Cargando…
Acute Myocardial Infarction–Related Hospitalizations in Non-elderly Patients with Pneumonia: a Population-Based Study
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...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10245359/ https://www.ncbi.nlm.nih.gov/pubmed/37303486 http://dx.doi.org/10.1007/s42399-023-01499-9 |
_version_ | 1785054849212088320 |
---|---|
author | Younis, Hadia Loh, Chia Chi Singh, Charanjot Pichuthirumalai, Srikrishnan Kaur, Gagan Bajwa, Avreet S. Aziz, Syed Nurul Vasavada, Advait Patel, Viralkumar |
author_facet | Younis, Hadia Loh, Chia Chi Singh, Charanjot Pichuthirumalai, Srikrishnan Kaur, Gagan Bajwa, Avreet S. Aziz, Syed Nurul Vasavada, Advait Patel, Viralkumar |
author_sort | Younis, Hadia |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10245359 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-102453592023-06-08 Acute Myocardial Infarction–Related Hospitalizations in Non-elderly Patients with Pneumonia: a Population-Based Study Younis, Hadia Loh, Chia Chi Singh, Charanjot Pichuthirumalai, Srikrishnan Kaur, Gagan Bajwa, Avreet S. Aziz, Syed Nurul Vasavada, Advait Patel, Viralkumar SN Compr Clin Med Original Paper 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. Springer International Publishing 2023-06-07 2023 /pmc/articles/PMC10245359/ /pubmed/37303486 http://dx.doi.org/10.1007/s42399-023-01499-9 Text en © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Paper Younis, Hadia Loh, Chia Chi Singh, Charanjot Pichuthirumalai, Srikrishnan Kaur, Gagan Bajwa, Avreet S. Aziz, Syed Nurul Vasavada, Advait Patel, Viralkumar Acute Myocardial Infarction–Related Hospitalizations in Non-elderly Patients with Pneumonia: a Population-Based Study |
title | Acute Myocardial Infarction–Related Hospitalizations in Non-elderly Patients with Pneumonia: a Population-Based Study |
title_full | Acute Myocardial Infarction–Related Hospitalizations in Non-elderly Patients with Pneumonia: a Population-Based Study |
title_fullStr | Acute Myocardial Infarction–Related Hospitalizations in Non-elderly Patients with Pneumonia: a Population-Based Study |
title_full_unstemmed | Acute Myocardial Infarction–Related Hospitalizations in Non-elderly Patients with Pneumonia: a Population-Based Study |
title_short | Acute Myocardial Infarction–Related Hospitalizations in Non-elderly Patients with Pneumonia: a Population-Based Study |
title_sort | acute myocardial infarction–related hospitalizations in non-elderly patients with pneumonia: a population-based study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10245359/ https://www.ncbi.nlm.nih.gov/pubmed/37303486 http://dx.doi.org/10.1007/s42399-023-01499-9 |
work_keys_str_mv | AT younishadia acutemyocardialinfarctionrelatedhospitalizationsinnonelderlypatientswithpneumoniaapopulationbasedstudy AT lohchiachi acutemyocardialinfarctionrelatedhospitalizationsinnonelderlypatientswithpneumoniaapopulationbasedstudy AT singhcharanjot acutemyocardialinfarctionrelatedhospitalizationsinnonelderlypatientswithpneumoniaapopulationbasedstudy AT pichuthirumalaisrikrishnan acutemyocardialinfarctionrelatedhospitalizationsinnonelderlypatientswithpneumoniaapopulationbasedstudy AT kaurgagan acutemyocardialinfarctionrelatedhospitalizationsinnonelderlypatientswithpneumoniaapopulationbasedstudy AT bajwaavreets acutemyocardialinfarctionrelatedhospitalizationsinnonelderlypatientswithpneumoniaapopulationbasedstudy AT azizsyednurul acutemyocardialinfarctionrelatedhospitalizationsinnonelderlypatientswithpneumoniaapopulationbasedstudy AT vasavadaadvait acutemyocardialinfarctionrelatedhospitalizationsinnonelderlypatientswithpneumoniaapopulationbasedstudy AT patelviralkumar acutemyocardialinfarctionrelatedhospitalizationsinnonelderlypatientswithpneumoniaapopulationbasedstudy |