Anemia in patients with high-risk acute coronary syndromes admitted to Intensive Cardiac Care Units

作     者：Victoria Lorente Jaime Aboal Cosme Garcia Jordi Sans-Rosello Antonia Sambola Rut Andrea Carlos Tomas Gil Bonet David Vinas Nabil el Ouaddi Santiago Montero Javier Cantalapiedra Margarida Pujol Isabel Hernandez Maria Perez-Rodriguez Isaac Llao Jose C Sanchez-Salado Miquel Gual Albert Ariza-Sole 无 Victòria Lorente;Jaime Aboal;Cosme Garcia;Jordi Sans-Roselló;Antonia Sambola;Rut Andrea;Carlos Tomás;Gil Bonet;David Vi(n)as;Nabil el Ouaddi;Santiago Montero;Javier Cantalapiedra;Margarida Pujol;Isabel Hernández;María Pérez-Rodriguez;Isaac Llaó;José C Sámchez-Salado;Miquel Gual;Albert Ariza-Solé

作者机构：Hospital Universitari de BellvitgeL’Hospitalet de LlobregatBarcelonaSpain Hospital Unversitari Josep TruetaGironaSpain Hospital Universitari Germans Trias i Pujol BadalonaBarcelonaSpain Hospital de la Santa Creu i Sant PauInstituto de Investigación Biomedica IIB Sant PauUniversitat Autonoma de Barcelona(UAB)BarcelonaSpain Hospital Universitari de la Vall d’HebronBarcelonaSpain Hospital Clinic i ProvicialBarcelonaSpain Hospital Arnau de VilanovaLleidaSpain Hospital Joan XXIIITarragonaSpain the Grup de Treball de Cures Agudes Cardiologiques de la Societat Catalana de Cardiologia 

出 版 物：《Journal of Geriatric Cardiology》 (老年心脏病学杂志（英文版）)

年 卷 期：2020年第17卷第1期

页      面：35-42页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Acute coronary syndromes Anemia Intensive cardiac care units Prognosis 

摘      要：Background Little information exists about the role of anemia in patients with acute coronary syndromes(ACS)admitted to Intensive Cardiac Care Units(ICCU).The aim of this study was to assess the prevalence of anemia and its impact on management and outcomes in this clinical *** All consecutive patients admitted to eight different ICCUs with diagnosis of non-ST segment elevation ACS(NSTEACS)were prospectively *** was defined as hemoglobin130 g/L in men and120 g/L in *** association between anemia and mortality or readmission at six months was assessed by the Cox regression *** A total of 629 patients were *** age was 66.6 years.A total of 197 patients(31.3%)had *** angiography was performed in most patients(96.2%).Patients with anemia were significantly older,with a higher prevalence of comorbidities,poorer left ventricle ejection fraction and higher GRACE score *** with anemia underwent less often coronary angiography,but underwent more often intraaortic counterpulsation,non-invasive mechanical ventilation and renal replacement *** ICCU and hospital stay were significantly longer in patients with *** the incidence of mortality(HR=3.36,95%CI:1.43–7.85,P=0.001)and the incidence of mortality/readmission were significantly higher in patients with anemia(HR=2.80,95%CI:2.03–3.86,P=0.001).After adjusting for confounders,the association between anemia and mortality/readmission remained significant(P=0.031).Conclusions Almost one of three NSTEACS patients admitted to ICCU had *** patients underwent coronary *** was independently associated to poorer outcomes at 6 months.