Next Article in Journal
The Importance of Time to Prostate-Specific Antigen (PSA) Nadir after Primary Androgen Deprivation Therapy in Hormone-Naïve Prostate Cancer Patients
Next Article in Special Issue
Epilepsy in Children: From Diagnosis to Treatment with Focus on Emergency
Previous Article in Journal
Discovery of Potential Plant-Derived Peptide Deformylase (PDF) Inhibitors for Multidrug-Resistant Bacteria Using Computational Studies
Previous Article in Special Issue
Seasonality of the Cardiac Biomarker Troponin in the Eastern Croatian Population
Article Menu
Issue 12 (December) cover image

Export Article

Open AccessArticle
J. Clin. Med. 2018, 7(12), 564; https://doi.org/10.3390/jcm7120564

Hospitalization Length after Myocardial Infarction: Risk-Assessment-Based Time of Hospital Discharge vs. Real Life Practice

1
2nd Department of Cardiology and Cardiovascular Interventions, University Hospital in Krakow, 31-501 Krakow, Poland
2
Institute of Cardiology, Jagiellonian University Medical College, 31-501 Krakow, Poland
*
Author to whom correspondence should be addressed.
Received: 7 December 2018 / Accepted: 15 December 2018 / Published: 18 December 2018
(This article belongs to the Special Issue Cardiovascular and Neurological Emergency)
Full-Text   |   PDF [1208 KB, uploaded 18 December 2018]   |  

Abstract

According to guidelines, it is safe for low-risk patients with myocardial infarction (MI) to be discharged within 72 h of hospitalization. However, results coming from registries show that the hospital stay is often much longer in a real-life situation. Data on the length of the hospital stay (LOS) of MI patients in Polish centers are lacking. We enrolled 212 consecutive patients with acute MI. Low-risk patients were defined according to PAMI II criteria: age <70 years, left ventricular ejection fraction (LVEF) >45%, no persistent ventricular arrhythmia, and no multi-vessel disease (MVD). The median of the hospitalization length was eight days (Q1: 6; Q3: 9). In low-risk patients (25%), the median of LOS was six days (Q1: 5; Q3: 7) (p < 0.001). In a logistic regression analysis patients age, LVEF, ST-segment-elevation MI and the presence of MVD were independent predictors of longer hospitals stay (≥8 days). During follow up, there were no significant differences in the rates of clinical events between patients with shorter (<8 days) and longer (≥8 days) hospitalization. In a real-life situation, the LOS, even in low-risk patients is much longer than recommended in the guidelines. View Full-Text
Keywords: myocardial infarction; hospitalization length; predictors; follow up myocardial infarction; hospitalization length; predictors; follow up
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Węgiel, M.; Dziewierz, A.; Wojtasik-Bakalarz, J.; Sorysz, D.; Surdacki, A.; Bartuś, S.; Dudek, D.; Rakowski, T. Hospitalization Length after Myocardial Infarction: Risk-Assessment-Based Time of Hospital Discharge vs. Real Life Practice. J. Clin. Med. 2018, 7, 564.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
J. Clin. Med. EISSN 2077-0383 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top