Dying in the myocardial in the dark: sunshine, gender and outcomes in infarction
Dying in the myocardial in the dark: sunshine, gender and outcomes in infarction
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DOI：
10.1177/014107689809100703
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发表时间：
1998-07-01
影响因子：
17.3
通讯作者：
Hays, P
中科院分区：
文献类型：
--
作者：
Beauchemin, KM;Hays, P
我们报告了一个在心脏重症监护病房(CICU)进行的自然实验。我们在精神病室的发现，以及抑郁症心脏病患者的表现不如情绪正常的患者的报告，都提醒了我们，阳光充足的房间可能有助于更好的结果。这628名受试者是直接进入CICU的首次心肌梗死(MI)患者。对那些在阳光充足的房间和在阴暗的房间接受治疗的患者的结果进行了回顾性比较，以了解死亡结果和在CICU的住院时间。患者在阳光充足的房间中停留的时间较短，但显著差异仅限于女性(在阳光充足的房间中治疗2.3天，在阴暗房间中治疗3.3天)。在阴暗的房间里，男性和女性的死亡率都较高(39/335阴暗，21/293晴朗)。我们的结论是，光照可能与心肌梗死的结局有关，这一自然实验值得重复。
We report a natural experiment that took place in a cardiac intensive care unit (CICU). We had been alerted to the possibility that sunny rooms would be conducive to better outcomes by our findings in the psychiatric unit, and by reports that depressed cardiac patients did less well than those in normal mood. The 628 subjects were patients admitted directly to the CICU with a first attack of myocardial infarction (MI). Outcomes of those treated in sunny rooms and those treated in dull rooms were retrospectively compared for fatal outcomes and for length of stay in the CICU.Patients stayed a shorter time in the sunny rooms, but the significant difference was confined to women (2.3 days in sunny rooms, 3.3 days in dull rooms). Mortality in both sexes was consistently higher in dull rooms (39/335 dull, 21/293 sunny). We conclude that illumination may be relevant to outcome in MI, and that this natural experiment merits replication.