TY  - JOUR
TI  - THE EFFECTS OF RENAL INSUFFICIENCY AND 
AGE ON MORTALITY IN GERIATRIC PATIENTS 
WITH NON-ST-SEGMENT ELEVATION 
MYOCARDIAL INFARCTION
AB  - Objectives: Although renal insufficiency is associated with high mortality in 
patients with acute coronary syndrome, studies have often excluded patients 
of advanced age who have renal insufficiency. The present study aimed to 
determine the relationship between renal insufficiency and mortality predictors 
in patients with non-ST-segment elevation myocardial infarction (NSTEMI) who 
were aged 65 and older.
Methods: The study included 537 NSTEMI patients aged 65 years and 
over, who were followed up for at least 12 months, who were admitted to the 
hospital with the diagnosis of NSTEMI and underwent coronary angiography. 
Sociodemographic and clinical features, laboratory parameters, and clinical 
evaluation variables were recorded at the time of admission. The patients 
were divided into four groups according to their ages and creatinine clearance 
values. 
Results: The mean age of the patients was 76.17 ± 6.64 years, and 256 (47.7%) 
of them were women. According to the applied multivariate age-stratified Cox 
regression analysis, independent predictors of one-year mortality were found 
to be creatinine clearance (p=0.005), left ventricular ejection fraction (p<0.001), 
and coronary revascularization (p=0.004). 
Conclusion: Creatinine clearance, left ventricular ejection fraction, and 
coronary revascularization are robust and independent predictors of one-year 
mortality in NSTEMI patients.
AU  - Demir Gündoğmuş, Pınar
AU  - Birdal, Oğuzhan
AU  - AKSAKAL, Emrah
AU  - Tanboga, Ibrahim Halil
DO  - 10.31086/tjgeri.2021.228
PY  - 2021
JO  - Türk Geriatri Dergisi
VL  - 24
IS  - 3
SN  - 1304-2947
SP  - 303
EP  - 314
DB  - TRDizin
UR  - http://search/yayin/detay/529310
ER  -