Impact of anemia on outcomes of patients undergoing percutaneous coronary interventions.

Eugenia Nikolsky; Roxana Mehran; Eve D Aymong; Gary S Mintz; Alexandra J Lansky; Zoran Lasic; Manuela Negoita; Martin Fahy; Stuart J Pocock; Yingbo Na; +5 more... Shoshana Krieger; Jeffrey W Moses; Gregg W Stone; Martin B Leon; George Dangas; (2004) Impact of anemia on outcomes of patients undergoing percutaneous coronary interventions. The American journal of cardiology, 94 (8). pp. 1023-1027. ISSN 0002-9149 DOI: 10.1016/j.amjcard.2004.06.058
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Of 6,929 consecutive patients who were treated with percutaneous coronary intervention, 1,708 (24.6%) had anemia according to criteria of the World Health Organization. Compared with patients who did not have anemia, those who did have anemia were older, more frequently women and African-American, had a smaller body mass index, and higher frequencies of cardiovascular risk factors and co-morbid conditions. Patients who had anemia compared with those who did not have anemia had significantly (p <0.0001) higher mortality rates during hospitalization (1.9% vs 0.4%) and at 1 year (12.8% vs 3.5%). After adjustment for potential confounders, baseline hematocrit remained a significant predictor of a 1-year mortality rate (hazard ratio 0.93 per 1% increase in hematocrit, 95% confidence interval 0.91 to 0.95).

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