The Impacts of Living Alone in in-Hospital and One-Year Clinical Outcomes after Acute Myocardial Infarction in Korean Patients
Journal of Lipid and Atherosclerosis
; : 115-121, 2015.
Article
em Ko
| WPRIM
| ID: wpr-156417
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE: The aim of this study is to evaluate the impact of living alone for in-hospital and one-year clinical outcome after acute myocardial infarction (AMI) in Korean patients. METHODS: A total of 1,700 patients who admitted at the Chonnam National University Hospital were analyzed. We divided the patients into two groups by the existence of a spouse or family member that lived together with the patient at the first time of hospital visit due to AMI. The primary endpoint was composed of in-hospital death and cardiac death during one-year clinical follow-up. Secondary end point was other major adverse cardio-cerebral events (MACCE) including non-fatal MI, repeat revascularization, ischemic or hemorrhagic stroke during one-year clinical follow-up. RESULTS: Living alone patient group had higher proportion of Killip class II-IV (34.3% vs. 26.6%, p=0.006) and higher value of high sensitivity C-reactive protein (2.2+/-4.0 vs. 1.5+/-3.4 ng/mL, p=0.019) than not living alone group. In-hospital death (8.9 % vs. 5.1%, p=0.010) and one-year cardiac death (7.7% vs. 4.6%, p=0.031) developed more in living alone groups. However, living alone was not an independent prognostic factor for in-hospital death (HR 1.51, 95% CI 0.91-2.52, p=0.113) and one-year cardiac death (HR 1.18, 95% CI 0.59-2.34, p=0.64) after multivariate analysis. CONCLUSION: Living alone was not an independent prognostic factor for in-hospital and one-year clinical outcome after AMI.
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WPRIM
Assunto principal:
Prognóstico
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Proteína C-Reativa
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Análise Multivariada
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Seguimentos
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Cônjuges
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Acidente Vascular Cerebral
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Morte
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Infarto do Miocárdio
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Journal of Lipid and Atherosclerosis
Ano de publicação:
2015
Tipo de documento:
Article