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Predictors of 1-year Mortality after Out-of-hospital resuscitation with Acute Myocardial Infarction among Hospital survivors
순천성가롤로병원 순환기내과, 대한심장학회 Korea Acute Myocardial Infarction Registry¹
이민근, 김준영, 김우종, 윤재성, 문재현, 김수현, 조장현, Korea Acute Myocardial Infarction Registry investigators¹
OBJECTIVE: The aim of the present study is to assess the predictors of 1-year mortality among hospital survivors from out-of-hospital resuscitation (OHR) with acute myocardial infarction (AMI). METHODS: We evaluated 130 eligible patients (59.9±13.7 years; 94 male) from the Korea Acute Myocardial Infarction Registry (KAMIR) who completed 1-year follow-up among 216 hospital survivors from OHR with AMI. Patients were divided into two groups: Group I (Survivors: n=120; 58.9±13.5 years; 90 male) and Group II(Non-survivors: n=10; 73±9.3 years; 4 male). RESULTS: Group I patients were more male-dominant and younger than Group II (p<0.05). Maximal CK-MB and LDL-cholesterol levels were significantly lower in Group II (p<0.05). History of percutaneous coronary intervention (PCI), DM and renal dysfunction (estimated GFR <60 mL/min/1.73㎡) were more common in Group II (p<0.05). Stroke during hospitalization was more common in Group II (p=0.015). PCI was performed less frequently in Group II (p<0.05). β-blocker and statin were less frequently prescribed at discharge in Group II (p<0.05). On multiple logistic regression analysis, age (OR 1.12, p=0.002), stroke (OR 210.53, p=0.007) and DM (OR, 11.67, p=0.008) were identified as significant predictors of 1-year mortality. CONCLUSIONS: In patients of hospital survivors after OHR from AMI, 1-year mortality rate was low (7.7%) and mortality predictors were age, stroke and DM.


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