Acute Myocardial Infarction-Related Hospitalizations in Non-elderly Patients with Pneumonia: a Population-Based Study.
Hadia YounisChia Chi LohCharanjot SinghSrikrishnan PichuthirumalaiGagan KaurAvreet S BajwaSyed Nurul AzizAdvait VasavadaViralkumar PatelPublished in: SN comprehensive clinical medicine (2023)
The objective is to study factors that increase the likelihood of acute myocardial infarction (AMI) in hospitalized adult non-elderly patients with pneumonia compared to other medical inpatients and to understand the utilization rate of percutaneous coronary intervention (PCI) for AMI in inpatients with pneumonia and its related impact on hospitalization stay and cost. A population-based study was conducted using the Nationwide Inpatient Sample (NIS, 2019) with adult non-elderly inpatients (age 18-65 years) with a medical condition as their primary diagnosis and a co-diagnosis of pneumonia during hospitalization stay. This study sample was divided by the primary diagnosis of AMI versus other medical conditions (non-AMI). A logistic regression model was used to evaluate the odds ratio (OR) of predictors associated with AMI in patients with pneumonia. The results showed a direct relationship between increasing age and the likelihood of AMI in pneumonia inpatients with three times higher odds seen in 51-65 years of age (OR 2.95, 95% CI 2.82-3.09). The comorbidities included complicated hypertension (OR 2.84, 95% CI 2.78-2.89), diabetes with complications (OR 1.27, 95% CI 1.24-1.29), and drug abuse (OR 1.27, 95% CI 1.22-1.31) that increased the likelihood of AMI-related hospitalization. The utilization rate of surgical treatment (PCI) was 14.37% for the management of AMI in inpatients with pneumonia. Inpatients co-diagnosed with pneumonia and comorbidities such as hypertension and diabetes were more likely to be hospitalized for AMI. These at-risk patients should be considered for early risk stratification. Utilization of PCI was associated with a lower in-hospital mortality rate.
Keyphrases
- acute myocardial infarction
- percutaneous coronary intervention
- st segment elevation myocardial infarction
- left ventricular
- st elevation myocardial infarction
- acute coronary syndrome
- coronary artery disease
- coronary artery bypass grafting
- community acquired pneumonia
- healthcare
- respiratory failure
- type diabetes
- cardiovascular disease
- blood pressure
- atrial fibrillation
- end stage renal disease
- chronic kidney disease
- coronary artery bypass
- adipose tissue
- emergency department
- mental health
- acute respiratory distress syndrome
- prognostic factors
- cross sectional
- extracorporeal membrane oxygenation
- middle aged
- community dwelling