Prevalence and outcomes in STEMI patients without standard modifiable cardiovascular risk factors: A National Inpatient Sample Analysis
Current Problems in Cardiology
OBJECTIVE: To evaluate the in-hospital mortality and acute STEMI-related complications in a SMuRF-less STEMI population compared with a SMuRF STEMI population in the United States.
METHODS: The National Inpatient Sample (NIS) Database (2005-2014) was analyzed to identify patients with STEMI using ICD-9. Patients were grouped into SMuRF and SMuRF-less based on the presence of ≥ 1 SMuRF risk factor. The primary outcomes were the prevalence and in-hospital mortality of SMuRF-less patients. Secondary outcomes were rates of in-hospital complications in STEMI patients.
RESULTS: 434,111 STEMI patients were identified with 318,281 (73.4%) and 115830 (26.6%) patients in the SMuRF and SMuRF-less categories, respectively. In multivariable logistic regression analysis, SMuRF-less patients had a higher in-hospital mortality rate (odds ratio [OR]: 1.670; 95% confidence interval [CI]: 1.620-1.722) and acute renal failure (OR: 1.724; 95% CI: 1.662-1.787).
CONCLUSION: SMuRF-less STEMI patients have higher odds of in-hospital mortality and in-hospital STEMI-related complications compared with SMuRF STEMI patients.
Shamaki, G. R., Safiriyu, I., Kesiena, O., Mbachi, C., Anyanwu, M., Zahid, S., Rai, D., Bob-Manuel, T., Corteville, D., Alweis, R., & Batchelor, W. B. (2022). Prevalence and outcomes in STEMI patients without standard modifiable cardiovascular risk factors: A National Inpatient Sample Analysis. Current Problems in Cardiology, 47 (11), 101343. https://doi.org/10.1016/j.cpcardiol.2022.101343