Samanburður á meðferð og horfum sjúklinga með bráða kransæðastíflu á Landspítalanum og Sjúkrahúsi Reykjavíkur árið 1996
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Introduction: The treatment of patients after acute myocardial infarction (AMI) is in part related to the available technology at the hospital of admission. In Iceland percutaneous transluminal coronary...
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Læknafélag Íslands, Læknafélag Reykjavíkur
2008
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Online Access: | http://hdl.handle.net/2336/18788 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/18788 2023-05-15T16:48:03+02:00 Samanburður á meðferð og horfum sjúklinga með bráða kransæðastíflu á Landspítalanum og Sjúkrahúsi Reykjavíkur árið 1996 Comparison of treatment and prognosis after acute myocardial infarction in two university hospitals in Reykjavik, Iceland 1996 Jón M. Kristjánsson Karl Andersen Landspitali University Hospital, Hringbraut, 101 Reykjaví, Iceland. kandersen@landspitali.is. 2008-02-21 http://hdl.handle.net/2336/18788 ICE is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is/2001/2/fraedigreinar//nr/771/ Læknablaðið 2001, 87(2):127-130 0023-7213 16940677 http://hdl.handle.net/2336/18788 Læknablaðið Kransæðastífla Hjartasjúkdómar LBL12 Myocardial Infarction Prognosis Article 2008 ftlandspitaliuni 2022-05-29T08:21:06Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Introduction: The treatment of patients after acute myocardial infarction (AMI) is in part related to the available technology at the hospital of admission. In Iceland percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG) was only performed at Landspítalinn at the time of the research. We compared the treatment and prognosis of patients after AMI in 1996 at the two university hospitals in Reykjavík, Iceland, Landspítalinn (LSP) and Sjúkrahús Reykjavíkur (SHR). Material and methods: We retrospectivly collected informations on all patients admitted with AMI at LSP and SHR in 1996 and compared mortality, morbidity and interventional procedures at one year after admission. Results: The one-year mortality was 17.7% among patients admitted to LSP compared with 20.8% among patients admitted to SHR (p=0.55). Upon discharge from LSP 82% of patients received aspirin and 68% received a ss-blocker versus 71% and 57% of patients discharged from SHR (p=0.021 and p=0.028 respectively). Conversely 29% of patients were disharged with a calsium-antagonist and 76% with a nitrate from SHR compared with 16% and 51% at LSP (p=0.004 and p<0.001 respectively). There was no diffirence in the use of thrombolytics, angiotensin converting enzyme inhibitors, digoxin, diuretics or antiarrhythmics. Within one year 32% of patients admitted to LSP had undergone PTCA but only 13% of patients admitted to SHR (p<0.001). Further, 10% of patients had undergone CABG within one year at LSP compared with 11% at SHR (p=0.75). On average patients at LSP had a 10 days shorter waiting period from admission to PTCA (p=0.001). Discussion: Despite greater use of PTCA, aspirin and ss-antagonist at LSP compared with SHR there was no significant diffirence in one-year mortality between the hospitals. The greater use of calcium-antagonists and nitrates at discharge among patients discharged from SHR might indicate ... Article in Journal/Newspaper Iceland Reykjavík Reykjavík Hirsla - Landspítali University Hospital research archive Reykjavík Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Kransæðastífla Hjartasjúkdómar LBL12 Myocardial Infarction Prognosis |
spellingShingle |
Kransæðastífla Hjartasjúkdómar LBL12 Myocardial Infarction Prognosis Jón M. Kristjánsson Karl Andersen Samanburður á meðferð og horfum sjúklinga með bráða kransæðastíflu á Landspítalanum og Sjúkrahúsi Reykjavíkur árið 1996 |
topic_facet |
Kransæðastífla Hjartasjúkdómar LBL12 Myocardial Infarction Prognosis |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Introduction: The treatment of patients after acute myocardial infarction (AMI) is in part related to the available technology at the hospital of admission. In Iceland percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG) was only performed at Landspítalinn at the time of the research. We compared the treatment and prognosis of patients after AMI in 1996 at the two university hospitals in Reykjavík, Iceland, Landspítalinn (LSP) and Sjúkrahús Reykjavíkur (SHR). Material and methods: We retrospectivly collected informations on all patients admitted with AMI at LSP and SHR in 1996 and compared mortality, morbidity and interventional procedures at one year after admission. Results: The one-year mortality was 17.7% among patients admitted to LSP compared with 20.8% among patients admitted to SHR (p=0.55). Upon discharge from LSP 82% of patients received aspirin and 68% received a ss-blocker versus 71% and 57% of patients discharged from SHR (p=0.021 and p=0.028 respectively). Conversely 29% of patients were disharged with a calsium-antagonist and 76% with a nitrate from SHR compared with 16% and 51% at LSP (p=0.004 and p<0.001 respectively). There was no diffirence in the use of thrombolytics, angiotensin converting enzyme inhibitors, digoxin, diuretics or antiarrhythmics. Within one year 32% of patients admitted to LSP had undergone PTCA but only 13% of patients admitted to SHR (p<0.001). Further, 10% of patients had undergone CABG within one year at LSP compared with 11% at SHR (p=0.75). On average patients at LSP had a 10 days shorter waiting period from admission to PTCA (p=0.001). Discussion: Despite greater use of PTCA, aspirin and ss-antagonist at LSP compared with SHR there was no significant diffirence in one-year mortality between the hospitals. The greater use of calcium-antagonists and nitrates at discharge among patients discharged from SHR might indicate ... |
author2 |
Landspitali University Hospital, Hringbraut, 101 Reykjaví, Iceland. kandersen@landspitali.is. |
format |
Article in Journal/Newspaper |
author |
Jón M. Kristjánsson Karl Andersen |
author_facet |
Jón M. Kristjánsson Karl Andersen |
author_sort |
Jón M. Kristjánsson |
title |
Samanburður á meðferð og horfum sjúklinga með bráða kransæðastíflu á Landspítalanum og Sjúkrahúsi Reykjavíkur árið 1996 |
title_short |
Samanburður á meðferð og horfum sjúklinga með bráða kransæðastíflu á Landspítalanum og Sjúkrahúsi Reykjavíkur árið 1996 |
title_full |
Samanburður á meðferð og horfum sjúklinga með bráða kransæðastíflu á Landspítalanum og Sjúkrahúsi Reykjavíkur árið 1996 |
title_fullStr |
Samanburður á meðferð og horfum sjúklinga með bráða kransæðastíflu á Landspítalanum og Sjúkrahúsi Reykjavíkur árið 1996 |
title_full_unstemmed |
Samanburður á meðferð og horfum sjúklinga með bráða kransæðastíflu á Landspítalanum og Sjúkrahúsi Reykjavíkur árið 1996 |
title_sort |
samanburður á meðferð og horfum sjúklinga með bráða kransæðastíflu á landspítalanum og sjúkrahúsi reykjavíkur árið 1996 |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2008 |
url |
http://hdl.handle.net/2336/18788 |
long_lat |
ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
Reykjavík Smella |
geographic_facet |
Reykjavík Smella |
genre |
Iceland Reykjavík Reykjavík |
genre_facet |
Iceland Reykjavík Reykjavík |
op_relation |
http://www.laeknabladid.is/2001/2/fraedigreinar//nr/771/ Læknablaðið 2001, 87(2):127-130 0023-7213 16940677 http://hdl.handle.net/2336/18788 Læknablaðið |
_version_ |
1766038144570884096 |