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Retrospective Cohort Study
©The Author(s) 2025.
World J Cardiol. Oct 26, 2025; 17(10): 111870
Published online Oct 26, 2025. doi: 10.4330/wjc.v17.i10.111870
Table 1 Baseline characteristics of non-ST elevation myocardial infarction patients ≥ 75 years by frailty category (n = 456690), n (%)
Variable
Low frailty
Intermediate frailty
High frailty
P value
Frailty category (distribution)173330 (37.95)231590 (50.71)51770 (11.34)
    Female78657 (45.38)111047 (47.95)26439 (51.07)< 0.001
    Male94673 (54.62)120543 (52.05)25331 (48.93)< 0.001
Race< 0.001
    White138716 (80.03)177282 (76.55)37430 (72.30)
    Black12393 (7.15)20334 (8.78)5394 (10.42)
    Hispanic12532 (7.23)19129 (8.26)5042 (9.74)
    Asian/Pacific islander4998 (2.88)8522 (3.68)2362 (4.56)
    Native American797 (0.46)810 (0.35)129 (0.25)
    Race: Other3911 (2.26)5513 (2.38)1413 (2.74)
Income quartile< 0.001
    USD 1-USD 47999 (Q1)46698 (26.96)65692 (28.36)14653 (28.30)
    USD 48000-USD 60999 (Q2)47884 (27.63)61937 (26.74)13093 (25.30)
    USD 61000-81999 (Q3)42807 (24.69)55572 (24.01)12408 (23.97)
    ≥ USD 82000 (Q4)35941 (20.73)48090 (20.89)11616 (22.43)
Hospital region< 0.001
    Northeast32565 (18.78)40319 (17.42)8196 (15.82)
    Midwest37023 (21.37)51032 (22.03)12217 (23.59)
    South69335 (40.03)92377 (39.87)20973 (40.50)
    West34399 (19.82)47862 (20.69)10384 (20.09)
Hospital location< 0.001
    Rural17350 (10.01)22559 (9.74)4297 (8.30)
    Urban non-teaching33846 (19.54)45161 (19.49)9847 (19.02)
    Urban teaching122134 (70.45)163870 (70.76)37626 (72.69)
Hospital bed size0.4382
    Small41278 (23.82)54223 (23.41)12309 (23.77)
    Medium53416 (30.82)71741 (30.98)16472 (31.83)
    Large78636 (45.35)105626 (45.61)22989 (44.40)
Charlson comorbidity index< 0.001
    Index: 129286 (16.90)10362 (4.47)1403 (2.71)
    Index: 241525 (23.97)29847 (12.89)4859 (9.39)
    Index: 3102519 (59.12)191381 (82.64)45497 (87.90)
Comorbidity
    Hypertension154965 (89.40)208460 (90.01)44895 (86.72)< 0.001
    Dyslipidemia129420 (74.70)153680 (66.36)29790 (57.54)< 0.001
    Diabetes68680 (39.60)106650 (46.05)22445 (43.36)< 0.001
    Atrial fibrillation54655 (31.50)91210 (39.38)22065 (42.62)< 0.001
    Atrial flutter6360 (3.67)10130 (4.37)2210 (4.27)< 0.001
    Chronic kidney disease45745 (26.39)116275 (50.21)27225 (52.59)< 0.001
    HFrEF32635 (18.83)59320 (25.61)11965 (23.11)< 0.001
    HFpEF23630 (13.63)46060 (19.89)9905 (19.13)< 0.001
    Obesity22765 (13.13)29365 (12.68)5260 (10.16)< 0.001
Smoking58485 (33.74)80570 (34.79)13520 (26.12)< 0.001
Cannabis use350 (0.20)480 (0.21)70 (0.14)< 0.001
Peripheral vascular disease16150 (9.32)25230 (10.89)4675 (9.03)< 0.001
Obstructive sleep apnea15325 (8.84)20245 (8.74)3115 (6.02)< 0.001
Cerebral infarct980 (0.57)8325 (3.59)6735 (13.01)< 0.001
Hemorrhagic stroke370 (0.21)1770 (0.76)1235 (2.39)< 0.001
COPD29870 (17.23)57500 (24.83)11700 (22.60)< 0.001
Depression11630 (6.71)24685 (10.66)6150 (11.88)< 0.001
Outcomes
    PCI60682 (35.03)38926 (16.79)3894 (7.51)< 0.001
    AKI22178 (12.81)116223 (50.17)37091 (71.66)< 0.001
    AKI requiring dialysis173 (0.10)5740 (2.44)2855 (5.40)< 0.001
    ARF19737 (11.37)100938 (43.54)29270 (56.54)< 0.001
    ARF requiring mechanical ventilation1851 (1.03)22222 (9.59)8107 (19.49)< 0.001
    Pulmonary edema1858 (1.02)4913 (2.12)1219 (2.26)< 0.001
    Transient ischemic attack584 (0.34)1542 (0.66)420 (0.79)< 0.001
    Stroke983 (0.57)8521 (3.59)6774 (13.01)< 0.001
    Cardiogenic shock4492 (2.58)22898 (9.88)6578 (12.79)< 0.001
    Cardiogenic shock requiring MCS1085 (0.63)3995 (1.73)675 (1.3)< 0.001
    Cardiac arrest2729 (1.57)13061 (5.73)4083 (7.86)< 0.001
    Hypotension6852 (3.91)27516 (11.95)8725 (16.81)< 0.001
    Pulmonary embolism2064 (1.19)5402 (2.31)1434 (2.73)< 0.001
    Delirium293 (0.17)6670 (2.93)4799 (9.24)< 0.001
    Bleed complication11992 (6.90)32802 (14.17)10421 (20.13)< 0.001
    Major bleeding2826 (1.65)9548 (4.09)3259 (6.26)< 0.001


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