In-hospital mortality following acute myocardial infarction in Kosovo : A single center study
<b>Background and Objectives: </b> Randomized trials have demonstrated that primary angioplasty is more effective than intravenous thrombolysis in reducing mortality and morbidity in patients with acute myocardial infarction (AMI). The aim of this study was to assess the in-hospital mort...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
King Faisal Specialist Hospital and Research Centre
2008-01-01
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| Series: | Annals of Saudi Medicine |
| Online Access: | http://www.saudiannals.net/article.asp?issn=0256-4947;year=2008;volume=28;issue=6;spage=430;epage=434;aulast=Bajraktari |
| _version_ | 1818207844119347200 |
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| author | Bajraktari Gani Thaqi Kimete Pacolli Shqipe Gjoka Sami Rexhepaj Nehat Daullxhiu Irfan Sylejmani Xhevahire Elezi Shpend |
| author_facet | Bajraktari Gani Thaqi Kimete Pacolli Shqipe Gjoka Sami Rexhepaj Nehat Daullxhiu Irfan Sylejmani Xhevahire Elezi Shpend |
| author_sort | Bajraktari Gani |
| collection | DOAJ |
| description | <b>Background and Objectives: </b> Randomized trials have demonstrated that primary angioplasty is more effective than intravenous thrombolysis in reducing mortality and morbidity in patients with acute myocardial infarction (AMI). The aim of this study was to assess the in-hospital mortality of patients with AMI admitted to the only tertiary care center in Kosovo, where coronary percutaneous intervention procedures are unavailable. We also assessed the impact of age and gender on in-hospital mortality. <b> Patients and Methods: </b> Consecutive patients with the diagnosis of AMI, admitted in our institution between 1999 and 2007, were included in this retrospective study. <b> Results: </b> Of 2848 patients (mean age 61±11.3 years, 73.4% males) admitted with AMI, 292 (10.25%) patients died during in-hospital stay. The overall in-hospital mortality was 12.3% for women and 9.5% for men (P< .05). Women were significantly older than men (64.2±11 years vs 59.7±11.8 years, P< .05). Mean length of stay was 12.0±94 for women and 10.7±7.6 for men. From 1999 to 2007 there was an increase in the age of patients with AMI but the mortality rate remained stable. <b> Conclusions:</b> Compared to developed countries, patients with AMI in Kosovo present at an earlier age but have a higher mortality rate. Women with AMI had a significantly higher in-hospital mortality rate than men. The lack of percutaneous coronary intervention procedures in AMI patients may have contributed to the high in-hospital mortality in our population. |
| first_indexed | 2024-12-12T04:35:22Z |
| format | Article |
| id | doaj.art-d22f6c8a2e3746ff9d2aa19849a7262e |
| institution | Directory Open Access Journal |
| issn | 0256-4947 |
| language | English |
| last_indexed | 2024-12-12T04:35:22Z |
| publishDate | 2008-01-01 |
| publisher | King Faisal Specialist Hospital and Research Centre |
| record_format | Article |
| series | Annals of Saudi Medicine |
| spelling | doaj.art-d22f6c8a2e3746ff9d2aa19849a7262e2022-12-22T00:37:59ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49472008-01-01286430434In-hospital mortality following acute myocardial infarction in Kosovo : A single center studyBajraktari GaniThaqi KimetePacolli ShqipeGjoka SamiRexhepaj NehatDaullxhiu IrfanSylejmani XhevahireElezi Shpend<b>Background and Objectives: </b> Randomized trials have demonstrated that primary angioplasty is more effective than intravenous thrombolysis in reducing mortality and morbidity in patients with acute myocardial infarction (AMI). The aim of this study was to assess the in-hospital mortality of patients with AMI admitted to the only tertiary care center in Kosovo, where coronary percutaneous intervention procedures are unavailable. We also assessed the impact of age and gender on in-hospital mortality. <b> Patients and Methods: </b> Consecutive patients with the diagnosis of AMI, admitted in our institution between 1999 and 2007, were included in this retrospective study. <b> Results: </b> Of 2848 patients (mean age 61±11.3 years, 73.4% males) admitted with AMI, 292 (10.25%) patients died during in-hospital stay. The overall in-hospital mortality was 12.3% for women and 9.5% for men (P< .05). Women were significantly older than men (64.2±11 years vs 59.7±11.8 years, P< .05). Mean length of stay was 12.0±94 for women and 10.7±7.6 for men. From 1999 to 2007 there was an increase in the age of patients with AMI but the mortality rate remained stable. <b> Conclusions:</b> Compared to developed countries, patients with AMI in Kosovo present at an earlier age but have a higher mortality rate. Women with AMI had a significantly higher in-hospital mortality rate than men. The lack of percutaneous coronary intervention procedures in AMI patients may have contributed to the high in-hospital mortality in our population.http://www.saudiannals.net/article.asp?issn=0256-4947;year=2008;volume=28;issue=6;spage=430;epage=434;aulast=Bajraktari |
| spellingShingle | Bajraktari Gani Thaqi Kimete Pacolli Shqipe Gjoka Sami Rexhepaj Nehat Daullxhiu Irfan Sylejmani Xhevahire Elezi Shpend In-hospital mortality following acute myocardial infarction in Kosovo : A single center study Annals of Saudi Medicine |
| title | In-hospital mortality following acute myocardial infarction in Kosovo : A single center study |
| title_full | In-hospital mortality following acute myocardial infarction in Kosovo : A single center study |
| title_fullStr | In-hospital mortality following acute myocardial infarction in Kosovo : A single center study |
| title_full_unstemmed | In-hospital mortality following acute myocardial infarction in Kosovo : A single center study |
| title_short | In-hospital mortality following acute myocardial infarction in Kosovo : A single center study |
| title_sort | in hospital mortality following acute myocardial infarction in kosovo a single center study |
| url | http://www.saudiannals.net/article.asp?issn=0256-4947;year=2008;volume=28;issue=6;spage=430;epage=434;aulast=Bajraktari |
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