Zhou B, Wang T, Shi J
China Medical University, Shenyang.
Zhonghua Liu Xing Bing Xue Za Zhi. 1994 Apr;15(2):99-102.
The relationship between baseline factors defined at 4.3 +/- 1.8 hr after onset of acute myocardial infarction and 28-day survival in 319 patients admitted into the China Medical University was evaluated. The case fatality rate during acute period was 17.9%. Univariate statistics identified a significant relationship between 5 of these factors and survival. Multivariate noncondition stepwise logistic model analysis identified four factors as being most closely related to survival: (1) heart failure; (2) arrhythmia; (3) age; (4) history of essential hypertension. It is concluded that heart failure during the acute period of acute myocardial infarction is the most important baseline factor for prediction of 28-day survival.
对中国医科大学收治的319例急性心肌梗死患者起病后4.3±1.8小时所确定的基线因素与28天生存率之间的关系进行了评估。急性期病死率为17.9%。单因素统计分析确定这些因素中有5个与生存率存在显著关系。多因素非条件逐步逻辑模型分析确定有4个因素与生存率关系最为密切:(1)心力衰竭;(2)心律失常;(3)年龄;(4)原发性高血压病史。结论是,急性心肌梗死急性期的心力衰竭是预测28天生存率的最重要基线因素。