Does Patient Dementia Limit the Use of Cardiac Catheterization in ST-Elevated Myocardial Infarction?
Graduation Year
2010
Document Type
Thesis
Degree
M.S.P.H.
Degree Granting Department
Epidemiology and Biostatistics
Major Professor
Elizabeth Pathak, Ph.D.
Committee Member
James A. Mortimer, Ph.D.
Committee Member
Wei Wang, Ph.D.
Keywords
Alzheimer‟s, STEMI, Elderly, Cardiovascular, Disparity
Abstract
Regardless of age or mental capacity, percutaneous coronary intervention (PCI) is the first line of treatment for ST-elevated myocardial infarction (STEMI). This study evaluates the disparities in the use of diagnostic cardiac catheterization and PCI in STEMI patients with dementia. A retrospective analysis was performed of Florida‟s comprehensive inpatient surveillance system for the years 2006-2007 with admission diagnosis of STEMI. Logistic regression analysis was used to identify disparities in the use of intervention among all STEMI patients. A total of 8,331 STEMI patients met the inclusion criteria. Of these, 77% were catheterized and of these 67% received PCI. A total of 605 (7.3%) were demented. Patients with dementia were less likely to be catheterized (RR 0.4, 95% CI 0.3-0.5) and less likely to receive PCI within 24 hours (RR 0.5, 95% CI 0.4-0.6). This study concludes that STEMI patients with dementia were much less likely to receive cardiovascular interventions.
Scholar Commons Citation
Chanti-Ketterl, Marianne, "Does Patient Dementia Limit the Use of Cardiac Catheterization in ST-Elevated Myocardial Infarction?" (2010). USF Tampa Graduate Theses and Dissertations.
https://digitalcommons.usf.edu/etd/3566
