| Autor: |
Andi Shahu, MD, MHS, Sathvik Namburar, MD, Soumya Banna, MD, Alyssa Harris, MPH, Christopher Schenck, MD, Camila Trejo-Paredes, MD, Alexander Thomas, MD, Tariq Ali, MD, MBA, Anthony P. Carnicelli, MD, Christopher F. Barnett, MD, MPH, Michael A. Solomon, MD, MBA, P. Elliott Miller, MD, MHS |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
JACC: Advances, Vol 3, Iss 9, Pp 101199- (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2772-963X |
| DOI: |
10.1016/j.jacadv.2024.101199 |
| Popis: |
Background: Acute myocardial infarction (AMI) remains a common reason for admission to the intensive care unit (ICU). However, there is limited data comparing outcomes for patients with AMI admitted to specific ICUs. Objectives: The purpose of this study was to assess clinical outcomes between patients with AMI requiring invasive mechanical ventilation admitted to the medical ICU (MICU) compared to cardiac (CICU). Methods: We utilized the Vizient Clinical Data Base to identify patients with a primary diagnosis of AMI between October 2015 and December 2019 and requiring invasive mechanical ventilation. Using multivariable logistic regression, we compared clinical outcomes for patients admitted to the MICU vs CICU. Results: We identified 12,639 patients, 25.2% (n = 3,185) of which were admitted to a MICU and 74.8% (n = 9,454) to a CICU. Patients admitted to a CICU were more likely to present with STEMI (57.0% vs 42.8%), cardiogenic shock (46.0% vs 37.4%), and require mechanical circulatory support and vasoactive medications (all, P 750 beds), and teaching hospitals (all, P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
