CORRELATES OF IN-HOSPITAL MORTALITY IN PATIENTS WITH ACUTE CORONARY SYNDROME IN KOSOVO

被引：3
|
作者：
Gashi, Musli M. [1 ,2 ]
Bajraktari, Gani [1 ,3 ]
Gashi, Sanije L. [1 ,4 ]
Ahmeti, Hasan R. [1 ,5 ]
Degoricija, Vesna [6 ,7 ]
机构：
[1] Hasan Prishtina Univ, Fac Med, Prishtina, Kosovo
[2] Univ Clin Ctr Kosova, Emergency Ctr, Prishtina, Kosovo
[3] Univ Clin Ctr Kosova, Dept Cardiol, Prishtina, Kosovo
[4] Natl Inst Publ Hlth Kosovo, Prishtina, Kosovo
[5] Univ Clin Ctr Kosova, Dept Surg, Prishtina, Kosovo
[6] Univ Zagreb, Sch Med, Zagreb, Croatia
[7] Sestre Milosrdnice Univ Hosp Ctr, Dept Intens Care Med, Zagreb, Croatia
来源：
ACTA CLINICA CROATICA | 2022年 / 61卷 / 01期
关键词：
In-hospital mortality; Acute coronary syndrome; Emergency department; ACUTE MYOCARDIAL-INFARCTION; EMERGENCY MEDICAL-SERVICES; GENDER-DIFFERENCES; HEART-FAILURE; OUTCOMES; INTERVENTION; DISEASE; RISK; WOMEN; CARE;
D O I：
10.20471/acc.2022.61.01.03
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
It has been demonstrated that pre-hospital emergency care reduces in-hospital mortality in patients admitted with acute coronary syndrome (ACS). The aim of this study was to analyze the relationship between pre-hospital emergency care and in-hospital mortality in ACS patients treated at the University Clinical Centre of Kosovo Emergency Department (UCCK ED). This observational clinical study included 1498 ACS patients treated at UCCK ED and followed-up by phone call for one year after discharge from the hospital. According to multivariate Cox regression analysis, age (HR=2.37, 95% CI 3.22-15.31), diabetes mellitus (HR=3.01, 95% CI 1.98-3.78), left ventricular ejection fraction <40% (HR=17.63, 95% CI 11.2-30.54) and ex-smoking (HR=2.34, 95% CI 1.57-3.85) were significant predictors of mortality in ACS patients. In-hospital mortality of patients admitted with ACS remains high in Kosovo as compared with developed countries. A better strategy for pre-hospital emergency care in Kosovo is recommended to save lives in these high-risk patients.
引用
收藏
页码：19 / 29
页数：11
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