The predictive factors of mortality in STEMI patients at community hospitals and private network hospitals
Keywords:
Mortality, Acute Myocardial Infarction, Community Hospitals, Private Network HospitalsAbstract
Objective: To study the factors predicting mortality in STEMI patients in community hospitals and private network hospitals.
Methods: This is a retrospective study with two sample groups: 148 patients from private network hospitals and 154 patients from community hospitals between January 1, 2015, and December 30, 2024. Descriptive statistics were used, and the analysis was performed with univariate and multivariate factors.
Results: The general characteristics of STEMI patients who died in private network hospitals and community hospitals showed no significant differences, except for the duration of FMC to device time >120 minutes. It was found that community hospitals had a longer duration (84.37 ± 3.92 minutes, 38.12 ± 6.85 minutes) and a higher mortality rate compared to private network hospitals (24.67% vs. 18.24%). Factors influencing mortality in STEMI patients in both private network and community hospitals included age > 60 years, previous MI, and Onset-to-FMC > 180 minutes. Factors that differed between the two groups were stroke, ESI level 3 or 4, cardiogenic shock, smoking history, door to EKG > 10 minutes, and FMC to device time >120 minutes.
Conclusion: This study found that age > 60 years, previous MI, and Onset-to-FMC > 180 minutes were significant factors influencing mortality in STEMI patients in both community hospitals and private network hospitals.
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