Incidence of emergency department visits for ST-elevation myocardial infarction in a recent six-year period in the United States.
Incidence of emergency department visits for ST-elevation myocardial infarction in a recent six-year period in the United States.
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DOI：
10.1016/j.amjcard.2014.10.020
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发表时间：
2015-01-15
影响因子：
2.8
通讯作者：
Self, Wesley H.
中科院分区：
文献类型：
--
作者：
Ward, Michael J.;Kripalani, Sunil;Zhu, Yuwei;Storrow, Alan B.;Dittus, Robert S.;Harrell, Frank E., Jr.;Self, Wesley H.
目前尚不清楚美国急诊科（ED）就诊的ST段抬高型心肌梗死（STEMI）患者的发病率和纵向趋势。努力使用有效的心血管疾病治疗可能会减少艾德STEMI的表现。我们使用美国艾德数据的最大来源全国艾德样本（NEDS），对2006年至2011年期间到ED就诊的STEMI患者进行了描述性流行病学分析，以确定到美国ED就诊的STEMI患者的发生率。我们纳入了经ICD-9 CM诊断为STEMI的成人艾德就诊，并使用美国人口普查人口数据计算了STEMI艾德就诊的发生率。发病率计算按年龄组、地理区域和年份分层。从2006年到2011年，每年平均有258，106例STEMI提交给ED，从2006年的300，466下降到2011年的227，343。艾德ST段抬高型心肌梗死的发病率从2006年的10.1（95% CI 9.8，10.8）降至2011年的7.3（95% CI 6.8，7.8）。中西部的艾德STEMI发生率最高，为10.0（95% CI 9.2，10.8），西部最低，为6.6（95% CI 6.1，7.0）。在研究期间，所有年龄组的STEMI发病率均下降。总之，我们向美国ED报告了STEMI的第一次全国估计，该估计表明2006年至2011年期间所有年龄组和所有地理区域的发病率均有所下降。STEMI发病率的下降可能会影响STEMI护理的质量和及时性。需要持续的国家STEMI监测来指导医疗资源分配。
The incidence and longitudinal trends of patients with ST-elevation myocardial infarction (STEMI) presenting to U.S. emergency departments (EDs) are currently unknown. Efforts to use effective treatments for cardiovascular disease may decrease ED STEMI presentation. We conducted a descriptive epidemiological analysis of STEMI visits to EDs between 2006 and 2011 using the Nationwide ED Sample (NEDS), the largest source of U.S. ED data, to determine the incidence of patients with STEMIs presenting to U.S. EDs. We included adult ED visits with an ICD-9CM diagnosis of STEMI and calculated incidence rates for STEMI ED visits using U.S. census population data. Incidence calculations were stratified by age group, geographic region, and year. From 2006–2011, there was a mean of 258,106 STEMIs presenting to EDs per year, declining from 300,466 in 2006 to 227,343 in 2011. Incidence of ED STEMI visits per 10,000 adults declined from 10.1 (95% CI 9.8, 10.8) in 2006 to 7.3 (95% CI 6.8, 7.8) in 2011. The Midwest had the highest rate of ED STEMIs at 10.0 (95% CI 9.2, 10.8) and the West had the lowest with 6.6 (95% CI 6.1, 7.0). The incidence of STEMI decreased for all age groups during the study period. In conclusion, we report the first national estimates of STEMI presentation to U.S. EDs, which demonstrate decreasing incidence across all age groups and all geographic regions between 2006 and 2011. A declining STEMI incidence may affect the quality and timeliness of STEMI care. Continued national STEMI surveillance is needed to guide healthcare resource allocation.
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影响因子：
37.8
作者：
Go AS;Mozaffarian D;Roger VL;Benjamin EJ;Berry JD;Blaha MJ;Dai S;Ford ES;Fox CS;Franco S;Fullerton HJ;Gillespie C;Hailpern SM;Heit JA;Howard VJ;Huffman MD;Judd SE;Kissela BM;Kittner SJ;Lackland DT;Lichtman JH;Lisabeth LD;Mackey RH;Magid DJ;Marcus GM;Marelli A;Matchar DB;McGuire DK;Mohler ER 3rd;Moy CS;Mussolino ME;Neumar RW;Nichol G;Pandey DK;Paynter NP;Reeves MJ;Sorlie PD;Stein J;Towfighi A;Turan TN;Virani SS;Wong ND;Woo D;Turner MB;American Heart Association Statistics Committee and Stroke Statistics Subcommittee
通讯作者：
American Heart Association Statistics Committee and Stroke Statistics Subcommittee
影响因子：
2.4
作者：
Cone, David C.;Lee, Christopher H.;Van Gelder, Carin
通讯作者：
Van Gelder, Carin
影响因子：
--
作者：
Bradley, Elizabeth H;Nallamothu, Brahmajee K;Krumholz, Harlan M
通讯作者：
Krumholz, Harlan M
影响因子：
6.2
作者：
Kline, Jeffrey A.;Shapiro, Nathan I.;Nelson, R. Darrell
通讯作者：
Nelson, R. Darrell
影响因子：
5.9
作者：
McManus, David D.;Gore, Joel;Yarzebski, Jorge;Spencer, Frederick;Lessard, Darleen;Goldberg, Robert J.
通讯作者：
Goldberg, Robert J.