Preliminary Evaluation of a Convalescence Cardiac Unit for Older Patients as a Model of “Transitional Facility” from Hospital to Home

Lubart, Emily; Leibovitz, Arthur; Berkman, Phinchas; Baumohl, Yehuda; Habot, Beni

doi:10.1016/s1525-8610(04)70226-1

Cited by 2 publications

(1 citation statement)

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“…In our study population these tendencies were confirmed: IT was utilized less in older patients (60.9% and 72.5% in the EG and YG, respectively), the long-term survival rates were 48.9% and 81.5%, respectively, and the hospitalization stays were, respectively, 15.1 and 12.5 days. In fact, some authors have proposed a convalescence cardiac unit for older patients as a transitional facility from hospital to home,19 and the optimal rate of invasive therapies is a frequent topic of discussion 20…”

Section: Discussionmentioning

confidence: 99%

The Role of Invasive Therapies in Elderly Patients with Acute Myocardial Infarction

Nicolau

Lemos

Wajngarten

et al. 2009

Clinics

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INTRODUCTION:In elderly patients with acute myocardial infarction, very little is known about the role of surgical myocardial revascularization and percutaneous coronary intervention (invasive therapies - IT), especially in the context of long-term outcomes after hospital discharge.METHODS:We analyzed 1588 patients with MI who had been included prospectively in a databank and followed for up to 7.5 years. In this population, 548 patients were ≥70 years old (elderly group - EG), and 1040 were <70 years of age (younger group - YG); 1088 underwent IT during hospitalization, and the remaining 500 were treated medically (conservative therapy - CT). Patients were monitored either by visit or by phone at least once a year. A standard questionnaire was administered to all patients. The impact of IT was analyzed with both non-adjusted and adjusted models.RESULTS:By the end of the follow-up period, the survival rates for the IT and CT groups were, respectively, 71.9% versus 47.2% in the global population (hazard ratio=0.55, P<0.001), 81.5% versus 66.6% in the YG (hazard ratio=0.68, P=0.018) and 48.8% versus 20.3% in the EG (hazard ratio=0.58, P<0.001). In the adjusted models, the hazard ratios were 0.62 (P<0.001) in the global population, 0.74 in the YG (P=0.073) and 0.64 (P=0.001) in the EG.CONCLUSION:Long-term follow-up of patients with myocardial infarction revealed that IT during the in-hospital phase was at least as effective in elderly patients as in younger patients.

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Section: Discussionmentioning

confidence: 99%