A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors

© 2016, Medical Association of Thailand. All rights reserved. Introduction: To describe the incidence, characteristics and outcomes of acute myocardial infarction (AMI) and determine risk factor(s) of AMI in THAI-surgical intensive care unit (SICU). Material and Method: This study was multicenter pr...

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Main Authors: Chau-In W., Chanthawong S., Pipanmekaporn T., Kongsayreepong S., Chittawatanarat K., Rojanapithayakorn N.
Format: Journal
Published: 2017
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012134247&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/41586
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-415862017-09-28T04:22:06Z A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors Chau-In W. Chanthawong S. Pipanmekaporn T. Kongsayreepong S. Chittawatanarat K. Rojanapithayakorn N. © 2016, Medical Association of Thailand. All rights reserved. Introduction: To describe the incidence, characteristics and outcomes of acute myocardial infarction (AMI) and determine risk factor(s) of AMI in THAI-surgical intensive care unit (SICU). Material and Method: This study was multicenter prospective cohorts study that conducted data from 9 university-affiliated SICUs in Thailand between April 2011 and January 2013. We collected and evaluated data of AMI events. The patients were followed-up for up to 28 days after admitted to the SICUs. Results: The overall incidence of AMI in SICU was 1.4% (66 of 4,652 patients). Non-ST elevated MI was the most common electrocardiography (ECG) presentation (75%). The common clinical sign and symptom of AMI included ECG changes (53%) and elevation of cardiac enzymes (48.5%). Patients with AMI had significantly higher 28-day mortality rate (28.8% versus 13.6%, p < 0.001) than those with non-MI. The Acute Physiologic and Chronic Health Evaluation (APACHE) II scores (RR 1.04, 95% CI 1.01-1.07, p = 0.003) and age > 65 year (RR 2.54, 95% CI 1.36-4.75, p = 0.003) were significant risk factors of AMI. Conclusion: The incidence of AMI in the SICU was uncommon but led to significantly higher mortality rates. The APACHE II score and age > 65 year were significant predictors of AMI in SICU. 2017-09-28T04:22:06Z 2017-09-28T04:22:06Z 2016-09-01 Journal 01252208 2-s2.0-85012134247 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012134247&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/41586
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description © 2016, Medical Association of Thailand. All rights reserved. Introduction: To describe the incidence, characteristics and outcomes of acute myocardial infarction (AMI) and determine risk factor(s) of AMI in THAI-surgical intensive care unit (SICU). Material and Method: This study was multicenter prospective cohorts study that conducted data from 9 university-affiliated SICUs in Thailand between April 2011 and January 2013. We collected and evaluated data of AMI events. The patients were followed-up for up to 28 days after admitted to the SICUs. Results: The overall incidence of AMI in SICU was 1.4% (66 of 4,652 patients). Non-ST elevated MI was the most common electrocardiography (ECG) presentation (75%). The common clinical sign and symptom of AMI included ECG changes (53%) and elevation of cardiac enzymes (48.5%). Patients with AMI had significantly higher 28-day mortality rate (28.8% versus 13.6%, p < 0.001) than those with non-MI. The Acute Physiologic and Chronic Health Evaluation (APACHE) II scores (RR 1.04, 95% CI 1.01-1.07, p = 0.003) and age > 65 year (RR 2.54, 95% CI 1.36-4.75, p = 0.003) were significant risk factors of AMI. Conclusion: The incidence of AMI in the SICU was uncommon but led to significantly higher mortality rates. The APACHE II score and age > 65 year were significant predictors of AMI in SICU.
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author Chau-In W.
Chanthawong S.
Pipanmekaporn T.
Kongsayreepong S.
Chittawatanarat K.
Rojanapithayakorn N.
spellingShingle Chau-In W.
Chanthawong S.
Pipanmekaporn T.
Kongsayreepong S.
Chittawatanarat K.
Rojanapithayakorn N.
A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors
author_facet Chau-In W.
Chanthawong S.
Pipanmekaporn T.
Kongsayreepong S.
Chittawatanarat K.
Rojanapithayakorn N.
author_sort Chau-In W.
title A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors
title_short A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors
title_full A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors
title_fullStr A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors
title_full_unstemmed A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors
title_sort multi-center thai university-based surgical intensive care unit study (thai-sicu study): incidence of acute myocardial infarction and associated factors
publishDate 2017
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012134247&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/41586
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