Document Detail


Age-related discrimination in the use of fibrinolytic therapy in acute myocardial infarction in Norway.
MedLine Citation:
PMID:  7645438     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Age-related use of fibrinolytic therapy in acute myocardial infarction was studied for patients admitted to the intensive care unit in four hospitals comprising 10% of the national hospital bed capacity in Norway. Altogether, 446 patients were included. All had validated acute myocardial infarction or acute ischaemic coronary heart disease treated with fibrinolytic medication. The fibrinolytic treatment rate decreased linearly from 74% among patients younger than 50 years to 15% among those older than 80 (p < 0.0001). In a multiple logistic regression, low age, short pre-hospital time and no previous myocardial infarction strongly predicted use of fibrinolytic therapy (p < 0.0001), and male sex was a significant predictor for use of fibrinolytic therapy (p = 0.01).
Authors:
K I Pettersen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Age and ageing     Volume:  24     ISSN:  0002-0729     ISO Abbreviation:  Age Ageing     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-09-21     Completed Date:  1995-09-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  198-203     Citation Subset:  E; IM    
Affiliation:
National Institute of Public Health, Oslo, Norway.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Female
Geriatric Assessment
Health Care Rationing / trends*
Health Services for the Aged / trends*
Humans
Male
Medical Audit
Middle Aged
Myocardial Infarction / drug therapy*,  mortality
Norway / epidemiology
Patient Selection*
Prejudice*
Sex Factors
Thrombolytic Therapy / contraindications,  utilization*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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