Abstract 17064: Decreased Mortality and Early Complications in AMI Patients is Homogeneous across Age Groups. A 15-year Perspective from the USIK 1995, USIC 2000, FAST-MI 2005 and 2010 French Nationwide Registries
Background and aim: Early mortality of AMI patients has decreased substantially over the past 2 decades. Whether this decrease more specifically affects one age class is unknown.
Methods: USIK 1995, USIC 2000, FAST-MI 2005 and 2010 are 4 nationwide French registries conducted 5 years apart each, using a similar methodology in consecutive pts admitted to CCUs for AMI, over a one-month period. A total of 10,521 AMI (STEMI and NSTEMI) pts presenting ≤48 hours of symptom onset were included.
Results: From 1995 to 2010, 30-day mortality decreased from 12.9% to 3.9%; the age- and type-of-MI-adjusted OR (95%CI) for 30-d death was homogeneous across age groups (2010 vs 1995): 0.29 (0.15-0.58) for pts <60 years, 0.23 (0.14-0.38) for pts 60-74 years and 0.32 (0.24-0.43) for pts ≥75 years. All in-hospital complications decreased, whatever the age group (Table)
Conclusion: In these 4 nationwide surveys of AMI pts conducted over a 15-year period, mortality and in-hospital complications decreased markedly. This decrease was consistent across age groups. Table: evolution of complications and mortality from 1995 to 2010 across age groups
- © 2012 by American Heart Association, Inc.