Vinsas Janušonis, Gintautas Virketis, Gintarė Pučinskienė
Abstract
The aim of the study – to analyze and estimate inpatients’ with acute myocardial infarction mortality.
Material and methods. The survey was performed in Klaipeda University Hospital 2012. The study was included analysis of 605 inpatients’ with acute myocardial infarction medical records (treatment histories) during 2006-2011.
It was analyzed the following data: gender, age, location, accompanying diseases.
Results. 605 inpatients’ with acute myocardial infarction medical records was analyzed. 87,8% patients was over 55 years.
The second myocardial infarction was in 24, 1% cases.
Diagnosis of acute myocardial infarction was determinated use of cordial troponin test (in 11% cases test was in doubt), ECG (in 56% cases without Q- wave), cardioechoscopy (45, 5% positive).
Hospital mortality after myocardial infarction was 23, 1%. 98% of dead inpatients had severe attendant diseases – trauma and other surgical diseases (32, 1%), pneumonia (27,9%), stroke (22,9%), high blood pressure (15,7%), diabetes (15,7%), Cancer (7,9%).
After second myocardial infarction was died 28, 4% inpatients.
Conclusions. The inpatients with myocardial infarction was aged and with attendant severe diseases. The invasive therapy for the following and other reasons was complicated. The mortality after myocardial infarction determinated high surgical activity (postoperative myocardial infarctions). The analysis of clinical records date let think about hyperdiagnosis of myocardial infarction. Not specified statistic report after autopsy was increased hospital mortality after myocardial infarction.
The control of acute myocardial infarction diagnosis through clinical protocols, root cause analysis of mortality reasons, clinical conferences, autopsy (virtual autopsy) must be reinforced.
Article in Lithuanian
Keyword(s): acute myocardial infarction, hospital mortality, diagnosis of myocardial infarction
DOI: 10.5200/sm-hs.2013.119
Full Text: PDF