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RESEARCH PRODUCT

274 Comparative analysis of patients with acute coronary and cerebrovascular syndromes from the national French hospitalisation heath care system database

Luc LorgisYves CottinHervé AubeMaurice GiroudYannick BéjotEric BenzenineMarianne ZellerCatherine Quantin

subject

medicine.medical_specialtybusiness.industryAbsolute risk reductionEarly deathAtrial fibrillationVascular riskmedicine.diseaseTime windowsDiabetes mellitusInternal medicineHospital dischargemedicineNational databasebusinessCardiology and Cardiovascular Medicine

description

Objective To compare vascular risk factor profiles and early outcomes in all French patients hospitalized for either acute coronary (ACS), or cerebrovascular syndromes (CVS), or both, between 2005 and 2008. Setting All French hospitals. Design Retrospective analysis. Data sources National database called “Hospital Discharge Diagnosis Records”. Main outcomes measured Number and annual rates, vascular risk factors, and early outcome of hospitalized patients for a unique stay for ACS or CVS or for both ACV and CVS in a 2-month time window. Results Over the 4-year study-period, 1,189,043 patients were hospitalized for CVS and/or ACS. Among these, 638,061 (53.7%) had CVS alone, 525,419 (44.3%) had ACS alone, and 24,163 (2%) had both. Patients of the latter group were older (75.2 ± 12 years), and had a higher prevalence of hypertension (50.8%), diabetes (26.3%), and atrial fibrillation (23.9%) (p Conclusion Our study conducted in almost 1.2 million hospitalized patients provides clear evidence that patients with both CVS and ACS have a high vascular risk profile and a marked excess risk of early death. Download : Download full-size image

10.1016/s1878-6480(11)70276-2http://dx.doi.org/10.1016/s1878-6480(11)70276-2