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Acta clinica Croatica, Vol. 61. No. 1., 2022.

Original scientific paper

https://doi.org/10.20471/acc.2022.61.01.03

Correlates of In-Hospital Mortality in Patients with Acute Coronary Syndrome in Kosovo

Musli M. Gashi orcid id orcid.org/0000-0002-1161-2710 ; Faculty of Medicine, Hasan Prishtina University, Prishtina, Kosovo; Emergency Center, University Clinical Center of Kosova, Prishtina, Kosovo
Gani Bajraktari orcid id orcid.org/0000-0003-0410-968X ; Faculty of Medicine, Hasan Prishtina University, Prishtina, Kosovo; Department of Cardiology, University Clinical Center of Kosova, Prishtina, Kosovo
Sanije L. Gashi ; Faculty of Medicine, Hasan Prishtina University, Prishtina, Kosovo; National Institute of Public Health of Kosovo, Prishtina, Kosovo
Hasan R. Ahmeti ; Faculty of Medicine, Hasan Prishtina University, Prishtina, Kosovo; Department of Surgery, University Clinical Center of Kosova, Prishtina, Kosovo
Vesna Degoricija orcid id orcid.org/0000-0001-6226-4018 ; University of Zagreb School of Medicine, Zagreb, Croatia; Department of Intensive Care Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

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Abstract

It has been demonstrated that pre-hospital emergency care reduces in-hospital mortality
in patients admitted with acute coronary syndrome (ACS). The aim of this study was to analyze
the relationship between pre-hospital emergency care and in-hospital mortality in ACS patients treated
at the University Clinical Centre of Kosovo Emergency Department (UCCK ED). This observational
clinical study included 1498 ACS patients treated at UCCK ED and followed-up by phone call for one
year after discharge from the hospital. According to multivariate Cox regression analysis, age (HR=2.37,
95% CI 1.67-3.52), pre-hospital emergency care (HR=3.92, 95% CI 2.35-6.54), STEMI (HR=6.17,
95% CI 3.22-15.31), diabetes mellitus (HR=3.01, 95% CI 1.98-3.78), left ventricular ejection fraction
<40% (HR=17.63, 95% CI 11.2-30.54) and ex-smoking (HR=2.34, 95% CI 1.57-3.85) were significant
predictors of mortality in ACS patients. In-hospital mortality of patients admitted with ACS remains
high in Kosovo as compared with developed countries. A better strategy for pre-hospital emergency care
in Kosovo is recommended to save lives in these high-risk patients.

Keywords

In-hospital mortality; Acute coronary syndrome; Emergency department

Hrčak ID:

280103

URI

https://hrcak.srce.hr/280103

Publication date:

1.3.2022.

Article data in other languages: croatian

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