Next Article in Journal
Trends of myocardial infarction morbidity and its associations with weather conditions
Previous Article in Journal
Early development of endocrine and metabolic consequences after treatment of central nervous system tumors in children
Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Assessment of coronary care management and hospital mortality from ST-segment elevation myocardial infarction in the Kazakhstan population: Data from 2012 to 2015

1
Kazakh National Medical University, Almaty, Kazakhstan
2
Kazakh Republican Center for Health Development, Astana, Kazakhstan
3
Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
4
Department of Preventive Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2017, 53(1), 58-65; https://doi.org/10.1016/j.medici.2017.01.006
Received: 12 May 2016 / Revised: 2 December 2016 / Accepted: 30 January 2017 / Published: 20 February 2017
Objective: The aim of this study was to assess and evaluate factors related to coronary care management and hospital mortality in patients with ST-segment elevation myocardial infarction (STEMI) hospitalized in the Kazakhstan County and city hospitals in which percutaneous coronary intervention (PCI) was performed during the period of 2012–2015. Materials and methods: A total of 22,176 adult patients (18> years) with acute STEMI were hospitalized from January 2012 to December 2015. All the investigated STEMI patients underwent PCI.Results: The mean age of STEMI patients was 61.52 ± 11.48 years, 72.2% of the patients were male and 75.2% living in the rural regions. The mean time from hospitalization to PCI was 2104.41 ± 5060.68 min (median 95.0 and IQR 1034.5). The mean and median of time from hospitalization to PCI tended to decrease from 2747.7 ± 5793.9 min and 155.0 min in 2012 to 1874.7 ± 4759.2 min and 73.5 min in 2015. Among all STEMI events the percentage of patients from hospitalization to PCI within 0–59 min was up to 39.0% during all study period. From 2012 to 2015, the percentage of STEMI patients with short time (0–59 min) of hospitalization to PCI tended to increase in average by 11.4% per year (P = 0.09). Among all STEMI patients hospital mortality from 2012 to 2015 did not change significantly and ranged from 9.0% in 2012 to 8.6% in 2015. By multiple logistic regression analysis, study years (2012), gender (female), age (60> years), time from hospitalization to PCI (60> min) and number of bed-days were statistically significant factors associated with patients' hospital mortality from STEMI with PCI.Conclusions: The present study demonstrated that hospitalization delay in the treatment of STEMI patients in Kazakhstan population was without significant changes, meanwhile the number of patients perfused within 1 h from hospitalization to PCI tended to increase during 2012–2015. The higher hospital mortality was associated with study year, female gender, older age, longer-time from hospitalization to PCI and shorter hospitalization.
Keywords: ST elevated myocardial infarction; Percutaneous coronary intervention; Sociodemographic factors; Hospital mortality; Kazakhstan ST elevated myocardial infarction; Percutaneous coronary intervention; Sociodemographic factors; Hospital mortality; Kazakhstan
MDPI and ACS Style

Akimbaeva, Z.; Ismailov, Z.; Akanov, A.A.; Radišauskas, R.; Padaiga, Ž. Assessment of coronary care management and hospital mortality from ST-segment elevation myocardial infarction in the Kazakhstan population: Data from 2012 to 2015. Medicina 2017, 53, 58-65.

Show more citation formats Show less citations formats

Article Access Map by Country/Region

1
Back to TopTop