bachelorThesis
Desenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombia
Autor
Torralba, Felipe
Institución
Resumen
The decline in the global birth rate and the increase in life expectancy have led to a reversal of the population pyramid, showing a constantly growing population of adults over 80. This paper describes the cardiovascular in-hospital outcomes of patients older than 80 years with a diagnosis of NSTEMI, who were admitted to Fundación Cardioinfantil between 2018 and 2020. We describe demographic and clinical characteristics of this population, and also, the most prevalent diseases and risk factors, to be compared with those of the population of patients younger than this age It is a descriptive, retrospective, observational study with a non-probabilistic sample calculation for convenience. Octogenarians are more comorbid patients compared to younger ones, being consistent with what is reported in the literature. There was a higher prevalence of AV block, decompensated heart failure, and acute atrial fibrillation in the octogenarian group, findings with a high long-term prognostic impact. In-hospital mortality, cardiogenic shock, and ventricular arrhythmias had a similar prevalence, being an unexpected finding, which can be explained by the shot in-hospital follow-up and the lack of a mid-term registry. This is the first in-hospital outcomes study of Colombian patients older than 80 years with NSTEMI.