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Analysis On The Epidemiological Characteristics Of 1325 Cases Of Acute Myocarducal Inarctuo Hospitalized Patients

Posted on:2017-02-10Degree:MasterType:Thesis
Country:ChinaCandidate:J LuFull Text:PDF
GTID:2284330488958052Subject:Emergency medicine
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Objective:To analysis the epidemiological characteristics of acute myocardial infarction hospitalized patients of the Fourth Affiliated Hospital of GuangXi Medical University from 2011 to 2015. Revealing the characteristics and regularity of the region at the present stage with an aim to prevention of the disease such as to provide scientific basis,improve the successful rate and reduce mortality.Methods:Clinical data of AMI hospitalized patients in the Fourth Affiliated Hospital of GuangXi Medical University was retrospectively analyzed by the way of collecting medical records From January 2010 to December 2015.The medical records were collected statistical analysis including gender, the patients’ age, occupation, administrative region,first clinical department,the number of patients in every seasons and time frame,Myocardial infarction area, cause of AMI,risk factors,length of stay,hospitalization expenses,heart declines etc.Using SPSS 19.0 software for statistical,analysis and obtained the corresponding results.Results:There were 1438 cases of AMI patients in our hospital from 2011 to 2015,and excluded the cases with the incomplete data and repeated cases,the final cases were 1325. The population of AMI hospitalized patients was increased year by year with the average annual growth rate of 12.64% in the past 5 year. Of the 1325 AMI hospitalized patients,1005 were men and 320 were women, male to female ratio of 3.14:1,and the number of male AMI patients was greater than female.The age ranged from 20 to 99, with the average age of (63.62+12.85),and the patients’age concentrated 61 to 90. Retirees belong to the high-risk population, accounting for 62.42%.AMI patients came from Yufeng District accounting for 37.96%,51.92% of them came to the emergency department fist and 48.53% of them had to use the ambulance to transport.In the winter AMI occurred more than its in the summer.The population of AMI was the most on December. The three peak period of AMI happened every day were 5:00 to 6:00,14:00 to 15:00,and 19:00 to 20:00.Anterior wall myocardial infarction accounting for 56.91% of the total proportion of AMI in different parts.Patients’under the age of 40 occurred Inferior wall myocardial infarction and the older occurred Anterior wall myocardial infarction most with P<0.05. Gender,age,a positive family history,hypertension,diabetes,dyslipidemia,Smoking,drinking and obesity were the risk factors of the disease,and the average hospitalization time was (10.20+ 6.21) days. The average hospitalization expenses were (30713.77+21137.12) yuan.The average hospitalization was shorter than earlier but the average age,Case fatality rate and The average hospitalization expenses were indiscriminate.The incidences of in-hospital heart failure showed no significantly difference with P>0.05, and mortality was higher after the establishment of Chest Pain Center.Conclusion:The characteristics of the onset of AMI of LiuZhou has its own characteristics.Paying attention to the propaganda of high-risk groups to advocate a healthy lifestyle and strengthen the construction of the center of the chest pain so as to improve the treatment of specifications,and the successful rate of AMI patients.
Keywords/Search Tags:hospitalized patient, acute myocardial infarction, epidemiology, characteristics analysis
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