ArticleJournal of geriatric cardiology : JGC2018
Applicability of the PRECISE-DAPT score in elderly patients with myocardial infarction.
Article in Journal of geriatric cardiology : JGC, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Bleeding Risk in Elderly Patients Undergoing Percutaneous Coronary Intervention: A Comprehensive Review.Journal of clinical medicine · 2025Review
- Antiplatelet Therapy for Elderly Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention.Journal of clinical medicine · 2024Review
- The Impact of Geriatric Conditions in Elderly Patients with Coronary Heart Disease: A State-of-the-Art Review.Journal of clinical medicine · 2024Review
- Non-ST Elevation Myocardial Infarction in the Elderly. Antithrombotic Therapy and Beyond.Reviews in cardiovascular medicine · 2023Review
- Predictive validation of existing bleeding and thromboembolic scores in elderly patients with comorbid atrial fibrillation and acute coronary syndrome.Journal of geriatric cardiology : JGC · 2023Article
- Prediction of Bleeding by the PRECISE-DAPT Score in Patients with Carotid Artery Stenting.Cardiovascular and interventional radiology · 2023Article
- Epidemiology, Pathophysiology, and Management of Coronary Artery Disease in the Elderly.The International journal of angiology : official publication of the International College of Angiology, Inc · 2022Article
- Cardiovascular prevention in elderly patients.Journal of geriatric cardiology : JGC · 2022Article
- Antithrombotic Therapy in Elderly Patients with Acute Coronary Syndromes.Journal of clinical medicine · 2022Review
- Age Considerations in the Invasive Management of Acute Coronary Syndromes.US cardiology · 2022Review
- Validation of the 4-Item PRECISE-DAPT Score: A SWEDEHEART Study.Journal of the American Heart Association · 2021Article
- Acute Coronary Syndrome in the Older Patient.Journal of clinical medicine · 2021Review
- Optimal dual antiplatelet therapy strategy in elderly patients with acute coronary syndrome.Journal of geriatric cardiology : JGC · 2021Article
- Incidence and Risk Factors for Antiplatelet Therapy-Related Bleeding Complications Among Elderly Patients After Coronary Stenting: A Multicenter Retrospective Observation.Frontiers in pharmacology · 2021Article
- [Milestones of the Section on Geriatric Cardiology of the Spanish Society of Cardiology: the r-evolution from 1995 to 2020].Revista espanola de cardiologia · 2020Article
- Non-ST elevation acute coronary syndrome in the elderly.Journal of geriatric cardiology : JGC · 2020Article
- Elderly patients with acute coronary syndromes: a continuous tsunami.Journal of geriatric cardiology : JGC · 2019Article
- Bleeding risk assessment in elderly patients with acute coronary syndrome.Journal of geriatric cardiology : JGC · 2019Review
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Authors and funding
6 authors.
Funding
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Abstract
backgroundElderly patients with acute coronary syndromes (ACS) are at higher risk both for ischemic and bleeding complications. Current guidelines recommend the PRECISE-DAPT score for bleeding risk stratification in this setting, but no study assessed its applicability in elderly patients. This study aimed to assess the performance of the PRECISE-DAPT score in a series of non-selected elderly patients with ACS from routine clinical practice.
methodsThe IFFANIAM registry included prospectively patients aged ≥ 75 years with ST segment elevation myocardial infarction (STEMI). Main outcome measured was the incidence of relevant bleeding after discharge (bleeding leading to hospital readmission, need for transfusion, intervention, stop of antithrombotic drugs or death). Bleeding risk was classified: (A) according to PRECISE-DAPT values above or not the recommended cut-off point (≥ 25); and (B) according to the quartiles of PRECISE-DAPT values observed in the IFFANIAM series (Q1: < 30; Q2: 30-35; Q3: 36-44; Q4: ≥ 45).
resultsA total of 208 patients were included. Mean age was 81.9 ± 4.5 years. Most patients (92.6%) had a PRECISE-DAPT value > 25. A total of 25 patients (12.0%) had bleeding events and 49 patients (23.6%) died. No significant differences regarding the incidence of bleeding were observed according to the recommended cutt of point ≥ 25. However, a progressive increase in the incidence of bleeding was observed across PRECISE-DAPT quartiles observed in this series (
conclusionsThe vast majority of elderly patients have PRECISE-DAPT values above the recommended cut-off point for bleeding risk. Using different cut-off points could be a more rational approach for predicting bleeding risk in these complex patients.
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