Severance H W, Morris K G, Wagner G S
Arch Intern Med. 1982 Jan;142(1):39-41.
All patients admitted to a community hospital coronary care unit during an 18-month-period were studied to validate previously reported criteria for early hospital discharge after myocardial infarction. Factors present during the first four hospital days, which predict subsequent complications requiring urgent medical attention, were classified as either urgent or prognostic. Patients whose initial four days were marked by either no complications (81 patients) or prognostic complications (51 patients) are described. Only one patient in the group of 81 patients had a subsequent urgent complication. Four of 55 patients had late urgent complications. Persistent sinus tachycardia occurred during the first four days in all four of these 55 patients. Early hospital discharge would be feasible in the group with neither urgent nor prognostic complications. Further study of persistent sinus tachycardia is required to improve its predictive ability.
对一家社区医院冠心病监护病房在18个月期间收治的所有患者进行了研究，以验证先前报道的心肌梗死后早期出院标准。将入院头四天出现的、预示后续需要紧急医疗关注的并发症的因素分为紧急因素或预后因素。描述了最初四天无并发症（81例患者）或有预后并发症（51例患者）的患者情况。81例患者组中只有1例出现了后续紧急并发症。55例患者中有4例出现了晚期紧急并发症。这55例患者中的4例在头四天均出现持续性窦性心动过速。对于既无紧急并发症也无预后并发症的患者组，早期出院是可行的。需要对持续性窦性心动过速进行进一步研究以提高其预测能力。
