TEMPORAL TRENDS IN ACUTE MYOCARDIAL INFARCTION: WHAT ABOUT SURVIVAL OF HOSPITAL SURVIVORS? Academic Article uri icon

abstract

  • Background: The study explored trends in acute myocardial infarction (AMI) hospitalizations and one-year all-cause post-discharge mortality (OM) considering changes in the risk profile (RP) of hospital survivors (HS). Methods: a retrospective analysis of 11,108 consecutive AMI patients in a tertiary medical center in southern Negev (Israel) throughout 2002-2012. The annual incidence of AMI was calculated using a direct adjustment for age, sex and ethnicity. A multivariate prognostic model was built for each year in order to evaluate OM adjusted for a RP of the patients. Results: A decrease in the adjusted incidence of AMI [4.2/1000 (2002) vs. 2.6/1000 (2012)]; and in-hospital mortality [9.1%(2002) vs. 6.4%(2012)] were observed (p- for-trend< 0.001, each). However, OM among hospital survivors maintained at~ 13%(p= 0.4). An improvement in the RP (ie decrease of prevalence of most risk factors and increase of …

publication date

  • March 17, 2015