The risk of both mortality and re-hospitalization after elective rehabilitation procedure for coronary artery disease is similar to those with and without Alzheimer’s disease (AD), but people with AD had worse outcomes after emergency procedure , according to a new study from the University of Eastern Finland.
Previous studies have examined the effectiveness of rehabilitation in people with mental disorders, except for short-term outcomes and in intensive care settings, and also did not describe selection. As in previous studies, people with Alzheimer’s disease were 76% less likely to go through a recovery process and only a third of procedures were elective, compared with 48.6% of selected methods in the comparison group without AD.
People with Alzheimer’s disease had a higher risk of death in the procedure unit, and a 1.42-fold mortality rate during a 3-year follow-up period, compared with people without AD. However, the risks were similar for selective modalities in people with and without AD. Sociodemographic features, comorbidities, statin utilization, length of stay and essential support at the time of resolution were controlled in the analyzes. The results were similar for the two types of rehabilitation modalities studied, i.e., coronary artery bypass surgery (CABG) and percutaneous coronary interventions (PCI).
These perceptions of a lower rate for selective resuscitation and comparative results after resuscitation procedures indicate a different threshold for elective methods compared to emergency ones, and a very different selection for people with primary complications. mind.
The study was conducted as part of the Alzheimer’s Disease and Medicine Practice Survey (MEDALZ), in a cohort that includes 70,718 Finnish community residents with Alzheimer’s disease, and an equivalent comparison cohort. This study was limited to people who had no previous resuscitation.
The study was published in Journals of Gerontology: Series A, and was funded by the Schlumberger Foundation and the Finnish Academy.
Source:
University of Eastern Finland
Magazine Reference:
Vu, M., et al. (2021) Coronary resuscitation and postoperative outcomes in and with people with Alzheimer’s disease. Journals of Gerontology: Series A.. doi.org/10.1093/gerona/glab006.