Article information
Introducción
El incremento de la población de adultos mayores hace más frecuente la observación de infarto agudo del miocardio en personas de 75 años o más. Aproximadamente 30% de los casos de infarto agudo del miocardio se presentan en estas edades. Sin embargo, no se han explorado las variables relacionadas con mortalidad hospitalaria en Cartagena de Indias, Colombia.
ObjetivoExplorar algunas variables asociadas con mortalidad por infarto del miocardio en adultos hospitalizados mayores de 75 años, en Cartagena de Indias, Colombia.
MétodoSe realizó un estudio analítico observacional transversal. Se revisaron historias clínicas de pacientes hospitalizados por infarto agudo del miocardio durante 2008 y 2009. Se realizó regresión logística para ajustar las asociaciones.
ResultadosParticiparon ochenta personas adultas con edades entre 75 y 94 años, media para la edad de 80,7 años; 50% mujeres. Durante la hospitalización murieron veinte pacientes (25,0%). La mortalidad se asoció de manera significativa con Killip III-IV (OR=5,93; IC95% 1,80-19,53).
ConclusionesPresentar Killip III-IV al ingreso a causa de un infarto agudo del miocardio, se asocia con mayor mortalidad en adultos mayores de 75 años. Se requieren estudios con mayor muestra de participantes para corroborar los hallazgos.
Palabras clave:
infarto del miocardio
anciano
hospitalización
mortalidad
estudios transversales (Fuente: DeCS, BIREME)
Introduction
The increment of elderly population enables the observation of myocardial infarction in people aged 75 years or more. Approximately 30% of the cases of acute myocardial infarction are present at these ages. However, the variables related to hospital mortality in Cartagena de Indias, Colombia, have not been explored.
ObjectiveExplore some variables associated to mortality for myocardial infarction in hospitalized adults over 75 in Cartagena de Indias, Colombia.
MethodWe performed an analytical cross-sectional observational study. The clinical records of patients hospitalized for acute myocardial infarction during 2008 and 2009 were reviewed. We made a logistic regression in order to adjust the associations.
ResultsEighty adults with ages between 75 and 94 years participated in the study. Mean age was 80,7 ears; 50% were women. During the hospitalization, twenty patients (25,0%) died. Mortality was significantly associated to Killip III-IV (OR=5,93; IC 95% 1,80-19,53).
ConclusionsThe presence of Killip III-IV on admission due to acute myocardial infarction is associated to higher mortality in adults over 75 years. Studies with a higher number of participants are required to corroborate these findings.
Keywords:
myocardial infarction
elderly
hospitalization
mortality
cross-sectional studies (Source: MSH, NLM)
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