PMID- 27513259
OWN - NLM
STAT- MEDLINE
DCOM- 20180918
LR  - 20220409
IS  - 1300-0144 (Print)
IS  - 1300-0144 (Linking)
VI  - 46
IP  - 3
DP  - 2016 Apr 19
TI  - Long-term assessment of coronary care unit patient profile and outcomes: analyses 
      of the 12-years patient records.
PG  - 801-6
LID - 10.3906/sag-1502-88 [doi]
AB  - BACKGROUND/AIM: The aim of this study was to determine the patient profile, 
      treatment, and outcomes of a coronary care unit (CCU) by retrospective screening 
      of 12-year patient records. MATERIALS AND METHODS: The data of 13,463 patients 
      admitted to the CCU of a tertiary referral hospital between 1 January 1997 and 30 
      June 2008 were collected. The patients were assessed with respect to 
      demographics, admission diagnosis, treatment, and outcomes. RESULTS: The mean age 
      of patients was 61 +/- 13 years (66.7%, male). While the diagnosis of acute 
      coronary syndrome (ACS) accounted for 65%, the rate of ST elevation myocardial 
      infarction (STEMI) was 43.4%. Thrombolytic therapy was administered to 48.7% of 
      the patients with STEMI. Systolic heart failure was the most frequent disease 
      (11.9%) among the non-ACS diagnoses. The mortality rate of the CCU was 12.7% on 
      average; it increased gradually after 2005 when the CCU became a general 
      intensive care unit. CONCLUSION: This study is one of the largest comprehensive 
      analyses of patient profile and outcomes of a CCU. Despite advances in the 
      diagnosis and treatment of cardiac emergencies, the mortality rate of the CCU was 
      high. Serving as a general intensive care unit, the absence of a coronary 
      angiography laboratory and lower use of thrombolytic therapy for STEMI might be 
      responsible factors.
FAU - Dogan, Selami
AU  - Dogan S
AD  - Bayrakli Adalet Family Health Center, Izmir, Turkey.
FAU - Dursun, Huseyin
AU  - Dursun H
AD  - Department of Cardiology, Faculty of Medicine, Dokuz Eylul University, Izmir, 
      Turkey.
FAU - Can, Huseyin
AU  - Can H
AD  - Division of Family Medicine, Faculty of Medicine, Katip Celebi University, Izmir, 
      Turkey.
FAU - Ellidokuz, Hulya
AU  - Ellidokuz H
AD  - Department of Biostatistics and Medical Informatics, Faculty of Medicine, Dokuz 
      Eylul University, Izmir, Turkey.
FAU - Kaya, Dayimi
AU  - Kaya D
AD  - Department of Cardiology, Faculty of Medicine, Dokuz Eylul University, Izmir, 
      Turkey.
LA  - eng
PT  - Journal Article
DEP - 20160419
PL  - Turkey
TA  - Turk J Med Sci
JT  - Turkish journal of medical sciences
JID - 9441758
SB  - IM
MH  - Acute Coronary Syndrome
MH  - Aged
MH  - Coronary Angiography
MH  - *Coronary Care Units
MH  - Female
MH  - Hospitalization
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Coronary care units
OT  - acute coronary syndrome
OT  - demographic analyses
OT  - mortality
OT  - patient outcome
EDAT- 2016/08/12 06:00
MHDA- 2018/09/19 06:00
CRDT- 2016/08/12 06:00
PHST- 2015/02/15 00:00 [received]
PHST- 2015/08/16 00:00 [accepted]
PHST- 2016/08/12 06:00 [entrez]
PHST- 2016/08/12 06:00 [pubmed]
PHST- 2018/09/19 06:00 [medline]
AID - 10.3906/sag-1502-88 [doi]
PST - epublish
SO  - Turk J Med Sci. 2016 Apr 19;46(3):801-6. doi: 10.3906/sag-1502-88.