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中国急性心肌梗死患者多种危险因素与预后及住院费用的相关性:627例临床分析

Association of various risk factors with prognosis and hospitalization cost in Chinese patients with acute myocardial infarction: A clinical analysis of 627 cases.

作者信息

Wang Peining, Zhang Bin, Jin Lijun, Liao Hongtao, Dong Taiming

机构信息

Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Academy of Medical Science, Guangdong General Hospital, Guangzhou, Guangdong 510100, P.R. China.

出版信息

Exp Ther Med. 2015 Feb;9(2):603-611. doi: 10.3892/etm.2014.2087. Epub 2014 Nov 24.

Abstract

Acute myocardial infarction (AMI) is the leading cause of morbidity and mortality in the developed world and is becoming increasingly more common in developing countries. The risk factors affecting the prognosis of Chinese patients may differ from those in other populations. This study was conducted to investigate the potential risk factors that may correlate with prognosis and hospitalization costs of Chinese AMI patients. A total of 627 hospitalized AMI patients were recruited and their general information and relevant laboratory parameters were collected. Accordingly, the patients were grouped into different subgroups and potential risk factors and their correlations with prognosis and hospitalization costs were analyzed. Age, high blood pressure, infarct location and percutaneous coronary intervention (PCI) were the variables significantly associated with the differences in the prognosis of AMI patients (P<0.05), whereas times and duration of hospitalization, high blood pressure, infarct location and PCI treatment were found to be significantly associated with the cost of hospitalization (P<0.05). However, the AMI patients enrolled in this study may not be representative of all AMI patients in China. In addition, the prognosis of these patients was limited to their hospital stay. Therefore, long-term follow-up requires careful assessment.

摘要

急性心肌梗死(AMI)是发达国家发病和死亡的主要原因,并且在发展中国家也日益普遍。影响中国患者预后的危险因素可能与其他人群不同。本研究旨在调查可能与中国AMI患者预后及住院费用相关的潜在危险因素。共招募了627例住院AMI患者,并收集了他们的一般信息和相关实验室参数。据此,将患者分为不同亚组,分析潜在危险因素及其与预后和住院费用的相关性。年龄、高血压、梗死部位和经皮冠状动脉介入治疗(PCI)是与AMI患者预后差异显著相关的变量(P<0.05),而住院次数和时长、高血压、梗死部位和PCI治疗与住院费用显著相关(P<0.05)。然而,本研究纳入的AMI患者可能不代表中国所有的AMI患者。此外,这些患者的预后仅限于住院期间。因此,长期随访需要仔细评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba66/4280932/4fc423b2b5cd/ETM-09-02-0603-g00.jpg

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