Predictors of In-Hospital Mortality Among Acute Myocardial Infarction Patients in a Large Health Care System

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dc.contributor.advisorKaran Singh
dc.contributor.committeeMemberAntonio Rene
dc.contributor.committeeMemberSally Blakley
dc.creatorZhang, Huiling
dc.date.accessioned2019-08-22T21:52:10Z
dc.date.available2019-08-22T21:52:10Z
dc.date.issued2001-07-01
dc.date.submitted2014-05-01T06:48:05-07:00
dc.description.abstractZhang, Huiling. Predictors of In-hospital Mortality Among Acute Myocardial Infarction Patients in a Large Health Care System. Master of Public Health, July 2000, 29 pp., 4 tables, 29 references. Background---There is increasing interest in the identification of risk predictors for in-hospital mortality due to acute myocardial infarction (AMI). To date, there has been no AMI in-hospital mortality prediction models developed using clinical database. Methods and Results---The study population consists of 4,167 AMI cases admitted to 36 hospitals in 3 states. Thirty variables were selected as candidate predictors, and 19 showed significant bivariate association with AMI in-hospital mortality. By applying multiple logistic regression and stepwise selection, 10 variables were selected for inclusion in the final prediction model: age, arrive from cardiac rehabilitation center, CPR on arrival, Killip class, AMI with comorbidities, AMI with complications, PCTA performed, beta-blockers given, ACE inhibitors given, Plavix given. Conclusion---A ten-variable in-hospital mortality prediction model for AMI patients, which includes both risk factors and beneficial treatment procedures, was developed. Chi-square goodness of fit test suggested a very good fit for the model.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/20.500.12503/29641
dc.language.isoen
dc.provenance.legacyDownloads0
dc.subjectClinical Epidemiology
dc.subjectHealth and Medical Administration
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectMedicine and Health Sciences
dc.subjectOther Public Health
dc.subjectPublic Health
dc.subjectIn-hospital mortality
dc.subjectacute myocardial infarction
dc.subjectpatients
dc.subjectlarge health care system
dc.subjectAMI
dc.subjectmortality
dc.subjectprediction models
dc.subjectclinical database
dc.subjectprediction model
dc.subjectvariables
dc.titlePredictors of In-Hospital Mortality Among Acute Myocardial Infarction Patients in a Large Health Care System
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentSchool of Public Health
thesis.degree.grantorUniversity of North Texas Health Science Center at Fort Worth
thesis.degree.nameMaster of Public Health

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