Acute cardiac care & resuscitation
Outcomes for Mechanically Ventilated Patients With Acute Myocardial Infarction Admitted to Medical vs Cardiac Intensive Care Units
Main finding · In-hospital mortalityResult — go to the resultOdds ratio 0.85 95% CI 0.78–0.93Authors' conclusion
Admission to the CICU, as compared to MICU, was associated with lower in-hospital mortality for patients with AMI.
Study context
- Population
- Patients with a primary diagnosis of acute myocardial infarction (AMI) requiring invasive mechanical ventilation, Vizient Clinical Data Base, October 2015–December 2019
- Participants
- 12,639 patients
- Exposure
- CICU vs medical ICU (MICU) admission
- CICUn = 9,454
- MICUn = 3,185reference
- Outcome
- In-hospital mortality
Methodological detailsmultivariable logistic regression
- Multivariable logistic regression
Main finding
As reported in the abstract
Odds ratio
0.85
95% CI 0.78–0.93
P = 0.001
By group
CICUvs MICU
OR 0.85 (95% CI 0.78–0.93); P = 0.001
Observational data: associations, not effects.
Further findings
Ventilator days · not statistically different after multivariable adjustment
P = 0.81
In-hospital mortality, stratified by cardiogenic shock, cardiac arrest, STEMI, largest hospital size (>750 beds), teaching hospitals (subgroups)
- Lower in-hospital mortality with CICU persisted in all strata
- all, P < 0.05
Original publication
Outcomes for Mechanically Ventilated Patients With Acute Myocardial Infarction Admitted to Medical vs Cardiac Intensive Care Units. JACC Adv. Published 14 August 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →