ArticleInternational urology and nephrology2013
In-hospital mortality in patients with renal dysfunction admitted for myocardial infarction: the Emilia-Romagna region of Italy database of hospital admissions.
Article in International urology and nephrology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Food insecurity and kidney disease: a systematic review.International urology and nephrology · 2024Pooled it
- Takotsubo syndrome and dialysis: an uncommon association?The Journal of international medical research · 2018Pooled it
- Venous Doppler flow patterns, venous congestion, heart disease and renal dysfunction: A complex liaison.World journal of cardiology · 2024Article
- Validation and Comparison of a Modified Elixhauser Index for Predicting In-Hospital Mortality in Italian Internal Medicine Wards.Risk management and healthcare policy · 2020Article
- Acute Kidney Injury and In-Hospital Mortality: A Retrospective Analysis of a Nationwide Administrative Database of Elderly Subjects in Italy.Journal of clinical medicine · 2019Article
- Infections and internal medicine patients: Could a comorbidity score predict in-hospital mortality?Medicine · 2018Observational
- Impact of chronic kidney disease on mortality in older adults treated with pacemaker implantation.Journal of geriatric cardiology : JGC · 2017Article
- Lung and kidney: a dangerous liaison? A population-based cohort study in COPD patients in Italy.International journal of chronic obstructive pulmonary disease · 2017Article
- Impact of comorbidity on outcome in kidney transplant recipients: a retrospective study in Italy.Internal and emergency medicine · 2016Article
- Impact of renal dysfunction on in-hospital mortality of patients with severe chronic obstructive pulmonary disease: a single-center Italian study.International urology and nephrology · 2016Article
- Are nephrologists involving all physicians for management of sudden cardiac arrest in chronic kidney disease patients?International urology and nephrology · 2015Article
- In-hospital mortality for pulmonary embolism: relationship with chronic kidney disease and end-stage renal disease. The hospital admission and discharge database of the Emilia Romagna region of Italy.Internal and emergency medicine · 2013Article
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9 authors at 2 institutions in 1 country.
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Abstract
backgroundIn-hospital mortality of patients with myocardial infarction (MI) in different European populations and renal dysfunction is variable. We aimed to evaluate in-hospital mortality for MI in chronic kidney disease (CKD), in end-stage renal disease (ESRD), and in subjects admitted for MI without renal dysfunction living in the Emilia-Romagna region of Italy.
methodsWe considered all cases of MI (first event) recorded in the database of hospital admissions of the region Emilia-Romagna of Italy, from January 1999 to December 2009. The criterion for inclusion was the presence, as a first discharge diagnosis, of acute MI (International Classification of Diseases, 9th Revision, Clinical Modification). The Charlson comorbidity index (CCI), with the exclusion of CKD, was calculated. The outcome variable was in-hospital mortality for MI, and its association with comorbidities, CKD and ESRD, was analyzed.
resultsDuring the considered period, 88,014 cases of first MI were recorded. The percentage of patients admitted with MI and died during hospitalization were higher in patients with ESRD (38.3 %) and CKD (16.5 %) than in those without renal dysfunction (14 %) (p < 0.01). In CKD and ESRD patients, data of in-hospital mortality for MI exhibited a twofold increase in the analyzed period. In-hospital mortality for MI was independently associated with age (OR 1.077, 95 % CI 1.075-1.080, p < 0.001), CCI excluding CKD (OR 1.101, 95 % CI 1.069-1.134, p < 0.001), cerebrovascular disease (OR 1.450, 95 % CI 1.349-1.557, p < 0.001), malignancy (OR 1.234, 95 % CI 1.153-1.320, p < 0.001), and ESRD (OR 4.137, 95 % CI 3.511-4.875, p < 0.001).
conclusionsAs for the Emilia-Romagna region of Italy, in-hospital mortality for MI is increasing over the last years, and mortality seems to be related with patients' comorbidities and presence of advanced stages of CKD.
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