Effect of Hurricane Katrina on the Incidence of Acute Coronary Syndrome at a Primary Angioplasty Center in New Orleans
Effect of Hurricane Katrina on the Incidence of Acute Coronary Syndrome at a Primary Angioplasty Center in New Orleans
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DOI：
10.1097/dmp.0b013e3181b9db91
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发表时间：
2009-10-01
影响因子：
2.7
通讯作者：
Irimpen, Anand
中科院分区：
文献类型：
--
作者：
Gautam, Sandeep;Menachem, Jonathan;Irimpen, Anand
背景：2005年8月，新奥尔良遭受卡特里娜飓风袭击，这是美国历史上损失最大的自然灾害。先前的研究表明，自然灾害发生后数小时至数周内急性心肌梗死（AMI）的发病率会增加。我们研究的目的是检测卡特里娜飓风后AMI发病率的任何长期增加，并调查任何相关的促成因素。方法：这是一项单中心回顾性队列观察性研究。从医院记录中识别出卡特里娜飓风前2年和医院重新开放后2年（卡特里娜飓风后5个月）入住杜兰健康科学中心医院的AMI患者。结果：在卡特里娜飓风后的11,282例患者中，有246例AMI入院，占总人口的2.18%，而在卡特里娜飓风前的21,229例患者中，有150例AMI入院，占总人口的0.71%（P
Background: In August 2005, New Orleans was hit by Hurricane Katrina, the costliest natural disaster in US history. Previous studies have shown an increase in acute myocardial infarction (AMI) in the immediate hours to weeks after natural disasters. The goals of our study were to detect any long-term increase in the incidence of AMI after Katrina and to investigate any pertinent contributing factors.Methods: This was a single-center retrospective cohort observational study. Patients admitted with AMI to Tulane Health Sciences Center hospital in the 2 years before Katrina and in the 2 years after the hospital reopened (5 months after Katrina) were identified from hospital records. The 2 groups (pre-and post-Katrina) were compared for prespecified demographic and clinical data.Results: In the post-Katrina group, there were 246 admissions for AMI, out of a total census of 11,282 patients (2.18%), as compared with 150 AMI admissions out of a total of 21,229 patients (0.71%) in the pre-Katrina group (P