36.6% in the younger group, p<0.001), whereas the use primary percutaneous coronary intervention was comparable between the two sub-groups (24.2% vs. 28.8%, p=0.17). The incidence of in-hospital complications was higher in the elderly group, and so was the in-hospital mortality rate (14.2% vs. 8.1%, p=0.005). Heart failure on-admission, renal failure on-admission, and inotropic agents use were independently associated to in-hospital death in the elderly group.

conclusionsIn the Tunisian context, elderly patients presenting with STEMI have higher prevalence of risk factors and a worse in-hospital course in comparison to younger patients. Clinical presentation on-admission has a strong impact on in-hospital prognosis.

Indexed as

RegistriesAgedAge FactorsCoronary AngiographyElectrocardiographyFemaleFollow-Up StudiesHospital MortalityHumansMalePercutaneous Coronary InterventionPrognosisRetrospective StudiesRisk AssessmentRisk FactorsST Elevation Myocardial InfarctionElderlyMortalityRisk factorST-elevation myocardial infarction

Identifiers

PMID27931542
PMCPMC5143825

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