科威特急性冠状动脉综合征危险因素的差异分布及转归：三年经验

Differential distribution of risk factors and outcome of acute coronary syndrome in Kuwait: three years' experience.

作者信息

Zubaid M, Suresh C G, Thalib L, Rashed W

机构信息

Division of Cardiology, Mubarak Al Kabeer Hospital, Kuwait.

出版信息

Med Princ Pract. 2004 Mar-Apr;13(2):63-8. doi: 10.1159/000075630.

DOI:10.1159/000075630

PMID:14755136

Abstract

OBJECTIVE

To compare the distribution of risk factors and clinical outcome of acute coronary syndrome (ACS) between Kuwaiti and other Arab men living in Kuwait.

SUBJECTS AND METHODS

The data for this study was collected from the computerized database at the Mubarak Al-Kabeer Hospital, Kuwait and the 1997-2000 census data for the State of Kuwait. 1,329 Arab men (666 Kuwaitis and 663 other Arabs) older than 25 years who were admitted between September 1997 and August 2000 with a diagnosis of ACS were included in the study.

RESULTS

The rate of admission for the entire patient population was twofold higher for Kuwaiti (1.68/1,000) than other Arab men (0.72/1,000), (p < 0.001); the mean age of the Kuwaiti men was 56.7 +/- 11.9 years and other Arab men 53.0 +/- 10.5 years (p < 0.001). The prevalence of hypertension, diabetes, smoking and hypercholesterolemia for Kuwaiti men was 35.9, 56.9, 51.7 and 36.2%, respectively; the corresponding prevalence for other Arab men was 28.8, 42.7, 68.2 and 32.0%, the difference in the prevalence except for hypercholesterolemia was significant (p < 0.001). In Kuwaiti men younger than 55 years of age, the prevalence of hypertension, diabetes mellitus, smoking and hypercholesterolemia was 26.6, 49.5, 68.6 and 43.3%, respectively; the corresponding values for other Arab men was 22.3, 36.2, 77.7 and 43.3%; the difference in prevalence except for hypertension was significant (p < 0.001). The in-hospital mortality for the whole study was 6.2% (Kuwaiti) and 2.3% (other Arab men; p < 0.001); while that for men younger than 55 years was 2.7% (Kuwaiti) and 0.8% (other Arab men; p < 0.05).

CONCLUSION

The rate of admission for the entire patient population with a diagnosis of ACS was twofold higher for Kuwaiti than other Arab men. Among all patients and also those less than 55 years, the prevalence of diabetes mellitus was consistently higher among Kuwaiti than other Arab men thereby probably leading to the higher admission rate and in-hospital mortality.

摘要

目的

比较科威特男性与居住在科威特的其他阿拉伯男性急性冠状动脉综合征（ACS）危险因素的分布情况及临床结局。

对象与方法

本研究数据来自科威特穆巴拉克·卡比尔医院的计算机化数据库以及科威特国1997 - 2000年人口普查数据。纳入1997年9月至2000年8月期间因ACS诊断入院的1329名25岁以上阿拉伯男性（666名科威特人及663名其他阿拉伯人）。

结果

科威特患者总体入院率（1.68/1000）是其他阿拉伯男性（0.72/1000）的两倍（p < 0.001）；科威特男性平均年龄为56.7 ± 11.9岁，其他阿拉伯男性为53.0 ± 10.5岁（p < 0.001）。科威特男性高血压、糖尿病、吸烟及高胆固醇血症患病率分别为35.9%、56.9%、51.7%及36.2%；其他阿拉伯男性相应患病率分别为28.8%、42.7%、68.2%及32.0%，除高胆固醇血症外，患病率差异有统计学意义（p < 0.001）。在55岁以下的科威特男性中，高血压、糖尿病、吸烟及高胆固醇血症患病率分别为26.6%、49.5%、68.6%及43.3%；其他阿拉伯男性相应数值分别为22.3%、36.2%、77.7%及43.3%；除高血压外，患病率差异有统计学意义（p < 0.001）。整个研究的院内死亡率为6.2%（科威特人）和2.3%（其他阿拉伯男性；p < 0.001）；55岁以下男性的院内死亡率分别为2.7%（科威特人）和0.8%（其他阿拉伯男性；p < 0.05）。