In-Hospital acute ischemic stroke following ST-elevation myocardial infarction
| Autor: | S Mustajab Hasan, Aiham Albaeni, Sirhley Sifontes, Ché Matthew Harris, Syed Gilani, Wissam I. Khalife, Hesham Nasser, Khaled Chatila, Khalid Abusaada, Sai Guduru |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system 030204 cardiovascular system & hematology Logistic regression 03 medical and health sciences 0302 clinical medicine St elevation myocardial infarction Internal medicine medicine 030212 general & internal medicine Myocardial infarction cardiovascular diseases Mortality Stroke Original Paper business.industry Mortality rate Incidence (epidemiology) Atrial fibrillation medicine.disease ST-elevation myocardial infarction National Trends lcsh:RC666-701 Heart failure Cardiology Cardiology and Cardiovascular Medicine business Acute Ischemic Stroke |
| Zdroj: | International Journal of Cardiology. Heart & Vasculature International Journal of Cardiology: Heart & Vasculature, Vol 31, Iss, Pp 100684-(2020) |
| ISSN: | 2352-9067 |
| Popis: | Background: In-hospital ischemic stroke following acute ST-elevation myocardial infarction (STEMI) has not been evaluated on a national scale in the United States. Methods: We used 2003 to 2014 Nationwide Inpatient Sample data to identify adults with a principal diagnosis of STEMI. Patients were divided into two groups defined by presence or absence of ischemic stroke. Clinical characteristics and in-hospital outcomes were studied using relevant statistics. Multiple linear and logistic regression models identified factors associated with ischemic stroke, national trend of in-hospital stroke incidence and in-hospital mortality. Results: Of 1,842,529 STEMI patients hospitalized from 2003 to 2014, 22,268 (1.2%) developed acute in-hospital ischemic stroke. Those with acute strokes were older (age ≥ 65 years: 70% vs 46%), more likely female (51% vs 33%), and had higher rates of atrial fibrillation (28.9% vs 12.2%) and heart failure (40.5% vs 21.1%). Age and gender adjusted incidence of in-hospital ischemic stroke following STEMI remained stable; 1.4% in 2003 and 1.5% in 2014 (P trend = 0.50). However, age and gender adjusted in-hospital mortality declined in STEMI patients with and without in-hospital ischemic stroke [AOR 0.97 (0.95–0.99) P trend = 0.03, and AOR 0.98 (0.98–0.99) P trend |
| Databáze: | OpenAIRE |
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