Naslov
Correlates of in-hospital mortality in patients with acute coronary syndrome in Kosovo

Autori
Gashi, Musli ; Bajraktari, Gani ; Gashi Sanije ; Ahmeti, Hasan ; Degoricija, Vesna

Izvornik
Acta clinica Croatica (0353-9466) 61 (2022), 1; 19-29

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
In-hospital mortality ; Acute coronary syndrome ; Emergency department

Sažetak
It has been demonstrated that pre-hospital emergency care reduces in-hospital mortality in patients admitted with acute coronary syndrome (ACS). The aim of this study was to analyze the relationship between pre-hospital emergency care and in-hospital mortality in ACS patients treated at the University Clinical Centre of Kosovo Emergency Department (UCCK ED). This observational clinical study included 1498 ACS patients treated at UCCK ED and followed-up by phone call for one year after discharge from the hospital. According to multivariate Cox regression analysis, age (HR=2.37, 95% CI 1.67-3.52), pre- hospital emergency care (HR=3.92, 95% CI 2.35- 6.54), STEMI (HR=6.17, 95% CI 3.22-15.31), diabetes mellitus (HR=3.01, 95% CI 1.98-3.78), left ventricular ejection fraction <40% (HR=17.63, 95% CI 11.2- 30.54) and ex-smoking (HR=2.34, 95% CI 1.57-3.85) were significant predictors of mortality in ACS patients. In-hospital mortality of patients admitted with ACS remains high in Kosovo as compared with developed countries. A better strategy for pre-hospital emergency care in Kosovo is recommended to save lives in these high-risk patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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