Research Article

Impact of Age on Outcomes in Hospitalized Patients with Hereditary Hemorrhagic Telangiectasia

Table 2

Complication rates and procedures in different age groups.

Age groups

Complication<1818–5051–65>65 value
(%)458193830974800
Hemorrhagic70 (15.3)1032 (53.3)2085 (67.3)3268 (68.1)<.0001
 Anemia53 (11.6)867 (44.7)1789 (57.8)2775 (57.8)<.0001
 Epistaxis11 (2.4)265 (13.7)592 (19.1)801 (16.7)<.0001
 GI bleed19 (4.2)192 (9.9)328 (10.6)572 (11.9)<.0001
 Hematemesis3 (0.7)26 (1.3)36 (1.2)43 (0.9).29
 Hemoptysis3 (0.7)4 (0.2)12 (0.4)31 (0.7).09
Cardiovascular51 (11.1)329 (17.0)1075 (24.7)2761 (57.5)<.0001
 CHF3 (0.7)94 (4.9)467 (15.1)1488 (31.0)<.0001
 Coronary artery disease0 (0.0)81 (4.2)371 (12.0)1266 (26.4)<.0001
 Atrial fibrillation0 (0.0)31 (1.6)298 (9.6)1094 (22.8)<.0001
 Pulmonary hypertension44 (9.6)161 (8.3)295 (9.5)450 (9.4).48
 MI0 (0.0)11 (0.6)52 (1.7)108 (2.3)<.0001
 Pulmonary embolism0 (0.0)25 (1.3)43 (1.4)49 (1.0).046
 DVT0 (0.0)16 (0.8)42 (1.4)50 (1.0).04
 Pulmonary AVM8 (1.8)20 (1.0)33 (1.1)21 (0.4).0006
 Vfib/cardiac arrest0 (0.0)3 (0.2)12 (0.4)17 (0.4).28
Neurologic77 (16.8)453 (23.4)385 (12.4)361 (7.5)<.0001
 Seizure38 (8.3)211 (10.9)207 (6.7)172 (3.5)<.0001
 Headache25 (5.5)186 (9.6)99 (3.2)53 (1.1)<.0001
 Stroke2 (0.4)39 (2.0)56 (1.8)138 (2.9).0004
 BAVM20 (4.4)37 (1.9)22 (0.7)9 (0.2)<.0001
 TIA0 (0.0)9 (0.5)20 (0.7)40 (0.8).09
 Cerebral abscess0 (0.0)23 (1.2)24 (0.8)8 (0.2)<.0001
 ICH1 (0.2)16 (0.8)8 (0.3)6 (0.1)<.0001
 SAH2 (0.4)12 (0.6)7 (0.2)0 (0.0)<.0001
 Cerebral aneurysm1 (0.2)10 (0.5)9 (0.3)11 (0.2).27
 Spinal vascular malformation1 (0.2)4 (0.2)0 (0.0)0 (0.0).0009
Hepatobiliary complications5 (1.1)113 (5.8)265 (8.6)277 (5.8)<.0001
 Cirrhosis2 (0.4)67 (3.5)201 (6.5)178 (3.7)<.0001
 Biliary complications2 (0.4)32 (1.7)54 (1.7)81 (1.7).22
 Portal hypertension1 (0.2)20 (1.0)61 (2.0)51 (1.1).0004
 Chronic liver failure1 (0.2)10 (0.5)16 (0.5)19 (0.4).71
 Jaundice0 (0.0)4 (0.2)9 (0.3)7 (0.2).39
 Acute liver failure0 (0.0)5 (0.3)1 (0.0)6 (0.1).12
Procedures97 (21.2)875 (45.2)1768 (57.1)2617 (54.5)<.0001
 Transfusion59 (12.9)586 (30.2)1343 (43.4)1920 (40.0)<.0001
 Upper endoscopy15 (3.3)184 (9.5)286 (9.2)496 (10.3)<.0001
 Lower endoscopy8 (1.8)80 (4.1)124 (4.0)244 (5.1).002
 Surgical ligation for epistaxis5 (1.1)62 (3.2)141 (4.6)196 (4.1).001
 Nasal packing2 (0.4)31 (1.6)102 (3.3)240 (5.0)<.0001
 Endovascular treatment of epistaxis16 (3.5)48 (2.5)51 (1.7)36 (0.8)<.0001
 Cardiac catheterization2 (0.4)40 (2.1)95 (3.1)138 (2.9).003
 Hemodialysis0 (0.0)35 (1.8)30 (1.0)67 (1.4).005
 IVC filter0 (0.0)19 (1.0)34 (1.1)39 (0.8).11
 CPR1 (0.2)7 (0.4)5 (0.2)7 (0.2).31

GI = gastrointestinal; CHF = congestive heart failure; MI = myocardial infarction; DVT = deep vein thrombosis; AVM = arteriovenous malformation; Vfib = ventricular fibrillation; BAVM = brain arteriovenous malformation; TIA = transient ischemic attack; ICH = intracranial hemorrhage; SAH = subarachnoid hemorrhage; IVC = inferior vena cava; CPR = cardiopulmonary resuscitation.