Tendências seculares da populaçäo com doença isquêmia do coraçäo internada do Instituto do Coraçäo - Säo Paulo / Secular trends in a population with ischemic heart disease admitted to the Instituto do Coraçäo in Säo Paulo
Arq. bras. cardiol
; 81(4): 363-374, out. 2003. ilus, tab
Article
in Pt, En
| LILACS
| ID: lil-349330
Responsible library:
BR1.1
RESUMO
OBJECTIVE:
To assess the clinical and demographic characteristics of a population with ischemic heart disease admitted in the final decades of the 20th century.METHODS:
This study retrospectively assessed patients hospitalized with ischemic heart disease divided into the following 2 groups acute group - 11.181 patients with acute myocardial infarction admitted from 1/1/82 to 12/31/94; and chronic group - 4.166 patients undergoing coronary artery bypass graft surgery from 1/1/84 to 12/31/94.RESULTS:
In the acute group, an increase in the percentage of females (from 22.7 percent to 27.7 percent, P<0.001) and diabetic individuals (from 12.4 percent to 17.5 percent, P<0.001) was observed, as was an increase in age (from 57.4±11.5 to 59.9±12.1 years, P<0.05). In-hospital mortality was greater among females (27.8 percent and 15.7 percent, P=0.001), among diabetic individuals (24.2 percent and 17.8 percent, P=0.001), and among the elderly (60.9±15.2 and 57.7±11.8 years, P=0.0001). In the chronic group, an increase in the percentage of females (from 17.5 percent to 27.2 percent, P=0.001) was observed, as was an increase in age (from 56.3±8.6 to 60.5±9.6 years, P=0.0001). In-hospital mortality was greater among females (8.3 percent and 5.8 percent, P<0.05) and among the elderly (58.1±9.1 and 62.1±7.9 years, P=0.0001).CONCLUSION:
The characteristics of the population studied with ischemic heart disease point towards a worse prognosis, due to the greater percentages of females, older patients, and diabetic patients, groups known to have greater in-hospital mortality
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Coronary Artery Bypass
/
Hospital Mortality
/
Myocardial Infarction
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adult
/
Aged80
/
Female
/
Humans
/
Male
Country/Region as subject:
America do sul
/
Brasil
Language:
En
/
Pt
Journal:
Arq. bras. cardiol
Journal subject:
CARDIOLOGIA
Year:
2003
Document type:
Article
Affiliation country:
Brazil
Country of publication:
Brazil