Criteria for admitting elderly patients with acute coronary syndrome to critical care units from Spanish hospital emergency departments: a LONGEVO-SCA cohort study

Podeu consultar la versió en castellà a http://hdl.handle.net/2445/166994

Detalles Bibliográficos
Autores: Lorente, Victòria, Ariza Solé, Albert, Jacob, Javier, Formiga Pérez, Francesc, Marín, Francisco, Martínez-Sellés, Manuel, Viana-Tejedor, Ana, Bardají, Alfredo, Sionis, Alessandro, Palau-Vendrell, Anna, Díez-Villanueva, Pablo, Aboal, Jaime, González-Salvado, Violeta, Bueno, Héctor
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/186642
Acceso en línea:https://hdl.handle.net/2445/186642
Access Level:acceso abierto
Palabra clave:Malalties coronàries
Ingressos i altes en els hospitals
Malalts en estat crític
Espanya
Coronary diseases
Hospital admission and discharge
Critically ill
Spain
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spelling Criteria for admitting elderly patients with acute coronary syndrome to critical care units from Spanish hospital emergency departments: a LONGEVO-SCA cohort studyLorente, VictòriaAriza Solé, AlbertJacob, JavierFormiga Pérez, FrancescMarín, FranciscoMartínez-Sellés, ManuelViana-Tejedor, AnaBardají, AlfredoSionis, AlessandroPalau-Vendrell, AnnaDíez-Villanueva, PabloAboal, JaimeGonzález-Salvado, VioletaBueno, HéctorMalalties coronàriesIngressos i altes en els hospitalsMalalts en estat críticEspanyaCoronary diseasesHospital admission and dischargeCritically illSpainPodeu consultar la versió en castellà a http://hdl.handle.net/2445/166994Objectives: Information on criteria for admitting elderly patients with acute coronary syndrome (ACS) to intensive care units (ICUs) is scarce. We aimed to describe factors associated with ICU admission in unselected older patients with ACS in Spain. Material and methods: The prospective LONGEVO-SCA registry (Impact of Frailty and Other Geriatric Syndromes on the Management of and Mortality in Elderly Patients With Non-ST-segment Elevation Acute Coronary Syndrome) included unselected patients over the age of 80 years with non-ST-segment elevation SCA. A geriatric assessment of each patient was done in the hospital. Clinical outcomes at 6 months were analyzed. Bivariate logistic regression analysis was applied to identify ICU admission criteria. Results: Of 508 patients with a mean age of 84.3 years, 150 (29.5%) were admitted to the ICU. The admitted patients were younger and more often had acute heart failure, elevated troponin levels, and poor left ventricular function. They also scored higher on the Acute Coronary Treatment and Intervention Outcomes Network-ICU (ACTION-ICU) and Global Registry of Acute Coronary Events (GRACE) risk scales. These patients had higher functional status scores and a lower prevalence of frailty and had more often undergone coronary angiography (P < .001). No differences in hospital mortality or outcomes at 6 months were detected between patients admitted or not admitted to ICUs. The following variables were independent predictors of ICU admission: no history of a previous episode of heart failure, an elevated troponin level on arrival, left ventricular dysfunction, high GRACE score and high Charlson Comorbidity Index, and absence of frailty. Conclusion: Around a third of elderly patients with non-ST-segment elevation ACS are admitted to an ICU. Admitted patients have a higher risk profile on arrival and a lower prevalence of geriatric syndromes.Saned2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/186642Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://pubmed.ncbi.nlm.nih.gov/31210446/Emergencias, 2019, vol. 31, num. 3, p. 154-160http://hdl.handle.net/2445/166994(c) Saned, 2019info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1866422026-05-27T06:46:51Z
dc.title.none.fl_str_mv Criteria for admitting elderly patients with acute coronary syndrome to critical care units from Spanish hospital emergency departments: a LONGEVO-SCA cohort study
title Criteria for admitting elderly patients with acute coronary syndrome to critical care units from Spanish hospital emergency departments: a LONGEVO-SCA cohort study
spellingShingle Criteria for admitting elderly patients with acute coronary syndrome to critical care units from Spanish hospital emergency departments: a LONGEVO-SCA cohort study
Lorente, Victòria
Malalties coronàries
Ingressos i altes en els hospitals
Malalts en estat crític
Espanya
Coronary diseases
Hospital admission and discharge
Critically ill
Spain
title_short Criteria for admitting elderly patients with acute coronary syndrome to critical care units from Spanish hospital emergency departments: a LONGEVO-SCA cohort study
title_full Criteria for admitting elderly patients with acute coronary syndrome to critical care units from Spanish hospital emergency departments: a LONGEVO-SCA cohort study
title_fullStr Criteria for admitting elderly patients with acute coronary syndrome to critical care units from Spanish hospital emergency departments: a LONGEVO-SCA cohort study
title_full_unstemmed Criteria for admitting elderly patients with acute coronary syndrome to critical care units from Spanish hospital emergency departments: a LONGEVO-SCA cohort study
title_sort Criteria for admitting elderly patients with acute coronary syndrome to critical care units from Spanish hospital emergency departments: a LONGEVO-SCA cohort study
dc.creator.none.fl_str_mv Lorente, Victòria
Ariza Solé, Albert
Jacob, Javier
Formiga Pérez, Francesc
Marín, Francisco
Martínez-Sellés, Manuel
Viana-Tejedor, Ana
Bardají, Alfredo
Sionis, Alessandro
Palau-Vendrell, Anna
Díez-Villanueva, Pablo
Aboal, Jaime
González-Salvado, Violeta
Bueno, Héctor
author Lorente, Victòria
author_facet Lorente, Victòria
Ariza Solé, Albert
Jacob, Javier
Formiga Pérez, Francesc
Marín, Francisco
Martínez-Sellés, Manuel
Viana-Tejedor, Ana
Bardají, Alfredo
Sionis, Alessandro
Palau-Vendrell, Anna
Díez-Villanueva, Pablo
Aboal, Jaime
González-Salvado, Violeta
Bueno, Héctor
author_role author
author2 Ariza Solé, Albert
Jacob, Javier
Formiga Pérez, Francesc
Marín, Francisco
Martínez-Sellés, Manuel
Viana-Tejedor, Ana
Bardají, Alfredo
Sionis, Alessandro
Palau-Vendrell, Anna
Díez-Villanueva, Pablo
Aboal, Jaime
González-Salvado, Violeta
Bueno, Héctor
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Malalties coronàries
Ingressos i altes en els hospitals
Malalts en estat crític
Espanya
Coronary diseases
Hospital admission and discharge
Critically ill
Spain
topic Malalties coronàries
Ingressos i altes en els hospitals
Malalts en estat crític
Espanya
Coronary diseases
Hospital admission and discharge
Critically ill
Spain
description Podeu consultar la versió en castellà a http://hdl.handle.net/2445/166994
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/186642
url https://hdl.handle.net/2445/186642
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://pubmed.ncbi.nlm.nih.gov/31210446/
Emergencias, 2019, vol. 31, num. 3, p. 154-160
http://hdl.handle.net/2445/166994
dc.rights.none.fl_str_mv (c) Saned, 2019
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Saned, 2019
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Saned
publisher.none.fl_str_mv Saned
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869409255453360128
score 15,300719

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