Complicação infecciosa indica mau prognóstico no infarto agudo do miocárdio

Júnior, Leandro Carlos Grandini; Caramelli, Bruno

doi:10.1590/s0066-782x2006001600007

Cited by 4 publications

(5 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study revealed that 16.6% of STEMI patients hospitalized in Florida experienced HAI, approaching the 20.6% prevalence for ICU-acquired infections reported by Vincent et al [13] and over three times the 5% rate reported in studies of AMI [14] and CCU patients [7,15]. Consistent with ICU patients with nosocomial infections [13,16], infected STEMI patients experienced prolonged hospital stays and were more likely to die prior to discharge.…”

Section: Discussionsupporting

confidence: 70%

Prevalence of major infections and adverse outcomes among hospitalized. ST-elevation myocardial infarction patients in Florida, 2006

Nash

Strom

Pathak

2011

BMC Cardiovasc Disord

View full text Add to dashboard Cite

BackgroundST-elevation myocardial infarction (STEMI) patients have risk factors and co-morbidities and require procedures predisposing to healthcare acquired infections (HAIs). As few data exist on the extent and consequences of infections among these patients, the prevalence, predictors, and potential complications of major infections among hospitalized STEMI patients at all Florida acute care hospitals during 2006 were analyzed.MethodsSociodemographic characteristics, risk factors, co-morbidities, procedures, complications, and mortality were analyzed from hospital discharge data for 11, 879 STEMI patients age ≥18 years. We used multivariable logistic regression modeling to examine and adjust for multiple potential predictors of any infection, bloodstream infection (BSI), pneumonia, surgical site infection (SSI), and urinary tract infection (UTI).ResultsThere were 2, 562 infections among 16.6% of STEMI patients; 6.2% of patients had ≥2 infections. The most prevalent HAIs were UTIs (6.0%), pneumonia (4.6%), SSIs (4.1%), and BSIs (2.6%). Women were at 29% greater risk, Blacks had 23% greater risk, and HAI risk increased 11% with each 5 year increase in age. PCI was the only protective major procedure (OR 0.81, 95% CI, 0.69-0.95, p < .05). HAI lengthened hospital stays. STEMI patients with a BSI were almost 5 times more likely (31.3% vs. 6.5%, p < .0001), and those with pneumonia were 3 times more likely (19.6% vs. 6.5%, p < .0001) to die before discharge.ConclusionsThe protective effect of PCI on risk of infection is likely mediated by its many benefits, including reduced length of hospitalizations.

show abstract

Section: Discussionsupporting

confidence: 70%

Prevalence of major infections and adverse outcomes among hospitalized. ST-elevation myocardial infarction patients in Florida, 2006

Nash

Strom

Pathak

2011

BMC Cardiovasc Disord

View full text Add to dashboard Cite

show abstract

“…This may reflect the inhomogeneous definitions of hospital-acquired infection and various indications for PCI (from stable disease to STEMI). Consistent with most studies [6,10,12], pulmonary and urinary tract infections were the most frequent NI site. Even though primary PCI carries vascular invasiveness, the incidence of bloodstream infections was low.…”

Section: Discussionsupporting

confidence: 86%

“…Our study reveals that 11.1% of STEMI patients had a NI during the hospital stay, a prevalence lower than reported by some studies in mixed populations undergoing PCI (from 16% to nearly 30%) [6,10,11], but higher than others (from 2.4 to 5%) [2,3,12]. This may reflect the inhomogeneous definitions of hospital-acquired infection and various indications for PCI (from stable disease to STEMI).…”

Section: Discussioncontrasting

confidence: 66%

Predictors and mid-term outcomes of nosocomial infection in ST-elevation myocardial infarction patients treated by primary angioplasty

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In a retrospective case-control study of 1227 acute MI patients admitted during the previous 47 months, 5% had infectious complications (26). Similar to our findings, patients with infections were older (67.5 vs. 62.6 years), had longer length of hospital stay (26.7 vs. 12 days), and had higher mortality (45 vs. 12%) compared with patients without infections.…”

Section: Discussionmentioning

confidence: 99%

“…However, mortality has reached over 40% in some studies of infection after MI (24,26). In 1 prior study, the most common causes of death in acute MI patients with infections were cardiogenic shock (41%) and septic shock (30%) (26). …”

Section: Discussionmentioning

confidence: 99%