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On the contrary, our analysis was conducted in “real-life” conditions.

Eur J Prev Cardiol. Moreover, during this same period, the short-term prognostic of the STEMI’s has improved 3—6 due to several elements such as a better understanding of the delay in the onset of complications, improvements in strategies and equipments for reperfusion and improvements in drug therapies.

Categorical variables are presented as frequencies and percentages. Time-based risk assessment after myocardial infarction. Five-year evolution of reperfusion strategies and early mortality in patients with ST-segment elevation myocardial infarction in France. One could speculate that higher blood levels of creatinine in the late discharge group led to lower prescription rates of ACE inhibitors.

This study confirms that a strategy of early hospital discharge within two days of admission after a STEMI does not raise the risk of mortality in selected patients.

To assess the predictive value of LOS, survival was estimated by Kaplan—Meier survival curves log-rank statistic according to early or late discharge characteristics.

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There are no formal recommendations about the optimal duration of hospitalization due to a lack of data in the literature, often dating from before the time of the major radial bipstatistique in primary percutaneous coronary intervention PPCI and new anti-platelet therapy. InSatilmisoglu et al. Association of changes in clinical characteristics and management with improvement in survival among patients with ST-elevation myocardial infarction.


A logistic regression was performed to find the determinants favorable for early discharge. Je perfectionnerai mes connaissances pour assurer au mieux ma mission. Can we improve length of hospitalization in ST elevation myocardial infarction patients pvem1 with primary percutaneous coronary intervention? A medically trained research coordinator from the RESCUe network systematically contacted each patient at 1, 6 and 12 month intervals to perform a follow-up for this study.

Declining length of stay for patients hospitalized with AMI: A Shapiro test was performed to test the bioostatistique of the continuous variables. Kaplan-Meier survival curves in the early and late discharge groups LOS: It is an honor to have you present for the day of my thesis defense. Reasons making early discharge feasible A better understanding of the patho-physiology involved in the dynamics and mechanisms of STEMI including a more thorough knowledge of the factors leading to the occurrence of complications 4, 5, 7, 26 are among the major reasons that made decreasing LOS and improving the STEMI’s prognostic possible.

Statistical analyses were performed using the boistatistique R 2. In the univariate analyses, we selected and tested the criteria which seemed to be relevant according to the literature; i. Declining length of hospital stay for acute myocardial infarction and postdischarge outcomes: Next day discharge after successful primary angioplasty for acute ST elevation myocardial infarction.

Moreover it would allow for a rapid cardiac rehabilitation associated with an educational program on cardiac follow-up. Feasibility and safety of an early discharge strategy after low-risk acute myocardial infarction treated with primary percutaneous coronary intervention: Early discharge after primary percutaneous coronary intervention for ST-elevation myocardial infarction.

ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Timing, setting and incidence of cardiovascular complications in patients with acute myocardial infarction submitted to primary percutaneous coronary intervention. At one-year follow-up, 27 patients 1. Moreover, it would certainly have important costefficiency impacts.

Prognostic assessment of patients with acute myocardial infarction treated with primary angioplasty: Je ne tromperai jamais leur confiance.


The availability of such data would have very likely been considered as a determinant of early discharge that our trial was unable to demonstrate. Therefore, their results are less able to be extrapolated and to be used in the everyday practice in a CICU. J Am Coll Cardiol.

Relation of length of hospital stay in acute myocardial infarction to postdischarge mortality. We focused on comparing group 1a vs. All of the aforementioned parameters taken from “real-life” conditions corresponded to and validated the criteria described in the literature to aid in the numerically scoring of the post-STEMI risk This care network covers a large territory both rural and urban and spans five administrative regions with a population of more than three million inhabitants.

We excluded patients who had died during hospitalization, 19 patients with discharge data missing and patients with a final diagnostic that did not match with the third universal definition for myocardial infarction 11 corresponding to the definition of STEMI in this study. All patients with missing data were not analyzed.

Sortie precoce post-infarctus du myocarde

Trends and predictors of length of stay after primary lcem1 coronary intervention: Limitations and strengths A limitation inherent to our study was its observational, retrospective and non- randomized design that may have induced potential bias between the groups.

These include the prevention of complications acquired at the hospital i. This network is a regional emergency cardiovascular network Eastern region of France that links ten large PPCI centers together which provide hour service. Comparative effectiveness of primary PCI versus fibrinolytic therapy for ST elevation myocardial infarction: One could speculate that the increasing use of Biostatistiqud would lead to a decreased use of AntiGp2b3a.