open access

Vol 13, No 3 (2018)
Young Cardiology
Published online: 2018-07-15
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Clinical characteristics and in-hospital outcomes in hospitalized patients above 80 years of age — a pilot study

Sylwia Stawiarz, Anna Michalska, Iwona Gorczyca, Beata Wożakowska-Kapłon
DOI: 10.5603/FC.2018.0042
·
Folia Cardiologica 2018;13(3):216-221.

open access

Vol 13, No 3 (2018)
Young Cardiology
Published online: 2018-07-15

Abstract

Introduction. The elderly above 75 years of age are characterized by lower body capabilities, a significant decrease in
adaptability, and susceptibility to geriatric diseases, which strongly correlate with management problems in these age
groups. The aim of the study was to assess the population of hospitalized patients above 80 years of age. Demographic
data, comorbidities and in-hospital outcomes in the studied population were evaluated.

Material and methods. A retrospective study included 8100 patients hospitalized at the Department of Cardiology in
2013–2015. Overall, 982 patients (including 561 women) were evaluated. The mean age of the study group was 86
years (± 3.7 years). In the study group, 884 patients (90%) were aged 80–89, 97 patients (9.9%) were aged 90–99,
and one person (0.1%) was older than 99 years.

Results. Ischaemic heart disease was present in 606 patients (61.7%), heart failure in 600 patients (60%), and atrial
fibrillation in 452 patients (46%). Heart failure was the most common reason for hospitalization, identified in 340 subjects (34.6%), or one in three subjects, followed by a cardiac pacemaker implantation in 162 subjects (16.5%). Overall, a pacemaker or cardioverter-defibrillator was implanted in 473 subjects (48.2%) among those above 80 years of age. The most common causes of in-hospital mortality were heart failure in 29 patients (56.9%) and an acute coronary syndrome in 17 patients (33.3%).

Conclusions. Heart failure is the most common cause of hospitalization in patients above 80 years of age, and ischaemic heart disease is the most common comorbidity in this age group. In the study population, cardiovascular decompensation was the main cause of mortality.

Abstract

Introduction. The elderly above 75 years of age are characterized by lower body capabilities, a significant decrease in
adaptability, and susceptibility to geriatric diseases, which strongly correlate with management problems in these age
groups. The aim of the study was to assess the population of hospitalized patients above 80 years of age. Demographic
data, comorbidities and in-hospital outcomes in the studied population were evaluated.

Material and methods. A retrospective study included 8100 patients hospitalized at the Department of Cardiology in
2013–2015. Overall, 982 patients (including 561 women) were evaluated. The mean age of the study group was 86
years (± 3.7 years). In the study group, 884 patients (90%) were aged 80–89, 97 patients (9.9%) were aged 90–99,
and one person (0.1%) was older than 99 years.

Results. Ischaemic heart disease was present in 606 patients (61.7%), heart failure in 600 patients (60%), and atrial
fibrillation in 452 patients (46%). Heart failure was the most common reason for hospitalization, identified in 340 subjects (34.6%), or one in three subjects, followed by a cardiac pacemaker implantation in 162 subjects (16.5%). Overall, a pacemaker or cardioverter-defibrillator was implanted in 473 subjects (48.2%) among those above 80 years of age. The most common causes of in-hospital mortality were heart failure in 29 patients (56.9%) and an acute coronary syndrome in 17 patients (33.3%).

Conclusions. Heart failure is the most common cause of hospitalization in patients above 80 years of age, and ischaemic heart disease is the most common comorbidity in this age group. In the study population, cardiovascular decompensation was the main cause of mortality.

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Keywords

middle-old, oldest-old, comorbidities, in-hospital outcomes

About this article
Title

Clinical characteristics and in-hospital outcomes in hospitalized patients above 80 years of age — a pilot study

Journal

Folia Cardiologica

Issue

Vol 13, No 3 (2018)

Pages

216-221

Published online

2018-07-15

DOI

10.5603/FC.2018.0042

Bibliographic record

Folia Cardiologica 2018;13(3):216-221.

Keywords

middle-old
oldest-old
comorbidities
in-hospital outcomes

Authors

Sylwia Stawiarz
Anna Michalska
Iwona Gorczyca
Beata Wożakowska-Kapłon

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