274 Comparative analysis of patients with acute coronary and cerebrovascular syndromes from the national French hospitalisation heath care system database - 07/07/11
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Résumé |
Objective |
To compare vascular risk factor profiles and early outcomes in all French patients hospitalized for either acute coronary (ACS), or cerebrovascular syndromes (CVS), or both, between 2005 and 2008.
Setting |
All French hospitals.
Design |
Retrospective analysis.
Data sources |
National database called “Hospital Discharge Diagnosis Records”.
Main outcomes measured |
Number and annual rates, vascular risk factors, and early outcome of hospitalized patients for a unique stay for ACS or CVS or for both ACV and CVS in a 2-month time window.
Results |
Over the 4-year study-period, 1,189,043 patients were hospitalized for CVS and/or ACS. Among these, 638,061 (53.7%) had CVS alone, 525,419 (44.3%) had ACS alone, and 24,163 (2%) had both. Patients of the latter group were older (75.2±12 years), and had a higher prevalence of hypertension (50.8%), diabetes (26.3%), and atrial fibrillation (23.9%) (p<0.001). In contrast, the prevalence of obesity (9.6%) and hypercholesterolemia (25.7%) was greater in ACS only patients. Patients with both CVS and ACS had a longer length of stay (16.1 days), and were less likely to be discharged to home. These patients also had a higher in-hospital risk of death, in men and in women (Figure). This risk remained after adjustment for age, sex, and vascular risk factors compared with patients with either CVS alone (OR = 1.71, 95% CI: 1.66–1.77) or ACS alone (OR = 2.95, 95% CI: 2.85–3.05).
Conclusion |
Our study conducted in almost 1.2 million hospitalized patients provides clear evidence that patients with both CVS and ACS have a high vascular risk profile and a marked excess risk of early death.
Plan
Vol 3 - N° 1
P. 90-91 - janvier 2011 Retour au numéro
Article précédent
- 273 Adiponectin levels and long-term mortality in coronary heart disease patients and controls
- Sébastien Hascoet, Vanina Bongard, Jean Ferrières, Bertrand Perret, Michel Galinier, Didier Carrié, Meyer Elbaz, Jean-Bernard Ruidavets
- 275 Respective contributions of traditional cardiovascular risk factors and metabolic syndrome in the prediction of coronary heart disease
- Vanina Bongard, Kouyate Vazoumana, Dorota Taraszkiewicz, Michel Galinier, Didier Carrié, Jean-Bernard Ruidavets, Jean Ferrières
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