Home care provision and nursing home admission after myocardial infarction in relation to cardiogenic shock and out-of-hospital cardiac arrest status
نویسندگان
چکیده
Abstract Background Autonomy is of great importance for quality life. There a paucity data on autonomy those who survive myocardial infarction (MI) with and without cardiogenic shock (CS) out-of-hospital arrest (OHCA). Purpose To examine the association between CS, OHCA, need home care provision or nursing admission as proxy impaired in first-time MI population. Methods Danish nationwide registries were used to identify patients (2009–2019), prior event living at discharged alive. The stratified according CS OHCA status. We report 1-year cumulative incidence composite outcome competing risk death secondary all-cause mortality. Cause specific Cox regression models estimate adjusted hazard ratios (HR) reference. Results identified 61,451 period (by groups: −OHCA/−CS: 59,316, −OHCA/+CS: 1,597, +OHCA/−CS: 913, +OHCA/+CS: 669). incidences care/nursing 6.9% −OHCA/−CS, 21.1% −OHCA/+CS, 5.2% +OHCA/−CS, 8.1% +OHCA/+CS. With −OHCA/−CS reference, HRs 3.12 (95% CI: 2.78–3.49) 1.27 0.95–1.70) 2.31 1.76–3.03) +OHCA/+CS (Figure). mortality 4.8% 10.0% 2.8% 3.7% (adjusted HRs: 2.81 2.55–3.10), 1.09 0.85–1.39) 1.81 1.42–2.30) (Figure 1). Conclusion In selected cohort MI, previous surviving until discharge date, independent status associated less after more than two-fold higher admission. Further, compared Funding Acknowledgement Type funding sources: Public hospital(s). Main source(s): work was supported by Rigshospitalets Research Foundation, Master cabinetmaker Sophus Jacobsen Wife Astrid Director Jacob Madsen Olga Madsens Foundation. source had no role design, conduct, analysis, reporting study.
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ژورنال
عنوان ژورنال: European Heart Journal
سال: 2022
ISSN: ['2634-3916']
DOI: https://doi.org/10.1093/eurheartj/ehac544.1171