Clinical Effectiveness of Coronary Stents in Elderly PersonsResults From 262,700 Medicare Patients in the American College of Cardiology–National Cardiovascular Data Registry
Pamela S. Douglas, MD*,*,
J. Matthew Brennan, MD*,
Kevin J. Anstrom, PhD*,
Art Sedrakyan, MD, PhD ,
Eric L. Eisenstein, DBA*,
Ghazala Haque, MBBS, MHS*,
David Dai, PhD*,
David F. Kong, MD*,
Bradley Hammill, PhD*,
Lesley Curtis, PhD*,
David Matchar, MD*,
Ralph Brindis, MD , and
Eric D. Peterson, MD, MPH*
* Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina
Agency for Healthcare Quality and Research, Rockville, Maryland
Kaiser Permanente, Oakland, California
American College of Cardiology, Washington, DC
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Figure 1 Population Selection: Flow Diagram
ACC = American College of Cardiology; BMS = bare-metal stent(s); CMS = Centers for Medicare and Medicaid Services; DES = drug-eluting stent(s); NCDR = National Cardiovascular Data Registry; PCI = percutaneous coronary intervention.
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Figure 2 Adjusted Cumulative Incidences
(A) Adjusted cumulative incidence for death with 6- and 12-month landmark display. (B) Adjusted cumulative incidence for myocardial infarction with 6- and 12-month landmark display. (C) Adjusted cumulative incidence for revascularization with 6- and 12-month landmark display. (D) Adjusted cumulative incidence for bleeding with 6- and 12-month landmark display. (E) Adjusted cumulative incidence for stroke with 6- and 12-month landmark display. Abbreviations as in Figure 1.
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Figure 3 Adjusted Cumulative Incidence for STEMI
Adjusted cumulative incidence for ST-segment elevation myocardial infarction (STEMI) with 6- and 12-month landmark display. Abbreviations as in Figure 1.
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Figure 4 Forest Plots of HRs
Subgroup results: Forest plots of hazard ratios (HRs) for death (A), myocardial infarction (MI) (B), revascularization (C), bleeding (D), and stroke (E). CABG = coronary artery bypass grafting; CHF = congestive heart failure; PCI = percutaneous coronary intervention; RF = renal failure; STEMI = ST-segment elevation myocardial infarction.
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