Pulmonary artery catheterization in patients with acute coronary syndromes
Am Heart J
; 158(02): 170-176, Aug 2009.
Artigo
em Inglês
| Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1059421
Biblioteca responsável:
BR79.1
Localização: BR79.1
ABSTRACT
Background There are limited recent data evaluating the use of the pulmonary artery catheter (PAC) in patients hospitalized with an acute coronary syndrome (ACS). Using data from the multinational Global Registry of Acute Coronary Events, we examined trends in PAC use among patients hospitalized for an ACS and the association between PAC andhospital outcomes. Methods Trends in PAC utilization between 2000 and 2007 were examined through the review of data contained in hospital medical records. We identified factors associated with PAC utilization and compared differences in the length ofhospitalization and in-hospital death rates between patients undergoing PAC during the index hospitalization (PAC+, n = 2,879) and those managed without PAC (PAC−, n = 56,091). Results The utilization of PAC during hospitalization for an ACS declined over time such that 3.0% of patients underwent PAC in 2007 compared with 5.4% in 2000. Admission Killip classification was the strongest factor associated with PACinsertion. The duration of hospitalization was significantly longer among PAC+ (median = 10.0 days) as compared with PAC− patients (median = 5.0 days). In-hospital death rates were significantly higher among PAC+ patients after adjustment for differences in baseline characteristics (odds ratio 4.00, 95% CI 3.41-4.70). Conclusions The frequency of PAC utilization in real-world patients hospitalized with ACS has declined during recent years. Our finding of increased in-hospital mortality among patients undergoing PAC is consistent with prior studies and mayfurther challenge the efficacy of PAC in the setting of ACS.
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Coleções:
Bases de dados nacionais
/
Brasil
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doença Cardiovascular
/
Doença Isquêmica do Coração
Base de dados:
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Assunto principal:
Cateterismo de Swan-Ganz
/
Síndrome Coronariana Aguda
Tipo de estudo:
Estudo prognóstico
Idioma:
Inglês
Revista:
Am Heart J
Ano de publicação:
2009
Tipo de documento:
Artigo
Instituição/País de afiliação:
University of Michigan Cardiovascular Center/US
/
Division of Cardiovascular Medicine/US
/
Duke University Medical Center/US
/
Hoag Memorial Hospital Presbyterian/CA
/
Hospital Universitario La Paz/ES
/
Instituto Dante Pazzanese de Cardiologia/BR
/
St. Michael's Hospital/CA