Key result
In patients with acute myocardial infarction, higher left ventricular ejection fraction was significantly associated with a reduced risk of in-hospital mortality (OR 0.885).
Cross-Sectional (n=227)
No
Odds Ratio: 0.885 (95% CI 0.799–0.98)
p-value: p=0.019
In-hospital mortality for acute myocardial infarction remains high at 8.4%, with lower left ventricular ejection fraction being a significant independent predictor of death.
Hospital mortality factors in AMI warrant monitoring but not practice change; cross-sectional data leaves open causal links for prospective validation.
Background & objectives: Acute myocardial infarction is the single most common cause of death in large parts of the world. Although the mortality rate after admission for myocardial infarction has declined significantly over the last two decades but it still remains high. Therefore, the aim of this study was to determine hospital mortality and its related factor in patients with acute myocardial infarction hospitalized in Dr. Heshmat hospital. Material & Methods: In this cross-sectional study, we assessed medical records of 227 patients with acute Myocardial Infarction that hospitalized in CCU. Demographic and clinical factors were collected from the medical records. Data analysis was performed using SPSSv.16 software at P>0.05. Results: In-hospital mortality rate of acute myocardial infarction patients was 8.4%. In univariate analysis, condition of patients with acute myocardial infarction after hospitalization was related with number of hospitalization days (P<0.002), left ventricular ejection fraction (P<0.002) and previous history of acute myocardial infarction (P<0.014). In regression analysis, only left ventricular ejection fraction was related with Hospital mortality rate (P<0.019, OR=0.885). Conclusion: Despite applying of preventive programs and therapeutic improvements, hospital mortality rate also is high (8.4%).In present study, hospital mortality was related with number of hospitalization days, left ventricular ejection fraction and previous history of acute myocardial infarction.
No takes yet. Share an insight, caveat, or question.
Momeni et al. (2014) conducted a cross-sectional in Acute Myocardial Infarction (n=227). Left ventricular ejection fraction was evaluated on In-hospital mortality (OR 0.885, 95% CI 0.799-0.98, p=0.019). In patients with acute myocardial infarction, higher left ventricular ejection fraction was significantly associated with a reduced risk of in-hospital mortality (OR 0.885).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: