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In-hospital mortality following acute myocardial infarction in Kosovo: a single center study

BACKGROUND AND OBJECTIVES: Randomized trials have demonstrated that primary angioplasty is more effective than intravenous thrombolysis in reducing mortality and morbidity in patients with acute myocardial infarction (AMI). The aim of this study was to assess the in-hospital mortality of patients wi...

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Autores principales: Bajraktari, Gani, Thaqi, Kimete, Pacolli, Shqipe, Gjoka, Sami, Rexhepaj, Nehat, Daullxhiu, Irfan, Sylejmani, Xhevahire, Elezi, Shpend
Formato: Online Artículo Texto
Lenguaje:English
Publicado: King Faisal Specialist Hospital and Research Centre 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074258/
https://www.ncbi.nlm.nih.gov/pubmed/19011318
http://dx.doi.org/10.5144/0256-4947.2008.430
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author Bajraktari, Gani
Thaqi, Kimete
Pacolli, Shqipe
Gjoka, Sami
Rexhepaj, Nehat
Daullxhiu, Irfan
Sylejmani, Xhevahire
Elezi, Shpend
author_facet Bajraktari, Gani
Thaqi, Kimete
Pacolli, Shqipe
Gjoka, Sami
Rexhepaj, Nehat
Daullxhiu, Irfan
Sylejmani, Xhevahire
Elezi, Shpend
author_sort Bajraktari, Gani
collection PubMed
description BACKGROUND AND OBJECTIVES: Randomized trials have demonstrated that primary angioplasty is more effective than intravenous thrombolysis in reducing mortality and morbidity in patients with acute myocardial infarction (AMI). The aim of this study was to assess the in-hospital mortality of patients with AMI admitted to the only tertiary care center in Kosovo, where coronary percutaneous intervention procedures are unavailable. We also assessed the impact of age and gender on in-hospital mortality. PATIENTS AND METHODS: Consecutive patients with the diagnosis of AMI, admitted in our institution between 1999 and 2007, were included in this retrospective study. RESULTS: Of 2848 patients (mean age 61±11.3 years, 73.4% males) admitted with AMI, 292 (10.25%) patients died during in-hospital stay. The overall in-hospital mortality was 12.3% for women and 9.5% for men (P<.05). Women were significantly older than men (64.2±11 years vs 59.7±11.8 years, P<.05). Mean length of stay was 12.0±94 for women and 10.7±7.6 for men. From 1999 to 2007 there was an increase in the age of patients with AMI but the mortality rate remained stable. CONCLUSIONS: Compared to developed countries, patients with AMI in Kosovo present at an earlier age but have a higher mortality rate. Women with AMI had a significantly higher in-hospital mortality rate than men. The lack of percutaneous coronary intervention procedures in AMI patients may have contributed to the high in-hospital mortality in our population.
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spelling pubmed-60742582018-09-21 In-hospital mortality following acute myocardial infarction in Kosovo: a single center study Bajraktari, Gani Thaqi, Kimete Pacolli, Shqipe Gjoka, Sami Rexhepaj, Nehat Daullxhiu, Irfan Sylejmani, Xhevahire Elezi, Shpend Ann Saudi Med Original Article BACKGROUND AND OBJECTIVES: Randomized trials have demonstrated that primary angioplasty is more effective than intravenous thrombolysis in reducing mortality and morbidity in patients with acute myocardial infarction (AMI). The aim of this study was to assess the in-hospital mortality of patients with AMI admitted to the only tertiary care center in Kosovo, where coronary percutaneous intervention procedures are unavailable. We also assessed the impact of age and gender on in-hospital mortality. PATIENTS AND METHODS: Consecutive patients with the diagnosis of AMI, admitted in our institution between 1999 and 2007, were included in this retrospective study. RESULTS: Of 2848 patients (mean age 61±11.3 years, 73.4% males) admitted with AMI, 292 (10.25%) patients died during in-hospital stay. The overall in-hospital mortality was 12.3% for women and 9.5% for men (P<.05). Women were significantly older than men (64.2±11 years vs 59.7±11.8 years, P<.05). Mean length of stay was 12.0±94 for women and 10.7±7.6 for men. From 1999 to 2007 there was an increase in the age of patients with AMI but the mortality rate remained stable. CONCLUSIONS: Compared to developed countries, patients with AMI in Kosovo present at an earlier age but have a higher mortality rate. Women with AMI had a significantly higher in-hospital mortality rate than men. The lack of percutaneous coronary intervention procedures in AMI patients may have contributed to the high in-hospital mortality in our population. King Faisal Specialist Hospital and Research Centre 2008 /pmc/articles/PMC6074258/ /pubmed/19011318 http://dx.doi.org/10.5144/0256-4947.2008.430 Text en Copyright © 2008, Annals of Saudi Medicine This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Bajraktari, Gani
Thaqi, Kimete
Pacolli, Shqipe
Gjoka, Sami
Rexhepaj, Nehat
Daullxhiu, Irfan
Sylejmani, Xhevahire
Elezi, Shpend
In-hospital mortality following acute myocardial infarction in Kosovo: a single center study
title In-hospital mortality following acute myocardial infarction in Kosovo: a single center study
title_full In-hospital mortality following acute myocardial infarction in Kosovo: a single center study
title_fullStr In-hospital mortality following acute myocardial infarction in Kosovo: a single center study
title_full_unstemmed In-hospital mortality following acute myocardial infarction in Kosovo: a single center study
title_short In-hospital mortality following acute myocardial infarction in Kosovo: a single center study
title_sort in-hospital mortality following acute myocardial infarction in kosovo: a single center study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074258/
https://www.ncbi.nlm.nih.gov/pubmed/19011318
http://dx.doi.org/10.5144/0256-4947.2008.430
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