Prognosis of elderly patients hospitalized in the cardiac ward

• Authors: Anna Cichocka-Radwan , Inga Pietka , Malgorzata Lelonek
• Languages of publication: EN

Abstracts

EN

Introduction Cardiovascular diseases affect nearly 80% of the elderly, and they are the major cause of death in this population. The aim was to evaluate the clinical profile and prognostic factors for patients aged 80 years and more who have been hospitalized for cardiologic reasons. Material and Methods The study included 100 patients aged 80–91 years (46% men) referred to the Department of Cardiology. We analyzed the reasons and length of hospitalization, clinical factors, results of basic laboratory tests, echocardiography, angiography, comorbidities and number of deaths during the hospitalization and in one year of follow-up. Patients were divided and analyzed, depending on the total mortality rate.Results The most common causes of hospitalization were myocardial infarction (67%) and heart failure (10%). Coronary angiography was performed in 72% of patients and percutaneous coronary intervention in 81%. The most common cause of hospital deaths was myocardial infarction (67%). The proportion of deaths in hospital was 8%, and during a year of observation it was 26%. Deaths were found to be related to ventricular conduction blocks (OR=4.0; P=0.03) and atrial fibrillation (OR=11.15; P=0.04). Conclusions In the elderly hospitalized in cardiac wards, myocardial infarction was the most common cause of hospitalization and hospital death. The mortality rate was high and associated with ventricular conduction blocks and atrial fibrillation.

Keywords

EN

Geriatrics; Myocardial infarction; Prognosis

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2013
• Volume: 8
• Issue: 1
• Pages: 62-68

Dates

published

1 - 2 - 2013

online

8 - 12 - 2012

Contributors

author

Anna Cichocka-Radwan

• Department of Cardiology, Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, 1/3 Sterling Street, Lodz, 91-425, Poland

author

Inga Pietka

• Department of Cardiology, Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, 1/3 Sterling Street, Lodz, 91-425, Poland

author

Malgorzata Lelonek

• Department of Cardiology, Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, 1/3 Sterling Street, Lodz, 91-425, Poland

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Identifiers

DOI

10.2478/s11536-012-0087-8