The Impact of Hospitalization Time on Major Cardiovascular Event Frequency in Patients with ST-Elevation Myocardial Infarction Over a 6-Month Follow-up

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dc.authoridAhmet Taha Şahin: 0000-0002-2928-1059en_US
dc.authoridNergiz Aydın: 0000-0003-3155-4076en_US
dc.authoridYakup Alsancak: 0000-0001-5230-2180en_US
dc.authoridAhmet Seyfeddin Gürbüz: 0000-0002-9225-925Xen_US
dc.contributor.authorŞahin, Ahmet Taha
dc.contributor.authorAydın, Nergiz
dc.contributor.authorAlsancak, Yakup
dc.contributor.authorGürbüz, Ahmet Seyfeddin
dc.date.accessioned2023-05-18T06:55:08Z
dc.date.available2023-05-18T06:55:08Z
dc.date.issued2023en_US
dc.departmentNEÜ, Meram Tıp Fakültesi, Dahili Tıp Bilimleri, Kardiyoloji Anabilim Dalıen_US
dc.descriptionMakaleen_US
dc.descriptionWOS:000964102000002en_US
dc.description.abstractAim: The mortality rates related to acute myocardial infarction have significantly decreased recently due to early-period cardiovascular interventions. Some studies have shown that there is no difference in cardiovascular outcomes between the early discharge and the late one. In this study, we planned to investigate the effects of early and late discharge on the frequency of major events in patients treated for acute ST-segment elevation myocardial infarction (STEMI) in our clinic. Methods: Angiography records, demographic characteristics, and laboratory parameters of the patients who were diagnosed with acute STEMI in our clinic between February 2020 and December 2021 were examined. Patients were classified as being in Group 1 (discharge within 48 h) or Group 2 (discharge after 48 h), and rates of recurrent hospitalization, heart failure attacks, cardiovascular events, and death were compared between the two groups. Results: A total of 321 patients were included in our study. There were 129 patients in Group 1 and 192 patients in Group 2. There was no difference between the two Groups in terms of gender, age, or affected coronary vessels. The ejection fraction was lower in the late discharge group (p=0.004). The postoperative ventricular arrhythmia rate was found to be statistically significantly higher in the late discharge group (p=0.046). There was no difference in cardiovascular events between the first and sixth months in either group (p-values of 0.096 and 0.649, respectively). Conclusion: Considering the positive economic and psychosocial effects of early discharge for the patient and physician, when planning the discharge of patients with STEMI, patients with low comorbidity, unaffected ejection fractions, no malignant arrhythmia in their follow-up, and appropriate laboratory parameters can be evaluated for early discharge.en_US
dc.identifier.citationŞahin, A. T., Aydın, N., Alsancak, Y., Gürbüz, A. S. (2023). The impact of hospitalization time on major cardiovascular event frequency in patients with ST-elevation myocardial infarction over a 6-month follow-up. The Medical Bulletin of Haseki, 61, 1, 7-13.en_US
dc.identifier.doi10.4274/haseki.galenos.2023.8368en_US
dc.identifier.endpage13en_US
dc.identifier.issn1302-0072en_US
dc.identifier.issn2147-2688en_US
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage7en_US
dc.identifier.urihttp://dx.doi.org/10.4274/haseki.galenos.2023.8368
dc.identifier.urihttps://hdl.handle.net/20.500.12452/9640
dc.identifier.volume61en_US
dc.identifier.wosWOS:000964102000002en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherGalenos Publishing Houseen_US
dc.relation.ispartofThe Medical Bulletin of Hasekien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAngiographyen_US
dc.subjectCoronary Vesselsen_US
dc.subjectHeart Failureen_US
dc.subjectPatient Dischargeen_US
dc.subjectST-Segment Elevation Myocardial İnfarctionen_US
dc.titleThe Impact of Hospitalization Time on Major Cardiovascular Event Frequency in Patients with ST-Elevation Myocardial Infarction Over a 6-Month Follow-upen_US
dc.typeArticleen_US

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