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A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors

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ชื่อเรื่อง : A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors
นักวิจัย : Chau-In W. , Chanthawong S. , Pipanmekaporn T. , Kongsayreepong S. , Chittawatanarat K. , Rojanapithayakorn N.
คำค้น : -
หน่วยงาน : มหาวิทยาลัยเชียงใหม่
ผู้ร่วมงาน : -
ปีพิมพ์ : 2559
อ้างอิง : 01252208 , 2-s2.0-85012134247 , https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012134247&origin=inward , http://cmuir.cmu.ac.th/jspui/handle/6653943832/41586
ที่มา : -
ความเชี่ยวชาญ : -
ความสัมพันธ์ : -
ขอบเขตของเนื้อหา : -
บทคัดย่อ/คำอธิบาย :

© 2016, Medical Association of Thailand. All rights reserved. Introduction: To describe the incidence, characteristics and outcomes of acute myocardial infarction (AMI) and determine risk factor(s) of AMI in THAI-surgical intensive care unit (SICU). Material and Method: This study was multicenter prospective cohorts study that conducted data from 9 university-affiliated SICUs in Thailand between April 2011 and January 2013. We collected and evaluated data of AMI events. The patients were followed-up for up to 28 days after admitted to the SICUs. Results: The overall incidence of AMI in SICU was 1.4% (66 of 4,652 patients). Non-ST elevated MI was the most common electrocardiography (ECG) presentation (75%). The common clinical sign and symptom of AMI included ECG changes (53%) and elevation of cardiac enzymes (48.5%). Patients with AMI had significantly higher 28-day mortality rate (28.8% versus 13.6%, p < 0.001) than those with non-MI. The Acute Physiologic and Chronic Health Evaluation (APACHE) II scores (RR 1.04, 95% CI 1.01-1.07, p = 0.003) and age > 65 year (RR 2.54, 95% CI 1.36-4.75, p = 0.003) were significant risk factors of AMI. Conclusion: The incidence of AMI in the SICU was uncommon but led to significantly higher mortality rates. The APACHE II score and age > 65 year were significant predictors of AMI in SICU.

บรรณานุกรม :
Chau-In W. , Chanthawong S. , Pipanmekaporn T. , Kongsayreepong S. , Chittawatanarat K. , Rojanapithayakorn N. . (2559). A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors.
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ .
Chau-In W. , Chanthawong S. , Pipanmekaporn T. , Kongsayreepong S. , Chittawatanarat K. , Rojanapithayakorn N. . 2559. "A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors".
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ .
Chau-In W. , Chanthawong S. , Pipanmekaporn T. , Kongsayreepong S. , Chittawatanarat K. , Rojanapithayakorn N. . "A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors."
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ , 2559. Print.
Chau-In W. , Chanthawong S. , Pipanmekaporn T. , Kongsayreepong S. , Chittawatanarat K. , Rojanapithayakorn N. . A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors. เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ ; 2559.