Clinical outcomes and discharge disposition in nonagenarians with ST-elevation myocardial infarction
Authors' conclusion
In this large multicenter prospective STEMI database, nonagenarians living in SNF before presentation had more than 2-fold higher in-hospital mortality than those living at home. Furthermore, patients discharged to SNF had a 3-fold higher 1-year mortality than those discharged to home.
Study context
- Population
- Patients with ST-elevation myocardial infarction (STEMI) presenting within 24 hours of symptom onset, including advanced age, cardiogenic shock or OHCA; Midwest STEMI Consortium, March 2003–October 2020303 (2%) ≥90 years
- Participants
- 15,039 patients
- Exposure
- Pre-admission living status and discharge disposition in nonagenarians with STEMI
- ≥90n = 303
- Outcome
- Discharge disposition; mortality in-hospital, 30-days and 1-year
Methodological detailsmulticenter, consecutive patients
- Multicenter
- Consecutive patients
Main finding
As reported in the abstract
Mortality in nonagenarians
| Group | In-hospital mortality | 30-day mortality | 1-year mortality |
|---|---|---|---|
| ≥90 | 17% | 20% | 33% |
≥90
In-hospital mortality17%
30-day mortality20%
1-year mortality33%
- In-hospital mortality, living in skilled nursing facility (SNF) before presentation
- 36%
- In-hospital mortality, living at home
- 14%
- In-hospital mortality, living in assisted living facility (ALF)
- 15%
- 1-year mortality, discharged to home
- 13%
- 1-year mortality, discharged with home health care or ALF
- 20%
- 1-year mortality, discharged to SNF (P < .001)
- 43%
Observational data: associations, not effects.
Original publication
Clinical outcomes and discharge disposition in nonagenarians with ST-elevation myocardial infarction. Am Heart J. Published 27 June 2025. doi:10.
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