Abstract | BACKGROUND: METHODS: We investigated the prehospital ADL in 1479 patients with AMI using data from the Yamagata AMI registry (period: 2015-2017). The patients were divided into three groups (preserved ADL, mildly impaired ADL, and severely impaired ADL) and their clinical characteristics were compared. Multivariate regression analysis was performed to elucidate the association of ADL prior to MI with the PCI implementation and mortality in patients with AMI. RESULTS: Patients with impaired ADL were older, more likely to be female, less likely to have undergone PCI, and presented with higher acute mortality compared to those with preserved ADL. The proportion of patients with impaired ADL increased with age. Multivariate regression analysis showed that the lack of PCI implementation and prehospital ADL impairment were independent risk factors for acute death in patients with AMI after adjusting for confounding factors. Furthermore, univariate and multivariate analyses revealed that impaired ADL was associated with the PCI implementation. Cox proportional hazards analysis revealed that prehospital ADL impairment was an independent risk factor for long-term mortality in patients with AMI. CONCLUSIONS: Decreased levels of prehospital ADL were associated with lower PCI implementation and higher mortality in patients-especially older patients-with AMI.
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Authors | Taku Toshima, Tetsu Watanabe, Jun Goto, Yuta Kobayashi, Yoichiro Otaki, Masahiro Wanezaki, Satoshi Nishiyama, Daisuke Kutsuzawa, Shigehiko Kato, Harutoshi Tamura, Takanori Arimoto, Hiroki Takahashi, Tsuneo Konta, Masafumi Watanabe |
Journal | Journal of cardiology
(J Cardiol)
Vol. 80
Issue 4
Pg. 313-318
(10 2022)
ISSN: 1876-4738 [Electronic] Netherlands |
PMID | 35644711
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2022 Elsevier Ltd. All rights reserved. |
Topics |
- Activities of Daily Living
- Female
- Humans
- Male
- Myocardial Infarction
(etiology)
- Percutaneous Coronary Intervention
(adverse effects)
- Registries
- Risk Factors
- Treatment Outcome
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