PMID- 26104470
OWN - NLM
STAT- MEDLINE
DCOM- 20160609
LR  - 20150904
IS  - 1522-726X (Electronic)
IS  - 1522-1946 (Linking)
VI  - 86 Suppl 1
DP  - 2015 Oct
TI  - Length of stay and long-term mortality following ST elevation myocardial 
      infarction.
PG  - S1-7
LID - 10.1002/ccd.26071 [doi]
AB  - BACKGROUND: Over the last few decades, there has been a significant reduction in 
      hospital length of stay (LOS) among patients undergoing percutaneous intervention 
      (PCI) for ST elevation myocardial infarction (STEMI). Although studies have 
      looked at predictors of long hospital stay after STEMI, the impact of LOS on 
      long-term outcomes after PCI remains unknown. We aimed to evaluate the 
      association between LOS at the time of index hospitalization for PCI and 
      long-term mortality among patients presenting with STEMI. METHODS: We examined 
      all patients undergoing PCI for STEMI at the Cleveland Clinic Catheterization 
      Laboratory between 2002 and 2011. Long-term all-cause mortality was assessed 
      using the Social Security Death Index and electronic medical record review. LOS 
      was extracted from the discharge summary of the index hospitalization. RESULTS: A 
      total of 1,963 patients were included in the study. Of these 1,963 patients 
      undergoing PCI for STEMI, 126 (6.4%) died during the index hospitalization. Among 
      survivors of this hospitalization, we observed a significant increase in 
      long-term mortality with an increase in LOS during index hospitalization 
      (P < 0.001). Adjustment for demographic and clinical characteristics yielded 
      statistically significant increased mortality among patients with LOS of 6-10 
      days [HR (95% CI): 2.2 (1.3-3.5)] and LOS > 10 days [HR (95% CI): 2.6 (1.6-4.3)], 
      in comparison with patients with LOS of 1-2 days. CONCLUSIONS: Long hospital stay 
      after PCI among patients with STEMI was associated with an increased long-term 
      mortality. A long hospital stay may be used as a marker to identify patients at 
      higher risk for long-term mortality.
CI  - (c) 2015 Wiley Periodicals, Inc.
FAU - Agarwal, Shikhar
AU  - Agarwal S
AD  - Sones Cardiac Catheterization Laboratories, Department of Cardiovascular 
      Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
FAU - Parashar, Akhil
AU  - Parashar A
AD  - Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio.
FAU - Garg, Aatish
AU  - Garg A
AD  - Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio.
FAU - Ellis, Stephen G
AU  - Ellis SG
AD  - Sones Cardiac Catheterization Laboratories, Department of Cardiovascular 
      Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
FAU - Tuzcu, E Murat
AU  - Tuzcu EM
AD  - Sones Cardiac Catheterization Laboratories, Department of Cardiovascular 
      Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
FAU - Kapadia, Samir R
AU  - Kapadia SR
AD  - Sones Cardiac Catheterization Laboratories, Department of Cardiovascular 
      Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
LA  - eng
PT  - Journal Article
DEP - 20150623
PL  - United States
TA  - Catheter Cardiovasc Interv
JT  - Catheterization and cardiovascular interventions : official journal of the 
      Society for Cardiac Angiography & Interventions
JID - 100884139
SB  - IM
MH  - Aged
MH  - Cardiac Catheterization
MH  - *Electrocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Hospital Mortality/trends
MH  - Humans
MH  - Length of Stay/*trends
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/diagnosis/*mortality/surgery
MH  - Ohio/epidemiology
MH  - *Percutaneous Coronary Intervention
MH  - Prognosis
MH  - *Registries
MH  - Retrospective Studies
MH  - Time Factors
OTO - NOTNLM
OT  - ST elevation myocardial infarction
OT  - length of stay
OT  - mortality
EDAT- 2015/06/25 06:00
MHDA- 2016/06/10 06:00
CRDT- 2015/06/25 06:00
PHST- 2015/01/11 00:00 [received]
PHST- 2015/05/20 00:00 [accepted]
PHST- 2015/06/25 06:00 [entrez]
PHST- 2015/06/25 06:00 [pubmed]
PHST- 2016/06/10 06:00 [medline]
AID - 10.1002/ccd.26071 [doi]
PST - ppublish
SO  - Catheter Cardiovasc Interv. 2015 Oct;86 Suppl 1:S1-7. doi: 10.1002/ccd.26071. 
      Epub 2015 Jun 23.