Selami Doğan1, Hüseyin Dursun2, Hüseyin Can3, Hülya Ellidokuz4, Dayimi Kaya2. 1. Bayraklı Adalet Family Health Center, İzmir, Turkey. 2. Department of Cardiology, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey. 3. Division of Family Medicine, Faculty of Medicine, Katip Çelebi University, İzmir, Turkey. 4. Department of Biostatistics and Medical Informatics, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey.
Abstract
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.
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.
Authors: Mustafa Kemal Erol; Meral Kayıkçıoğlu; Mustafa Kılıçkap; Can Baba Arın; Ibrahim Halil Kurt; Ibrahim Aktaş; Yılmaz Güneş; Eyüp Özkan; Taner Şen; Orhan Ince; Ender Örnek; Ramazan Asoğlu; Nesim Aladağ; Utku Zeybey; Ümit Yaşar Sinan; Muhammet Dural; Haşim Tüner; Arda Doğan; Mustafa Yenerçağ; Mehmet Akboğa; Onur Sinan Deveci; Mustafa Umut Somuncu Journal: Anatol J Cardiol Date: 2020-07 Impact factor: 1.596