Publication: A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors
Issued Date
2016-09-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-85012134247
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.99, No.9 (2016), S74-S82
Suggested Citation
Waraporn Chau-In, Sarinya Chanthawong, Tanyong Pipanmekaporn, Suneerat Kongsayreepong, Kaweesak Chittawatanarat, Nonthida Rojanapithayakorn A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors. Journal of the Medical Association of Thailand. Vol.99, No.9 (2016), S74-S82. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/41145
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
A multi-center thai university-based surgical intensive care unit study (THAI-SICU study): Incidence of acute myocardial infarction and associated factors
Other Contributor(s)
Abstract
© 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.