Predictive Factors for the Mortality of Cardiovascular Patients at Coronary Care Unit.
- Author:
Eun Suk SHIN
1
;
Myung Ho JEONG
;
Sang Chun LIM
;
Myung Ja CHOI
;
Seon Young JEONG
;
Gill Yup KIM
;
Eun Jeong LEE
;
Su Mi BANG
;
Hyo Ran LEE
;
Young Joon HONG
;
Hyung Wook PARK
;
Ju Han KIM
;
Weon KIM
;
Young Keun AHN
;
Jeong Gwan CHO
;
Jong Chun PARK
;
Jung Chaee KANG
Author Information
1. The Heart Center and Coronary Care Unit of Chonnam National University Hospital, Gwangju, Korea. myungho@chollian.net
- Publication Type:Original Article
- Keywords:
Coronary disease;
Myocardial infarction;
Revascularization;
Survival
- MeSH:
Clinical Laboratory Techniques;
Coronary Artery Disease;
Coronary Care Units*;
Coronary Disease;
Diagnosis;
Echocardiography;
Humans;
Incidence;
Korea;
Logistic Models;
Mortality*;
Myocardial Infarction;
Percutaneous Coronary Intervention;
Risk Factors;
Stroke Volume
- From:The Korean Journal of Critical Care Medicine
2004;19(1):32-37
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Recently the incidence of coronary artery disease has been increased rapidly in Korea. After the introduction of coronary care unit, the mortality rate of cardiovascular patients has been decreased. The predictive factors for mortality in patients admitted at Coronary Care Unit (CCU) are important in the management of acutely ill cardiovascular patients. METHODS: One thousand one hundred and thirty patients (64.8+/-14.5 years), who were admitted at CCU from January 2002 to June 2003, were analyzed. The patients were divided into two groups according to mortality: the survived group (Group I: n=1055, 63.3+/-13.3 years) and the moribund group (Group II: n=75, 64.8+/-14.1 years). Clinical characteristics, risk factors, clinical diagnosis, laboratory, echocardiographic and coronary angiographic findings were compared between the two groups. RESULTS: The overall mortality at CCU was 6.6%, 75 out of 1130 patients. Age and sex were not different between both groups. Coronary artery disease was the most common cause of admission (886 out of 1130 patients) and death (46 out of 75 patients). Coronary angiographic findings were not different between the two groups. Left ventricular ejection fraction (LVEF) by echocardiogram was higher in Group I than in Group II (53.1+/-15.6% vs. 42.3+/-16.3%, p<0.05). Predictive factors for mortality by multiple logistic regression analysis were low LVEF (OR 11.4, 2.9-21.4 95%CI, p<0.001), no performance of percutaneous coronary intervention (PCI, OR 10.8, 2.5-17.8 95%CI, p<0.001) and clinical diagnosis of aortic dissection (OR 3.8, 1.3-9.8 95%CI, p=0.021). CONCLUSIONS: The predictive factors for mortality at CCU were low LVEF, no PCI and aortic dissection.
