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- Title
Outcomes of Percutaneous Coronary Intervention in Elderly Patients with Rheumatoid Arthritis: A Nationwide Population-Based Cohort Study.
- Authors
Kim, Bo Young; Moon, HyeSung; Kim, Sung-Soo; Kim, Hyun-Sook
- Abstract
Rheumatoid arthritis (RA) increases the risk of cardiovascular disease. This study aimed to evaluate the clinical outcomes of elderly patients with and without RA who underwent percutaneous coronary intervention (PCI). The Korean National Health Insurance Service claims database was used to extract data on 74,623 patients (14,074 with RA and 60,549 without RA) aged ≥ 65 years who were diagnosed with acute coronary syndrome and underwent PCI between 2008 and 2019. The primary outcome was survival of elderly patients with and without RA. The secondary outcome was survival in the RA subgroup. During a 10-year follow-up, the all-cause mortality survival rate was lower in patients with RA than that in patients without (53.7% vs. 58.3%, respectively, log-rank: p < 0.001). In the all-cause mortality RA subgroup, patients with elderly-onset RA had poor survival outcomes, whereas patients with young-onset RA had good survival outcomes compared with that in patients without RA (48.1% vs. 73.7% vs. 58.3%, respectively, log-rank: p < 0.001). Elderly patients with RA who underwent PCI had an increased mortality risk, particularly those with elderly rather than young-onset RA.
- Subjects
PERCUTANEOUS coronary intervention; MULTIPLE regression analysis; ACUTE coronary syndrome; TREATMENT effectiveness; SURVEYS; SURVIVAL rate; COMPARATIVE studies; RHEUMATOID arthritis; DESCRIPTIVE statistics; CHI-squared test; KAPLAN-Meier estimator; RESEARCH funding; LONGITUDINAL method; OLD age
- Publication
Healthcare (2227-9032), 2023, Vol 11, Issue 10, p1381
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare11101381