Cited 0 times in
응급진료센터에 내원한 ST 분절 상승 심근 경색 환자에서 혈소판 용적 지표의 연속 측정을 통한 30일 사망률 예측의 유용성
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 고동률 | - |
dc.contributor.author | 공태영 | - |
dc.contributor.author | 김시내 | - |
dc.contributor.author | 박인철 | - |
dc.contributor.author | 유제성 | - |
dc.contributor.author | 정성필 | - |
dc.contributor.author | 좌민홍 | - |
dc.contributor.author | 주영선 | - |
dc.contributor.author | 황윤정 | - |
dc.date.accessioned | 2018-07-20T08:36:09Z | - |
dc.date.available | 2018-07-20T08:36:09Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 1226-4334 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/161317 | - |
dc.description.abstract | Purpose: Among the survivors of a ST elevation myocardial infarction (STEMI), higher platelet volume indices (mean platelet volume, MPV; platelet distribution width, PDW) are associated with impaired reperfusion and ventricular dysfunction. This study examined the relationship between the platelet volume indices and 30-day mortality with STEMI patients who underwent primary percutaneous coronary intervention (PCI). Methods: This retrospective cohort study included patients presenting to the emergency department with STEMI between January 2011 and May 2016. The platelet volume indices were measured serially, using an automatic hematology analyzer, from admission to 24 hours after admission. The prognostic value of MPV, PDW for the 30-day mortality was determined by Cox proportional hazards model analysis. Results: A total of 608 STEMI patients, who underwent reperfusion, were enrolled in this study. According to the multivariable Cox proportional hazard model, higher MPV (hazard ratio [HR], 1.414; 95% confidence interval [CI], 1.024-1.953; p=0.035) and PDW (HR, 1.043; 95% CI, 1.006-1.083; p=0.024) values at time-24 (24 hours after admission) were significant risk factors for the 30-day mortality. A MPV value >8.6 fL (HR, 5.953; 95% CI, 2.973-11.918; p<0.001) and PDW value >56.1% (HR, 5.117; 95% CI, 2.640-9.918; p<0.001) at time-24 were associated with an increased risk of 30-day mortality. Conclusion: The platelet volume indices without an additional burden of cost or time, can be measured rapidly and simply. Higher MPV and PDW levels predict independently the 30-day mortality in patients with STEMI after PCI. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한응급의학회 | - |
dc.relation.isPartOf | Journal of the Korean Society of Emergency Medicine (대한응급의학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 응급진료센터에 내원한 ST 분절 상승 심근 경색 환자에서 혈소판 용적 지표의 연속 측정을 통한 30일 사망률 예측의 유용성 | - |
dc.title.alternative | Usefulness of Serial Measurement of the Platelet Volume Indices to Predict 30-day Mortality in Patients with ST Segment Elevation Myocardial Infarction | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Emergency Medicine | - |
dc.contributor.googleauthor | 유지나 | - |
dc.contributor.googleauthor | 유제성 | - |
dc.contributor.googleauthor | 정성필 | - |
dc.contributor.googleauthor | 공태영 | - |
dc.contributor.googleauthor | 고동률 | - |
dc.contributor.googleauthor | 김시내 | - |
dc.contributor.googleauthor | 주영선 | - |
dc.contributor.googleauthor | 황윤정 | - |
dc.contributor.googleauthor | 좌민홍 | - |
dc.contributor.googleauthor | 박인철 | - |
dc.contributor.localId | A00113 | - |
dc.contributor.localId | A00162 | - |
dc.contributor.localId | A05313 | - |
dc.contributor.localId | A01628 | - |
dc.contributor.localId | A02507 | - |
dc.contributor.localId | A03625 | - |
dc.contributor.localId | A03947 | - |
dc.contributor.localId | A03955 | - |
dc.contributor.localId | A04816 | - |
dc.relation.journalcode | J01868 | - |
dc.subject.keyword | ST Elevation myocardial infarction | - |
dc.subject.keyword | Mean platelet volume | - |
dc.subject.keyword | Platelet activation | - |
dc.subject.keyword | Prognosis | - |
dc.contributor.alternativeName | Ko, Dong Ryul | - |
dc.contributor.alternativeName | Kong, Tae Young | - |
dc.contributor.alternativeName | Kim, Si Nae | - |
dc.contributor.alternativeName | Park, In Cheol | - |
dc.contributor.alternativeName | You, Je Sung | - |
dc.contributor.alternativeName | Chung, Sung Pil | - |
dc.contributor.alternativeName | Choa, Min Hong | - |
dc.contributor.alternativeName | Joo, Young Seon | - |
dc.contributor.alternativeName | Hwang, Yoon Jung | - |
dc.contributor.affiliatedAuthor | Ko, Dong Ryul | - |
dc.contributor.affiliatedAuthor | Kong, Tae Young | - |
dc.contributor.affiliatedAuthor | Kim, Si Nae | - |
dc.contributor.affiliatedAuthor | Park, In Cheol | - |
dc.contributor.affiliatedAuthor | You, Je Sung | - |
dc.contributor.affiliatedAuthor | Chung, Sung Pil | - |
dc.contributor.affiliatedAuthor | Choa, Min Hong | - |
dc.contributor.affiliatedAuthor | Joo, Young Seon | - |
dc.contributor.affiliatedAuthor | Hwang, Yoon Jung | - |
dc.citation.volume | 28 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 514 | - |
dc.citation.endPage | 524 | - |
dc.identifier.bibliographicCitation | Journal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.28(5) : 514-524, 2017 | - |
dc.identifier.rimsid | 61237 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.