Long Zheng, Liu Wei, Zhao Zhenping, Tong Suijun, Wang Lijun, Zhou Maigeng, Xiang Dingcheng, Chen Yundai, Wang Jianan, Cheng Xiaoshu, Li Bao, Li Lang, Li Wei, Shi Bei, Shi Hong, Yin Peng, Huang Kai, Huo Yong
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Department of Cardiology, General Hospital of the PLA Southern Theater Command, Guangzhou City, Guangdong Province, China.
China CDC Wkly. 2022 Jun 17;4(24):518-521. doi: 10.46234/ccdcw2022.026.
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Acute myocardial infarction (AMI) is the most serious form of cardiovascular diseases. The case fatality rate (CFR) of AMI patients is an important index to reflect the prognosis of AMI.
WHAT IS ADDED BY THIS REPORT?: During the study period, the overall 30-day, 60-day, and 90-day CFR of AMI was 5.9%, 6.9%, and 7.6%, respectively. The CFRs in grade Ⅲ hospitals were lower than in grade Ⅱ hospitals, and the in-hospital CFR was significantly lower than that in post-discharge out-of-hospital.
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: This study can provide evidence for targeted prevention and highlight the need to strengthen the level of treatment of patients with AMI in grade Ⅱ hospitals.
关于该主题已知的信息有哪些?:急性心肌梗死(AMI)是心血管疾病最严重的形式。AMI患者的病死率(CFR)是反映AMI预后的重要指标。
本报告补充了哪些内容?:在研究期间,AMI患者的30天、60天和90天总病死率分别为5.9%、6.9%和7.6%。三级医院的病死率低于二级医院,且院内病死率显著低于出院后院外病死率。
对公共卫生实践有何启示?:本研究可为针对性预防提供依据,并突出加强二级医院AMI患者治疗水平的必要性。