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Dissertation/Thesis Abstract

Does Patient Dementia Limit the Use of Cardiac Catheterization in St-Elevated Myocardial Infarction?
by Chanti-Ketterl, Marianne, M.S.P.H., University of South Florida, 2010, 156; 1483088
Abstract (Summary)

Regardless of age or mental capacity, percutaneous coronary intervention (PCI) is the first line of treatment for ST-elevated myocardial infarction (STEMI). This study evaluates the disparities in the use of diagnostic cardiac catheterization and PCI in STEMI patients with dementia. A retrospective analysis was performed of Florida?s comprehensive inpatient surveillance system for the years 2006-2007 with admission diagnosis of STEMI. Logistic regression analysis was used to identify disparities in the use of intervention among all STEMI patients. A total of 8,331 STEMI patients met the inclusion criteria. Of these, 77% were catheterized and of these 67% received PCI. A total of 605 (7.3%) were demented. Patients with dementia were less likely to be catheterized (RR 0.4, 95% CI 0.3-0.5) and less likely to receive PCI within 24 hours (RR 0.5, 95% CI 0.4-0.6). This study concludes that STEMI patients with dementia were much less likely to receive cardiovascular interventions.

Indexing (document details)
Advisor: Pathak, Elizabeth
Commitee: Mortimer, James A., Wang, Wei
School: University of South Florida
Department: Epidemiology and Biostatistics
School Location: United States -- Florida
Source: MAI 49/02M, Masters Abstracts International
Subjects: Gerontology, Medicine, Epidemiology
Keywords: Alzheimer's, Cardiovascular, Disparity, Elderly, Stemi
Publication Number: 1483088
ISBN: 978-1-124-34480-5
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