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Table 3 Temporal trends of patient characteristics’ in patients with advanced CKD (G3b-G5)

From: Temporal trends in treatment strategies and clinical outcomes among patients with advanced chronic kidney disease and ST-elevation myocardial infarctions: results from the Bremen STEMI registry

 

Time period

T1 2006–2010 (n = 407)

T2 2011–2015 (n = 313)

T3 2016–2019 (n = 298)

Significance

Age (years ± SD)

74.5 ± 10

76.8 ± 12

76.6 ± 11

0.012

Women (%)

44.7

53.2

42.6

0.72

Body mass index (BMI) (kg/m2 ± SD)

27.5 ± 5

27.1 ± 5

26.9 ± 5

0.09

Diabetes (%)

32.0

29.0

27.4

0.15

Current smokers (%)

19.2

16.2

11.8

 < 0.01

Arterial hypertension (%)

72.6

73.6

70.0

0.46

Treatment strategy

 Primary PCI (%)

75.8

88.8

90.3

< 0.01

 Urgent/early elect. CABG (%)

10.4

6.1

5.1

< 0.01

 Conservative (%)

13.8

5.1

4.7

< 0.01

Coronary vessels diseased

 1 (%)

19.3

26.7

19.5

0.79

 2 (%)

32.7

29.1

26.7

0.09

 3 (%)

48.1

44.1

53.8

0.2

Cardiogenic shock (%)

29.9

28.8

34.6

0.24

TIMI 0/1 flow after PCI (%)

11.1

10.8

9.8

0.56

Peak CK > 2000 U/l (%)

26.6

30.1

30.3

0.29

Contrast media used (ml ± SD)

132 ± 62

153 ± 76

152 ± 73

< 0.01

Contrast media > 150 ml (%)

27.7

43.0

41.6

< 0.01

Stent type in PCI cohort

 Bare metal stent (%)

88.3

42.8

0.3

< 0.01

 Drug eluting stent (%)

1.3

46.4

90.7

< 0.01

 No stent (POBA) (%)

10.4

10.7

8.9

0.52

No. of stents impl. (n ± SD)

1.3 ± 0.6

1.5 ± 0.8

1.8 ± 1.0

 < 0.01

Medication at discharge

 ASS (%)

91.9

89.1

86.5

< 0.02

 Clopidogrel (%)

83.0

48.3

28.2

< 0.01

 Ticagrelor or prasugrel(%)

1.7

44.1

59.6

< 0.01

 Triple therapy (%)

16.1

12.1

8.8

< 0.01

 DAPT-duration (months ± SD)

2.5 ± 3

7.9 ± 5

10.9 ± 4

< 0.01

 DAPT-duration > 6 months (%)

8.9

58.2

89.2

< 0.01

 Statin (%)

71.4

66.1

65.6

0.11

 ACE-inhibitor/ATR (%)

55.6

56.7

55.1

0.88

 Betablocker (%)

70.4

61.9

59.6

< 0.01