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J. Clin. Med. 2018, 7(12), 564;

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

2nd Department of Cardiology and Cardiovascular Interventions, University Hospital in Krakow, 31-501 Krakow, Poland
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)
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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

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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.

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