Key result
In patients hospitalized with acute cerebral ischemia, the occurrence of an associated acute myocardial infarction significantly increased the odds of in-hospital mortality (aOR 3.68).
Why the study?
Does the occurrence of acute myocardial infarction (AMI) or administration of IV rTPA affect in-hospital mortality in patients admitted with acute cerebral ischemia (ACI)?
Cohort (n=886,094)
Yes
Does the occurrence of acute myocardial infarction (AMI) or administration of IV rTPA affect in-hospital mortality in patients admitted with acute cerebral ischemia (ACI)?
Odds Ratio: 3.68 (95% CI 3.49–3.88)
Absolute Event Rate: 22.65% vs 5.31%
p-value: p=<0.0001
In patients hospitalized for acute cerebral ischemia, the concomitant occurrence of acute myocardial infarction is relatively rare (1.98%) but is associated with a nearly four-fold increased odds of in-hospital mortality.
No takes yet. Share an insight, caveat, or question.
May warrant enhanced cardiac surveillance in acute cerebral ischemia; leaves open whether targeted interventions improve outcomes.
Seifi et al. (2014) conducted a cohort in Acute cerebral ischemia (ACI) (n=886,094). Acute myocardial infarction (AMI) vs. No AMI was evaluated on In-hospital mortality (aOR 3.68, 95% CI 3.49-3.88, p=<0.0001). In patients hospitalized with acute cerebral ischemia, the occurrence of an associated acute myocardial infarction significantly increased the odds of in-hospital mortality (aOR 3.68).
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