Management of Acute Myocardial Infarction in Patients With Dementia: Data From SveDem, the Swedish Dementia Registry

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F17%3A00065635" target="_blank" >RIV/00159816:_____/17:00065635 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1016/j.jamda.2016.07.026" target="_blank" >http://dx.doi.org/10.1016/j.jamda.2016.07.026</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jamda.2016.07.026" target="_blank" >10.1016/j.jamda.2016.07.026</a>

Result language

angličtina

Original language name

Management of Acute Myocardial Infarction in Patients With Dementia: Data From SveDem, the Swedish Dementia Registry

Original language description

We aimed to (1) study factors that determine the use of invasive procedures in the management of acute myocardial infarction (AMI) in patients with dementia and (2) determine whether the use of invasive procedures was associated with their better survival. DESIGN: Cohort study based on patients registered in the Swedish Dementia Registry (SveDem), 2007-2012. Median follow-up time was 228 days. SETTING: Patients diagnosed with dementia in specialist memory clinics and primary care units in Sweden. PARTICIPANTS: A total of 525 patients with dementia who suffered AMI (mean age 89 years, 54% women).RESULTS: One hundred ten patients (21%) with dementia received an invasive procedure in the management of AMI. After multivariate adjustment, lower age and higher global cognitive status were associated with the use of invasive procedures. The invasively managed patients survived longer (P = .001). The use of invasive procedures was associated with a lower risk of all-cause mortality, adjusting for type of AMI and dementia disorder, age, gender, registration unit, history of AMI and comorbidity score (HR 0.35, 95% CI 0.21-0.59), or total number of drugs (HR 0.34, 95% CI 0.20-0.58). CONCLUSION: Age and cognitive status determine the use of invasive procedures in patients with dementia. This study suggests that the invasive management of AMI has a benefit for survival of patients with dementia.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30227 - Geriatrics and gerontology

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of the American Medical Directors Association

ISSN

1525-8610

e-ISSN

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Volume of the periodical

18

Issue of the periodical within the volume

1

Country of publishing house

US - UNITED STATES

Number of pages

5

Pages from-to

19-23

UT code for WoS article

000396437500005

EID of the result in the Scopus database

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