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

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30227 - Geriatrics and gerontology

Projekt

Výsledek vznikl pri realizaci vícero projektů. Více informací v záložce Projekty.

Návaznosti

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

Rok uplatnění

2017

Kód důvěrnosti údajů

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

Název periodika

Journal of the American Medical Directors Association

ISSN

1525-8610

e-ISSN

—

Svazek periodika

18

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

5

Strana od-do

19-23

Kód UT WoS článku

000396437500005

EID výsledku v databázi Scopus

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