Prognostic factors for in-hospital mortality in patients with type I ST-segment elevation myocardial infarction
Introduction: despite the fact that the mortality has decreased in almost all regions of the world, ischemic heart disease continues to be a health problem. Objective: to identify prognostic factors for in-hospital mortality in patients with ST-segment elevation myocardial infarction. Method: an...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de Ciencias Médicas de Guantánamo
2021-02-01
|
| Series: | Revista Información Científica |
| Subjects: | |
| Online Access: | http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3248 |
| _version_ | 1797728560748691456 |
|---|---|
| author | Antonio Rafael Enamorado-Anaya Riduán Olemnis Yero-García Alina Ruiz-Manzanares Isolda María García-Cañete Gaoussou Goro |
| author_facet | Antonio Rafael Enamorado-Anaya Riduán Olemnis Yero-García Alina Ruiz-Manzanares Isolda María García-Cañete Gaoussou Goro |
| author_sort | Antonio Rafael Enamorado-Anaya |
| collection | DOAJ |
| description | Introduction: despite the fact that the mortality has decreased in almost all regions of the world, ischemic heart disease continues to be a health problem.
Objective: to identify prognostic factors for in-hospital mortality in patients with ST-segment elevation myocardial infarction.
Method: an analytical study of cases and controls was carried out, out of 347 patients diagnosed with acute myocardial infarction with ST segment elevation type I, from January 2018 to December 2019 at the Hospital Clínico Quirúrgico Docente “Celia Sánchez Manduley” in Manzanillo, Granma. The study group was made up of 46 deceased, and for each deceased patient in this group, 2 living discharged patients were randomly chosen, constituting the control group. The Chi-square test was used for qualitative variables and the Student's T-test for quantitative variables. To determine the prognostic factors of mortality, a logistic regression model was used.
Results: a mean age of 73.7 years (SD ± 8.0) was determined. History of smoking, diabetes mellitus and arterial hypertension prevailed. The mortality risk factors were: history of heart failure (OR: 5.4 95% CI 1,226-23.97); heart failure higher than I according to Killip-Kimball (OR: 12.6 95% CI 3,245-49 , 30); blood glucose values higher than 10 mmol/L (OR: 4.7 95% CI 1.149-19.79) and creatine phosphokinase MB higher than 160 IU (OR: 17.7 95% CI 3.992-79.07).
Conclusions: there are epidemiological, clinical and analytical variables capable of predicting mortality in patients with acute myocardial infarction. |
| first_indexed | 2024-03-12T11:16:52Z |
| format | Article |
| id | doaj.art-8dbe094432a84fe7a963859fa826f82f |
| institution | Directory Open Access Journal |
| issn | 1028-9933 1028-9933 |
| language | Spanish |
| last_indexed | 2024-03-12T11:16:52Z |
| publishDate | 2021-02-01 |
| publisher | Universidad de Ciencias Médicas de Guantánamo |
| record_format | Article |
| series | Revista Información Científica |
| spelling | doaj.art-8dbe094432a84fe7a963859fa826f82f2023-09-02T02:00:46ZspaUniversidad de Ciencias Médicas de GuantánamoRevista Información Científica1028-99331028-99332021-02-011001e3248e32482143Prognostic factors for in-hospital mortality in patients with type I ST-segment elevation myocardial infarctionAntonio Rafael Enamorado-Anaya0Riduán Olemnis Yero-García1Alina Ruiz-Manzanares2Isolda María García-Cañete3Gaoussou Goro4Hospital Clínico Quirúrgico Docente "Celia Sánchez Manduley", GranmaHospital Clínico Quirúrgico Docente "Celia Sánchez Manduley", GranmaFacultad de Ciencias Médicas "Celia Sánchez Manduley", Granma,Hospital Clínico Quirúrgico Docente "Celia Sánchez Manduley", GranmaHospital Clínico Quirúrgico Docente "Celia Sánchez Manduley", GranmaIntroduction: despite the fact that the mortality has decreased in almost all regions of the world, ischemic heart disease continues to be a health problem. Objective: to identify prognostic factors for in-hospital mortality in patients with ST-segment elevation myocardial infarction. Method: an analytical study of cases and controls was carried out, out of 347 patients diagnosed with acute myocardial infarction with ST segment elevation type I, from January 2018 to December 2019 at the Hospital Clínico Quirúrgico Docente “Celia Sánchez Manduley” in Manzanillo, Granma. The study group was made up of 46 deceased, and for each deceased patient in this group, 2 living discharged patients were randomly chosen, constituting the control group. The Chi-square test was used for qualitative variables and the Student's T-test for quantitative variables. To determine the prognostic factors of mortality, a logistic regression model was used. Results: a mean age of 73.7 years (SD ± 8.0) was determined. History of smoking, diabetes mellitus and arterial hypertension prevailed. The mortality risk factors were: history of heart failure (OR: 5.4 95% CI 1,226-23.97); heart failure higher than I according to Killip-Kimball (OR: 12.6 95% CI 3,245-49 , 30); blood glucose values higher than 10 mmol/L (OR: 4.7 95% CI 1.149-19.79) and creatine phosphokinase MB higher than 160 IU (OR: 17.7 95% CI 3.992-79.07). Conclusions: there are epidemiological, clinical and analytical variables capable of predicting mortality in patients with acute myocardial infarction.http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3248mortalidadinfarto agudo del miocardioinfarto agudo del miocardio con elevación del segmento st |
| spellingShingle | Antonio Rafael Enamorado-Anaya Riduán Olemnis Yero-García Alina Ruiz-Manzanares Isolda María García-Cañete Gaoussou Goro Prognostic factors for in-hospital mortality in patients with type I ST-segment elevation myocardial infarction Revista Información Científica mortalidad infarto agudo del miocardio infarto agudo del miocardio con elevación del segmento st |
| title | Prognostic factors for in-hospital mortality in patients with type I ST-segment elevation myocardial infarction |
| title_full | Prognostic factors for in-hospital mortality in patients with type I ST-segment elevation myocardial infarction |
| title_fullStr | Prognostic factors for in-hospital mortality in patients with type I ST-segment elevation myocardial infarction |
| title_full_unstemmed | Prognostic factors for in-hospital mortality in patients with type I ST-segment elevation myocardial infarction |
| title_short | Prognostic factors for in-hospital mortality in patients with type I ST-segment elevation myocardial infarction |
| title_sort | prognostic factors for in hospital mortality in patients with type i st segment elevation myocardial infarction |
| topic | mortalidad infarto agudo del miocardio infarto agudo del miocardio con elevación del segmento st |
| url | http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3248 |
| work_keys_str_mv | AT antoniorafaelenamoradoanaya prognosticfactorsforinhospitalmortalityinpatientswithtypeistsegmentelevationmyocardialinfarction AT riduanolemnisyerogarcia prognosticfactorsforinhospitalmortalityinpatientswithtypeistsegmentelevationmyocardialinfarction AT alinaruizmanzanares prognosticfactorsforinhospitalmortalityinpatientswithtypeistsegmentelevationmyocardialinfarction AT isoldamariagarciacanete prognosticfactorsforinhospitalmortalityinpatientswithtypeistsegmentelevationmyocardialinfarction AT gaoussougoro prognosticfactorsforinhospitalmortalityinpatientswithtypeistsegmentelevationmyocardialinfarction |