What Are the Causes of Death among Patients Admitted to a Contemporary Tertiary-Level Cardiology Department? An Analysis of 10 Years of Morbidity and Mortality Meetings
Despite the efforts to deliver the best evidence-based care, in-hospital death is an inevitable event among some patients hospitalized in cardiology departments. We conducted a retrospective evaluation of mortality events from inpatient admissions to the cardiology department between 2010 and 2019....
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Pathophysiology |
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| Online Access: | https://www.mdpi.com/1873-149X/30/4/34 |
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| author | Chun Shing Kwok Jacopo Tafuro Chun Wai Wong Sadie Bennett Donah Zachariah Diane Barker Adrian Morley-Davies Duwarakan Satchithananda Mark Gunning Josip A. Borovac |
| author_facet | Chun Shing Kwok Jacopo Tafuro Chun Wai Wong Sadie Bennett Donah Zachariah Diane Barker Adrian Morley-Davies Duwarakan Satchithananda Mark Gunning Josip A. Borovac |
| author_sort | Chun Shing Kwok |
| collection | DOAJ |
| description | Despite the efforts to deliver the best evidence-based care, in-hospital death is an inevitable event among some patients hospitalized in cardiology departments. We conducted a retrospective evaluation of mortality events from inpatient admissions to the cardiology department between 2010 and 2019. Data were collected from morbidity and mortality meeting presentations that evaluated comorbidities, medical history, treatments, and causes of death for the overall cohort and according to age group and sex. There were 1182 registered deaths. The most common causes of death among patients were acute myocardial infarction (AMI, 53.0%), heart failure (HF, 11.7%), cardiac arrest (CA, 6.6%), HF with complication/defined cardiomyopathy (6.3%), and sepsis (4.4%). We observed a decline in deaths from AMI from 61.9% in 2010 to 46.7% in 2019, while there was a clear increase in deaths from HF (11.1% in 2010 to 25.9% in 2019). Compared to patients ≥65 years, younger patients were more likely to have died from CA (15.7% vs. 4.3%, <i>p</i> < 0.001) and other cardiac reasons (3.0% vs. 0.4%, <i>p</i> < 0.001). The majority of deaths were due to AMI, HF, and CA. We observed a significant declining trend in the proportion of deaths due to AMI in recent years, with an increase in deaths due to HF. |
| first_indexed | 2024-03-08T20:26:53Z |
| format | Article |
| id | doaj.art-52ce68e8e1aa4c1d99cc3b07918a704d |
| institution | Directory Open Access Journal |
| issn | 1873-149X |
| language | English |
| last_indexed | 2024-03-08T20:26:53Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pathophysiology |
| spelling | doaj.art-52ce68e8e1aa4c1d99cc3b07918a704d2023-12-22T14:31:06ZengMDPI AGPathophysiology1873-149X2023-09-0130446747910.3390/pathophysiology30040034What Are the Causes of Death among Patients Admitted to a Contemporary Tertiary-Level Cardiology Department? An Analysis of 10 Years of Morbidity and Mortality MeetingsChun Shing Kwok0Jacopo Tafuro1Chun Wai Wong2Sadie Bennett3Donah Zachariah4Diane Barker5Adrian Morley-Davies6Duwarakan Satchithananda7Mark Gunning8Josip A. Borovac9Department of Cardiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent ST4 6QG, UKDivision of Interventional Cardiology, Cardiovascular Diseases Department, University Hospital of Split, 21000 Split, CroatiaDespite the efforts to deliver the best evidence-based care, in-hospital death is an inevitable event among some patients hospitalized in cardiology departments. We conducted a retrospective evaluation of mortality events from inpatient admissions to the cardiology department between 2010 and 2019. Data were collected from morbidity and mortality meeting presentations that evaluated comorbidities, medical history, treatments, and causes of death for the overall cohort and according to age group and sex. There were 1182 registered deaths. The most common causes of death among patients were acute myocardial infarction (AMI, 53.0%), heart failure (HF, 11.7%), cardiac arrest (CA, 6.6%), HF with complication/defined cardiomyopathy (6.3%), and sepsis (4.4%). We observed a decline in deaths from AMI from 61.9% in 2010 to 46.7% in 2019, while there was a clear increase in deaths from HF (11.1% in 2010 to 25.9% in 2019). Compared to patients ≥65 years, younger patients were more likely to have died from CA (15.7% vs. 4.3%, <i>p</i> < 0.001) and other cardiac reasons (3.0% vs. 0.4%, <i>p</i> < 0.001). The majority of deaths were due to AMI, HF, and CA. We observed a significant declining trend in the proportion of deaths due to AMI in recent years, with an increase in deaths due to HF.https://www.mdpi.com/1873-149X/30/4/34deathacute myocardial infarctionheart failurecardiac arrestcardiovascular departmentssepsis |
| spellingShingle | Chun Shing Kwok Jacopo Tafuro Chun Wai Wong Sadie Bennett Donah Zachariah Diane Barker Adrian Morley-Davies Duwarakan Satchithananda Mark Gunning Josip A. Borovac What Are the Causes of Death among Patients Admitted to a Contemporary Tertiary-Level Cardiology Department? An Analysis of 10 Years of Morbidity and Mortality Meetings Pathophysiology death acute myocardial infarction heart failure cardiac arrest cardiovascular departments sepsis |
| title | What Are the Causes of Death among Patients Admitted to a Contemporary Tertiary-Level Cardiology Department? An Analysis of 10 Years of Morbidity and Mortality Meetings |
| title_full | What Are the Causes of Death among Patients Admitted to a Contemporary Tertiary-Level Cardiology Department? An Analysis of 10 Years of Morbidity and Mortality Meetings |
| title_fullStr | What Are the Causes of Death among Patients Admitted to a Contemporary Tertiary-Level Cardiology Department? An Analysis of 10 Years of Morbidity and Mortality Meetings |
| title_full_unstemmed | What Are the Causes of Death among Patients Admitted to a Contemporary Tertiary-Level Cardiology Department? An Analysis of 10 Years of Morbidity and Mortality Meetings |
| title_short | What Are the Causes of Death among Patients Admitted to a Contemporary Tertiary-Level Cardiology Department? An Analysis of 10 Years of Morbidity and Mortality Meetings |
| title_sort | what are the causes of death among patients admitted to a contemporary tertiary level cardiology department an analysis of 10 years of morbidity and mortality meetings |
| topic | death acute myocardial infarction heart failure cardiac arrest cardiovascular departments sepsis |
| url | https://www.mdpi.com/1873-149X/30/4/34 |
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