Coronary artery diseaseRate of Acute ST-Elevation Myocardial Infarction in the United States from 1988 to 2004 (from the Nationwide Inpatient Sample)
Section snippets
Methods
The NIS is a set of longitudinal hospital inpatient databases included in the Healthcare Cost and Utilization Project. These databases are created by the Agency for Healthcare Research and Quality through a federal–state–industry partnership. Healthcare Cost and Utilization Project data inform decision-making at the national, state, and community levels. Researchers and policymakers use the NIS to identify, track, and analyze national trends in health care use, access, charges, quality, and
Results
The NIS database contained information on 1,352,574 patients who had a diagnosis of STEMI from 1988 to 2004 and were 40 years of age. Mean age for these patients was 66.06 ± 13.69 years. Men had almost 2 times the age-adjusted STEMI rate as women (men 62.4%, women 37.6%). From 1988 the age-adjusted rate for all acute STEMIs remained steady for 8 years (108.32 per 100,000, 95% CI 99.0 to 117.5, in 1988 and 102.5 per 100,000, 95% CI 94.7 to 110.4, in 1996). However, from 1996 onward, the
Discussion
A recent report from the National Center for Health Statistics showed that there were 1,565,000 hospitalizations due to an acute coronary syndrome in 2004. Among them, 669,000 were admitted for unstable angina pectoris and 896,000 for MI.1 Cardiovascular disease is 1 of the major reasons for visits to the emergency department; in 2003 this accounted for approximately 4,497,000 visits.1 Our study included 1,352,574 patients who had a diagnosis of STEMI from 1988 to 2004 in the NIS database.
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Trends in the Age Adjusted Mortality from Acute ST Segment Elevation Myocardial Infarction in the United States (1988-2004) Based on Race, Gender, Infarct Location and Comorbidities
2009, American Journal of CardiologyCitation Excerpt :We found a significant decrease in the age-adjusted in-hospital mortality rate from STEMIs over the past decade. This finding, in addition to our recently published data showing a decrease in the age-adjusted prevalence of STEMIs, is very encouraging.5 STEMI is the clinical and electrocardiographic manifestation of a complete epicardial coronary occlusion.