Document Detail


Mortality trends in the coronary care unit.
MedLine Citation:
PMID:  2327719     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To evaluate the clinical features, complication rates, and mortality from infarction in the coronary care unit, we analysed all cases of acute myocardial infarction admitted to the Coronary Care Unit of the Singapore General Hospital over a 4 month period in 1988. There were 184 cases of acute infarction with a male:female ratio of 3.4:1. Fifty-five percent of patients were aged 60 years or above. Complications included congestive cardiac failure in 40%, sustained ventricular tachycardia in 9%, cardiogenic shock in 18% and complete heart block in 8%. The overall in-hospital mortality was 20.6%. Multiple logistic regression analysis of clinical variables showed that of the clinical variables, age (elderly patients) and the diabetes were independently associated with a higher mortality as well as development of cardiogenic shock and sustained ventricular tachycardia. Comparing our results with previous smaller studies of CCU outcome in 1975 and 1967, there was a marked increase in the proportion of elderly patients in 1988 but despite this the overall mortality rate was not significantly different. Age is the most important clinical variable predicting outcome from infarction.
Authors:
T S Chua; C C Koo; A T Tan; C K Ho
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  19     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  1990 Jan 
Date Detail:
Created Date:  1990-05-15     Completed Date:  1990-05-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  3-8     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Singapore General Hospital.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Arrhythmias, Cardiac / mortality
Cause of Death
Coronary Care Units / trends*
Female
Heart Failure / mortality
Humans
Male
Middle Aged
Myocardial Infarction / complications,  mortality*
Shock, Cardiogenic / mortality
Singapore / epidemiology
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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