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Acute Myocardial Infarction among Hospitalizations for Heat Stroke in the United States
Background: This study aimed to assess the risk factors and impact of acute myocardial infarction on in-hospital treatments, complications, outcomes, and resource utilization in hospitalized patients for heat stroke in the United States. Methods: Hospitalized patients with a principal diagnosis of h...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290741/ https://www.ncbi.nlm.nih.gov/pubmed/32384601 http://dx.doi.org/10.3390/jcm9051357 |
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author | Bathini, Tarun Thongprayoon, Charat Chewcharat, Api Petnak, Tananchai Cheungpasitporn, Wisit Boonpheng, Boonphiphop Prasitlumkum, Narut Chokesuwattanaskul, Ronpichai Vallabhajosyula, Saraschandra Kaewput, Wisit |
author_facet | Bathini, Tarun Thongprayoon, Charat Chewcharat, Api Petnak, Tananchai Cheungpasitporn, Wisit Boonpheng, Boonphiphop Prasitlumkum, Narut Chokesuwattanaskul, Ronpichai Vallabhajosyula, Saraschandra Kaewput, Wisit |
author_sort | Bathini, Tarun |
collection | PubMed |
description | Background: This study aimed to assess the risk factors and impact of acute myocardial infarction on in-hospital treatments, complications, outcomes, and resource utilization in hospitalized patients for heat stroke in the United States. Methods: Hospitalized patients with a principal diagnosis of heat stroke were identified in the National Inpatient Sample dataset from the years 2003 to 2014. Acute myocardial infarction was identified using the hospital International Classification of Diseases, Ninth Revision (ICD-9), diagnosis of 410.xx. Clinical characteristics, in-hospital treatment, complications, outcomes, and resource utilization between patients with and without acute myocardial infarction were compared. Results: A total of 3372 heat stroke patients were included in the analysis. Of these, acute myocardial infarction occurred in 225 (7%) admissions. Acute myocardial infarction occurred more commonly in obese female patients with a history of chronic kidney disease, but less often in male patients aged <20 years with a history of hypothyroidism. The need for mechanical ventilation, blood transfusion, and renal replacement therapy were higher in patients with acute myocardial infarction. Acute myocardial infarction was associated with rhabdomyolysis, metabolic acidosis, sepsis, gastrointestinal bleeding, ventricular arrhythmia or cardiac arrest, renal failure, respiratory failure, circulatory failure, liver failure, neurological failure, and hematologic failure. Patients with acute myocardial infarction had 5.2-times greater odds of in-hospital mortality than those without myocardial infarction. The length of hospital stay and hospitalization cost were also higher when an acute myocardial infarction occurred while hospitalized. Conclusion: Acute myocardial infarction was associated with worse outcomes and higher economic burden among patients hospitalized for heat stroke. Obesity and chronic kidney disease were associated with increased risk of acute myocardial infarction, while young male patients and hypothyroidism were associated with decreased risk. |
format | Online Article Text |
id | pubmed-7290741 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-72907412020-06-17 Acute Myocardial Infarction among Hospitalizations for Heat Stroke in the United States Bathini, Tarun Thongprayoon, Charat Chewcharat, Api Petnak, Tananchai Cheungpasitporn, Wisit Boonpheng, Boonphiphop Prasitlumkum, Narut Chokesuwattanaskul, Ronpichai Vallabhajosyula, Saraschandra Kaewput, Wisit J Clin Med Article Background: This study aimed to assess the risk factors and impact of acute myocardial infarction on in-hospital treatments, complications, outcomes, and resource utilization in hospitalized patients for heat stroke in the United States. Methods: Hospitalized patients with a principal diagnosis of heat stroke were identified in the National Inpatient Sample dataset from the years 2003 to 2014. Acute myocardial infarction was identified using the hospital International Classification of Diseases, Ninth Revision (ICD-9), diagnosis of 410.xx. Clinical characteristics, in-hospital treatment, complications, outcomes, and resource utilization between patients with and without acute myocardial infarction were compared. Results: A total of 3372 heat stroke patients were included in the analysis. Of these, acute myocardial infarction occurred in 225 (7%) admissions. Acute myocardial infarction occurred more commonly in obese female patients with a history of chronic kidney disease, but less often in male patients aged <20 years with a history of hypothyroidism. The need for mechanical ventilation, blood transfusion, and renal replacement therapy were higher in patients with acute myocardial infarction. Acute myocardial infarction was associated with rhabdomyolysis, metabolic acidosis, sepsis, gastrointestinal bleeding, ventricular arrhythmia or cardiac arrest, renal failure, respiratory failure, circulatory failure, liver failure, neurological failure, and hematologic failure. Patients with acute myocardial infarction had 5.2-times greater odds of in-hospital mortality than those without myocardial infarction. The length of hospital stay and hospitalization cost were also higher when an acute myocardial infarction occurred while hospitalized. Conclusion: Acute myocardial infarction was associated with worse outcomes and higher economic burden among patients hospitalized for heat stroke. Obesity and chronic kidney disease were associated with increased risk of acute myocardial infarction, while young male patients and hypothyroidism were associated with decreased risk. MDPI 2020-05-06 /pmc/articles/PMC7290741/ /pubmed/32384601 http://dx.doi.org/10.3390/jcm9051357 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bathini, Tarun Thongprayoon, Charat Chewcharat, Api Petnak, Tananchai Cheungpasitporn, Wisit Boonpheng, Boonphiphop Prasitlumkum, Narut Chokesuwattanaskul, Ronpichai Vallabhajosyula, Saraschandra Kaewput, Wisit Acute Myocardial Infarction among Hospitalizations for Heat Stroke in the United States |
title | Acute Myocardial Infarction among Hospitalizations for Heat Stroke in the United States |
title_full | Acute Myocardial Infarction among Hospitalizations for Heat Stroke in the United States |
title_fullStr | Acute Myocardial Infarction among Hospitalizations for Heat Stroke in the United States |
title_full_unstemmed | Acute Myocardial Infarction among Hospitalizations for Heat Stroke in the United States |
title_short | Acute Myocardial Infarction among Hospitalizations for Heat Stroke in the United States |
title_sort | acute myocardial infarction among hospitalizations for heat stroke in the united states |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290741/ https://www.ncbi.nlm.nih.gov/pubmed/32384601 http://dx.doi.org/10.3390/jcm9051357 |
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