Predictors of Prolonged In-Hospital Stay After Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction
Health care costs increase with prolonged in-hospital stays. Many factors influence the length of stay for patients with ST-elevation myocardial infarction (STEMI). In this study, we aimed to determine the differences between long-stay and early discharged patients with STEMI. For this retrospective...
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| Veröffentlicht in: | Angiology 2016-09, Vol.67 (8), p.756-761 |
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| creator | Isik, Turgay Ayhan, Erkan Uluganyan, Mahmut Gunaydin, Zeki Yuksel Uyarel, Huseyin |
| description | Health care costs increase with prolonged in-hospital stays. Many factors influence the length of stay for patients with ST-elevation myocardial infarction (STEMI). In this study, we aimed to determine the differences between long-stay and early discharged patients with STEMI. For this retrospective study, a total of 2486 consecutive patients with STEMI (mean age: 56.2 ± 11.7 years, 16.5% female) who had undergone primary percutaneous coronary intervention (pPCI) were enrolled. Patients were divided into 2 groups based on mean in-hospital stay: |
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Many factors influence the length of stay for patients with ST-elevation myocardial infarction (STEMI). In this study, we aimed to determine the differences between long-stay and early discharged patients with STEMI. For this retrospective study, a total of 2486 consecutive patients with STEMI (mean age: 56.2 ± 11.7 years, 16.5% female) who had undergone primary percutaneous coronary intervention (pPCI) were enrolled. Patients were divided into 2 groups based on mean in-hospital stay: <6 days and ≥6 days. Anterior STEMI (odds ratio [OR]: 1.61, 95% confidence interval [CI]: 1.02-2.54; P = 0.03), angiographic failure (OR: 2.89, 95% CI: 1.19-7.01; P = .01), and peripheral vascular complications (PVCs; OR: 4.18, 95% CI: 1.16-15.03; P = .02) were found to be independent predictors of ≥6-day in-hospital stay. The incidence of long-term total mortality and composite end point for death, reinfarction, and target vessel revascularization were significantly higher in ≥6-day in-hospital stay patients. Anterior STEMI, angiographic failure, and PVCs were found to be independently associated with prolonged in-hospital stay for patients with STEMI following pPCI.</description><identifier>ISSN: 0003-3197</identifier><identifier>EISSN: 1940-1574</identifier><identifier>DOI: 10.1177/0003319715617075</identifier><identifier>PMID: 26582944</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Anterior Wall Myocardial Infarction - diagnostic imaging ; Anterior Wall Myocardial Infarction - mortality ; Anterior Wall Myocardial Infarction - therapy ; Chi-Square Distribution ; Coronary Angiography ; Female ; Humans ; Kaplan-Meier Estimate ; Length of Stay ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Odds Ratio ; Patient Discharge ; Percutaneous Coronary Intervention - adverse effects ; Percutaneous Coronary Intervention - mortality ; Recurrence ; Retrospective Studies ; Risk Factors ; ST Elevation Myocardial Infarction - diagnostic imaging ; ST Elevation Myocardial Infarction - mortality ; ST Elevation Myocardial Infarction - therapy ; Time Factors ; Treatment Outcome</subject><ispartof>Angiology, 2016-09, Vol.67 (8), p.756-761</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-d56c357dfee5050c883d6b7a4c5da10fcc9446c5950f226d0fa70acc877b8a8a3</citedby><cites>FETCH-LOGICAL-c370t-d56c357dfee5050c883d6b7a4c5da10fcc9446c5950f226d0fa70acc877b8a8a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003319715617075$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003319715617075$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21800,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26582944$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Isik, Turgay</creatorcontrib><creatorcontrib>Ayhan, Erkan</creatorcontrib><creatorcontrib>Uluganyan, Mahmut</creatorcontrib><creatorcontrib>Gunaydin, Zeki Yuksel</creatorcontrib><creatorcontrib>Uyarel, Huseyin</creatorcontrib><title>Predictors of Prolonged In-Hospital Stay After Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction</title><title>Angiology</title><addtitle>Angiology</addtitle><description>Health care costs increase with prolonged in-hospital stays. Many factors influence the length of stay for patients with ST-elevation myocardial infarction (STEMI). In this study, we aimed to determine the differences between long-stay and early discharged patients with STEMI. For this retrospective study, a total of 2486 consecutive patients with STEMI (mean age: 56.2 ± 11.7 years, 16.5% female) who had undergone primary percutaneous coronary intervention (pPCI) were enrolled. Patients were divided into 2 groups based on mean in-hospital stay: <6 days and ≥6 days. Anterior STEMI (odds ratio [OR]: 1.61, 95% confidence interval [CI]: 1.02-2.54; P = 0.03), angiographic failure (OR: 2.89, 95% CI: 1.19-7.01; P = .01), and peripheral vascular complications (PVCs; OR: 4.18, 95% CI: 1.16-15.03; P = .02) were found to be independent predictors of ≥6-day in-hospital stay. The incidence of long-term total mortality and composite end point for death, reinfarction, and target vessel revascularization were significantly higher in ≥6-day in-hospital stay patients. Anterior STEMI, angiographic failure, and PVCs were found to be independently associated with prolonged in-hospital stay for patients with STEMI following pPCI.</description><subject>Aged</subject><subject>Anterior Wall Myocardial Infarction - diagnostic imaging</subject><subject>Anterior Wall Myocardial Infarction - mortality</subject><subject>Anterior Wall Myocardial Infarction - therapy</subject><subject>Chi-Square Distribution</subject><subject>Coronary Angiography</subject><subject>Female</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Length of Stay</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Odds Ratio</subject><subject>Patient Discharge</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Percutaneous Coronary Intervention - mortality</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>ST Elevation Myocardial Infarction - diagnostic imaging</subject><subject>ST Elevation Myocardial Infarction - mortality</subject><subject>ST Elevation Myocardial Infarction - therapy</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0003-3197</issn><issn>1940-1574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1LwzAYxoMoOqd3T5Kjl-qbtmnSoww_BhMHm-eS5WN0dMlMWmE3_3RTqx4EwVPI8_7eB97nQeiCwDUhjN0AQJaRkhFaEAaMHqARKXNICGX5IRr146Sfn6DTEDbxSwkUx-gkLShPyzwfofe516qWrfMBO4Pn3jXOrrXCU5s8urCrW9HgRSv2-Na02keg3gq_x3PtZdcKq10X8MR5Z3t1aiPzpm1bO4uN83ixTO4a_SY-hae9k8KrOjpOrRFe9uoZOjKiCfr86x2jl_u75eQxmT0_TCe3s0RmDNpE0UJmlCmjNQUKkvNMFSsmckmVIGCkjOcUkpYUTJoWCoxgIKTkjK244CIbo6vBd-fda6dDW23rIHXTDDdUhMcQSwbA_oOmnKeQkYjCgErvQvDaVLshoIpA1VdU_a4orlx-uXerrVY_C9-dRCAZgCDWutq4ztsYzN-GH6ssmlk</recordid><startdate>201609</startdate><enddate>201609</enddate><creator>Isik, Turgay</creator><creator>Ayhan, Erkan</creator><creator>Uluganyan, Mahmut</creator><creator>Gunaydin, Zeki Yuksel</creator><creator>Uyarel, Huseyin</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>201609</creationdate><title>Predictors of Prolonged In-Hospital Stay After Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction</title><author>Isik, Turgay ; Ayhan, Erkan ; Uluganyan, Mahmut ; Gunaydin, Zeki Yuksel ; Uyarel, Huseyin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-d56c357dfee5050c883d6b7a4c5da10fcc9446c5950f226d0fa70acc877b8a8a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Anterior Wall Myocardial Infarction - diagnostic imaging</topic><topic>Anterior Wall Myocardial Infarction - mortality</topic><topic>Anterior Wall Myocardial Infarction - therapy</topic><topic>Chi-Square Distribution</topic><topic>Coronary Angiography</topic><topic>Female</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Length of Stay</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Odds Ratio</topic><topic>Patient Discharge</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Percutaneous Coronary Intervention - mortality</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>ST Elevation Myocardial Infarction - diagnostic imaging</topic><topic>ST Elevation Myocardial Infarction - mortality</topic><topic>ST Elevation Myocardial Infarction - therapy</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Isik, Turgay</creatorcontrib><creatorcontrib>Ayhan, Erkan</creatorcontrib><creatorcontrib>Uluganyan, Mahmut</creatorcontrib><creatorcontrib>Gunaydin, Zeki Yuksel</creatorcontrib><creatorcontrib>Uyarel, Huseyin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Angiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Isik, Turgay</au><au>Ayhan, Erkan</au><au>Uluganyan, Mahmut</au><au>Gunaydin, Zeki Yuksel</au><au>Uyarel, Huseyin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of Prolonged In-Hospital Stay After Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction</atitle><jtitle>Angiology</jtitle><addtitle>Angiology</addtitle><date>2016-09</date><risdate>2016</risdate><volume>67</volume><issue>8</issue><spage>756</spage><epage>761</epage><pages>756-761</pages><issn>0003-3197</issn><eissn>1940-1574</eissn><abstract>Health care costs increase with prolonged in-hospital stays. Many factors influence the length of stay for patients with ST-elevation myocardial infarction (STEMI). In this study, we aimed to determine the differences between long-stay and early discharged patients with STEMI. For this retrospective study, a total of 2486 consecutive patients with STEMI (mean age: 56.2 ± 11.7 years, 16.5% female) who had undergone primary percutaneous coronary intervention (pPCI) were enrolled. Patients were divided into 2 groups based on mean in-hospital stay: <6 days and ≥6 days. Anterior STEMI (odds ratio [OR]: 1.61, 95% confidence interval [CI]: 1.02-2.54; P = 0.03), angiographic failure (OR: 2.89, 95% CI: 1.19-7.01; P = .01), and peripheral vascular complications (PVCs; OR: 4.18, 95% CI: 1.16-15.03; P = .02) were found to be independent predictors of ≥6-day in-hospital stay. The incidence of long-term total mortality and composite end point for death, reinfarction, and target vessel revascularization were significantly higher in ≥6-day in-hospital stay patients. Anterior STEMI, angiographic failure, and PVCs were found to be independently associated with prolonged in-hospital stay for patients with STEMI following pPCI.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>26582944</pmid><doi>10.1177/0003319715617075</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Anterior Wall Myocardial Infarction - diagnostic imaging Anterior Wall Myocardial Infarction - mortality Anterior Wall Myocardial Infarction - therapy Chi-Square Distribution Coronary Angiography Female Humans Kaplan-Meier Estimate Length of Stay Logistic Models Male Middle Aged Multivariate Analysis Odds Ratio Patient Discharge Percutaneous Coronary Intervention - adverse effects Percutaneous Coronary Intervention - mortality Recurrence Retrospective Studies Risk Factors ST Elevation Myocardial Infarction - diagnostic imaging ST Elevation Myocardial Infarction - mortality ST Elevation Myocardial Infarction - therapy Time Factors Treatment Outcome |
| title | Predictors of Prolonged In-Hospital Stay After Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction |
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