Treatment Outcome of Acute Coronary Syndrome in Yasothon Hospital

Abstract

Background: Acute Coronary Syndrome is one of the leading causes of illness and death in Thailand, including in Yasothon Hospital.

Objective: To study the results of treatment for patients with acute myocardial infarction in Yasothon Hospital.

Study style: Retrospective Descriptive Study. Collect and analyze historical data from files. Inpatient medical records of the internal medicine department of Yasothon Hospital. Study of basic characteristics of patients with acute myocardial infarction. Results of treatment and clinical symptoms of patients with acute myocardial infarction from 1 October 2021 to 30 September 2022, then the data were analyzed statistically. The basic information of the patients studied used descriptive statistics such as percentage, frequency, mean, and standard deviation in the analysis.

Results: Patients with acute myocardial infarction during the study period of 289 cases, it was found that 1) NSTEMI was found in 261 cases (90.3%), followed by STEMI in 26 cases (9%). 2) The average age of the patients was 66.67 years, with the majority being males, 61.59% 3) The death rate separated by gender was 6.92% for males, 5.19% for females 4) Sings and Symptoms most of them came with chest pain or shortness of breath, 33.56%, followed by pain in the epigastric region or abdominal distension (GI symptoms), 12.11% 5) Treatment: Drug treatment Streptokinase according to criteria (100 %), Aspirin was used in all patients who had no contraindications. (97.92%), followed by anti-angina drugs (95.16%). 6) Receiving treatment Most patients come by referral from community hospitals and Private hospitals in Yasothon Province, 60.2%, followed by patients coming by themselves, 27.3%, transported through the emergency medical system (1669), still low, 12.5% 7) Length of stay in hospital, average days of bedtime 6.35 days. (Min=1, Max=52) Most of the days spent in bed ranged from 1-5 days (66.1%), followed by between 6-10 days (19.0%) 8) Medical expenses for hospital stays. It was found that patients had an average medical expense of 59,298.31 baht and 9) Discharge status: Refer for further diagnosis and treatment was found at 40.4%, followed by discharge for palliative care at 28.7%.

Conclusion: Patients with acute myocardial infarction found in more men than women. The most common age range is 60-69 years. 100% use of thombolytic drugs, but access through the emergency medical system (1669) remains low.