Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University Hospital英文文献资料.docVIP
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Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University Hospital英文文献资料
HindawiPublishingCorporation
JournalofObesity
Volume2012,ArticleID287939,5pages
doi:10.1155/2012/287939
ResearchArticle
BodyMassIndexandHospitalMortalityinPatientswithAcute
CoronarySyndromeReceivingCareinaUniversityHospital
MercedesCamprubi, SandraCabrera, JordiSans, GeorginaVidal,
1 1 1 2
TeresaSalvado′,
andAlfredoBardaj′?
1
2
1
CardiologyService,JoanXXIIIUniversityHospitalofTarragonaIISPV,UniversityRoviraVirgili,CalleDrMallafr′eGuash4,
43007Tarragona,Spain
2
EducationandPathologicalAnatomyUnits,VergedelaCintaHospitalofTortosa,Spain
CorrespondenceshouldbeaddressedtoAlfredoBardaj′?,alfredo.bardaji@urv.cat
Received27January2012;Revised20June2012;Accepted20June2012
AcademicEditor:JackA.Yanovski
Copyright?2012MercedesCamprubietal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttribution
License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly
cited.
Althoughobesityisawell-establishedcardiovascularriskfactor,somecontroversyhasarisenwithregardtoitse?ectonhospital
mortalityinpatientsadmittedforacutecoronarysyndrome.Methods.Clinicalandanthropometricvariableswereanalyzedin
patientsconsecutivelyadmittedforacutecoronarysyndrometoauniversityhospitalbetween2009and2010,andthecorrelation
ofthosevariableswithhospitalmortalitywasexamined.Results.Atotalof824patientswithadiagnosisofmyocardialinfarction
orunstableanginawereanalyzed.Bodymassindexwasanindependentfactorinhospitalmortality(oddsratio0.739(IC95%:
0.597?0.916),P=0.006).Mortalityinnormalweight(n=218),overweight(n=399),andobese(n=172)subjectswas6.1%,
3.1%,and4.1%,respectively,withnostatisticallysigni?cantdi?erencesbetweenthegroups.Conclusions.Thereissomethingofa
paradoxintherelationshipbetweenbodymassindexandhospitalmortalityinpatientswithacutecoronarysyndromeinthatthe
mortalityratedecreasesasbodymassindexincreases.However,nostatisticallysigni?cantdi?erenceshavebeenfoundinnormal
weight,overweight,orobesesubjects.
1.
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