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Predictors of death and mode of death among patients with acute chest pain in various age groups
[external].
1997 (English)In: Cardiology in the Elderly, ISSN 1058-3661, Vol. 8, no 11-12, 719-726 p.Article in journal (Refereed)
Abstract [en]

AIM: To describe predictors of death and mode of death among consecutive patients in various age groups admitted to the emergency department with acute chest pain. METHODS: All such patients admitted to Sahlgrenska University Hospital in Göteborg, Sweden, between February 1986 and November 1987 were prospectively registered. These patients were divided into three age groups: i.e. those aged less than 50 years; those aged 50-75 years; and those aged more than 75 years. RESULTS: In all, 5016 patients participated in the evaluation, of whom 24% died during 5 years of follow-up. One factor was independently associated with death in all three age groups: a normal electrocardiogram in the emergency department (better prognosis). Whereas a history of hypertension or smoking were associated with a worse prognosis in the two lower age groups (age < or = 75 years), a history of diabetes mellitus or congestive heart failure and male sex were associated with a worse prognosis in the two higher age groups (age > or = 50 years). CONCLUSION: Among patients with acute chest pain various risk indicators for death during long-term follow up can be defined in various age groups. However, a normal electrocardiogram on admission to hospital was an independent predictor of a low death rate in all age groups.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins , 1997. Vol. 8, no 11-12, 719-726 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-7849Local ID: 2320/8714OAI: oai:DiVA.org:hb-7849DiVA: diva2:888731
Available from: 2015-12-22 Created: 2015-12-22

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