心肌梗死首次发作后的生存率及再入院率。

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-22 DOI:10.1590/1413-81232025303.08212023
Rafael Cegielka, Daniel Medeiros Moreira, Jefferson Traebert
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引用次数: 0

摘要

目的是估计首次心肌梗死后的总一年生存率和再入院率。一项涉及689名患者的队列研究在2016年8月至2022年3月期间进行了随访。使用Kaplan-Meier估计量和log-rank检验。采用Cox半参数模型估计死亡和再入院风险。平均年龄60.0岁(SD 11.0), 67.9%为男性,50.7%为st段抬高型心肌梗死。总生存率为96.3%,中位死亡时间为41.5天。无再入院生存率为83.4%,中位再入院时间为54天。60岁及以上的患者死亡风险增加10.01,存在全身性动脉高血压的患者再入院风险增加1.52。总生存率为96.2%,年龄组间存在差异。无再入院生存率为83.4%,差异在于是否存在全身性动脉高血压。由于这些事件相当普遍,因此有必要更好地评估所提供的保健服务的有效性,以及为减少发病率和由此引起的发病率和死亡率而必须采取的行动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Survival rate and readmission rate after the first episode of myocardial infarction.

The aim is to estimate the overall one-year survival rate and readmission rate after the first myocardial infarction. A cohort study involving 689 patients followed up between August 2016 and March 2022. The Kaplan-Meier estimator and the log-rank test were used. Cox semiparametric model was used to estimate death and readmission risk. The mean age was 60.0 (SD 11.0) years old, 67.9% men and 50.7% with ST-elevation myocardial infarction. The overall survival rate was 96.3%, with median time of death of 41.5 days. The readmission-free survival rate was 83.4%, with median time of readmission of 54 days. Age of 60 years and over increased death risk by 10.01 and the presence of systemic arterial hypertension increased readmission risk by 1.52. The overall survival rate was 96.2% with difference in age groups. The readmission-free survival rate was 83.4%, with difference by the presence of systemic arterial hypertension. As these events are quite prevalent, a better assessment of the effectiveness of the health care provided and the actions that must be taken to reduce the incidence and consequent morbidity and mortality is necessary.

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来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
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