Kransæðastífla á Landakotsspítala 1981-1985

Abstract

Landakotsspítali (St. Joseph's Hospital), Reykjavik, is a 180 bed General Hospital with medical, surgical, opthalmic and pediatric (30 beds) services. As such, it took turns with two other hospitals for one week out of every three in admitting acutely ill patients from the whole country with a population of around 240 thousand. In 1982 however, the turns were decreased by a third. This study is a retrospective review of cases of acute myocardial infarction seen in the hospital over a 5 year period 1981-1985. The diagnostic criteria used are those of WHO (4). The hospital kept a common diagnostic file and the study included patients in all departments and not only those in the medical department. Included are nursing care patients who were initially admitted for a variety of reasons other than myocardial infarction. Patients dead on arrival were included if cardiac resuscitation was attempted. The study involves 343 admissions of 325 patients, 233 males and 110 females. 55 patients died (16%). The mortality rate of males was 12.4% and of females 23.6% (x2 = 6.946, p<0.01). The mortality of patients admitted because of myocardial infarction was 12.7%.

Kransæðasjúkdómar eru enn eitt mesta heilbrigðisvandamál Íslendinga. Á árunum 1981 til 1985 dóu 47% sjúklinga að meðaltali á ári úr hjarta- og æðasjúkdómum, þar af 31% úr kransæðasjúkdómum (1). Rannsókn þessi er framhald tveggja rannsókna sem gerðar voru á Landakotsspítala á bráðri kransæðastíflu á árunum 1966 til 1975 (2) og 1976 til 1980 (3). Tilgangur hennar var að kanna fjölda tilfella af kransæðastíflu á Landakoti á árunum 1981 til 1985. Kannaður var fjöldi og tegundir fylgikvilla kransæðastíflu. Gerð er grein fyrir sambandi fylgikvilla við afdrif sjúklinga.