Assessment of In-Hospital Mortality and Its Risk Factors in Patients with Myocardial Infarction Considering the Logistical Aspects of the Treatment Process—A Single-Center, Retrospective, Observational Study

Lukasz Gawinski (), Monika Burzynska, Michal Marczak and Remigiusz Kozlowski
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Lukasz Gawinski: Department of Management and Logistics in Health Care, Medical University of Lodz, 90-237 Lodz, Poland
Monika Burzynska: Department of Epidemiology and Biostatistics, Medical University of Lodz, 90-237 Lodz, Poland
Michal Marczak: Collegium of Management, WSB University in Warsaw, 03-204 Warsaw, Poland
Remigiusz Kozlowski: Center of Security Technologies in Logistics, Faculty of Management, University of Lodz, 90-237 Lodz, Poland

IJERPH, 2023, vol. 20, issue 4, 1-20

Abstract: Technological progress, such as the launching of a new generation of drug-coated stents as well as new antiplatelet drugs, has resulted in the treatment of myocardial infarction (MI) becoming much more effective. The aim of this study was to assess in-hospital mortality and to conduct an assessment of risk factors relevant to the in-hospital death of patients with MI. This study was based on an observational hospital registry of patients with MI (ACS GRU registry). For the purpose of the statistical analysis of the risk factors of death, a univariate logistic regression model was applied. In-hospital general mortality amounted to 7.27%. A higher death risk was confirmed in the following cases: (1) serious adverse events (SAEs) that occurred during the procedure; (2) patients transferred from another department of a hospital (OR = 2.647, p = 0.0056); (3) primary percutaneous coronary angioplasty performed on weekdays between 10 p.m. and 8 a.m. (OR = 2.540, p = 0.0146). The influence of workload and operator experience on the risk of death in a patient with MI has not been confirmed. The results of this study indicate the increasing importance of new risk factors for in-hospital death in patients with MI, such as selected logistical aspects of the MI treatment process and individual SAEs.

Keywords: myocardial infarction; in-hospital death; logistical aspects of the treatment process (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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