BACKGROUND: Elder @entity1 with @entity1187 ( @entity1187 ) are less likely to receive cardiac catheterization. The reasons for this are unclear. OBJECTIVES: To assess whether elder @entity1 who had a documented history of @entity303 , lived in extended care facilities, or had do not intubate-do not resuscitate (DNR-DNI) advance directives were less likely to receive cardiac catheterization, despite having @entity1187 with high-risk features. METHODS: This was a medical record review conducted at an urban teaching hospital. DNR-DNI status before hospitalization, extended care facility (nursing home or assisted living) residence, and a previous diagnosis of @entity303 were obtained from the medical record. @entity1 65 years and older who presented to the emergency department with @entity583 or with @entity1459 with @entity1347 were included. Univariate and multivariate logistic regression were performed, and odds ratios (ORs) were reported with their 95% confidence intervals (CIs). RESULTS: Of the 201 eligible @entity1 , 66 (32.8%) @entity1 did not undergo cardiac catheterization. In the univariate analysis, @entity1 who had @entity303 , resided in extended care facilities, or were DNR-DNI were less likely to receive cardiac catheterization. Only extended care facility residence (OR, 0.18; 95% CI = 0.04 to 0.83) and DNR-DNI status (OR, 0.19; 95% CI = 0.04 to 0.92) remained significantly associated with decreased cardiac catheterization in the multivariate analysis. CONCLUSIONS: Elder @entity1 with @entity1187 residing in extended care facilities or who are DNR-DNI are less likely to receive cardiac catheterization. Future studies concerning the quality of @entity1187 care for elders should take these variables into account.

Factors affecting cardiac catheterization rates in elders with XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['ACS', 'acute coronary syndromes'] @entity303 :: ('MESH:D003704', 'Disease') :: ['dementia'] @entity1347 :: ('MESH:C537775', 'Disease') :: ['ST segment deviation'] @entity1459 :: ('MESH:D000789', 'Disease') :: ['unstable angina'] @entity583 :: ('MESH:D009203', 'Disease') :: ['acute myocardial infarction']
@entity1187 :: (MESH:D054058,Disease) :: ['acute coronary syndromes']
