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Table 4 Predictors of in-hospital mortality among ACS patients

From: Management quality indicators and in-hospital mortality among acute coronary syndrome patients admitted to tertiary hospitals in Ethiopia: prospective observational study

Variables

In-hospital death (n = 37)

Unadjusted HR (95%CI)

Adjusted HR (95%CI)

Age (per year)

1.02 (0.99–1.04)

1.01 (0.98–1.04)

Residence (rural vs Urban)

3.34 (1.70–6.54)*

3.64 (1.81–7.29)*

Symptom onset to FMC > 12 h

6.08 (1.861–19.87)*

4.23 (1.28–13.81)*

STEMI vs NSTEMI (ref.)

2.03 (0.92–4.47)*

1.96 (0.84–4.56)

LVEF < 40% (≥40% ref.)

2.55 (1.3–4.98)*

0.92 (0.41–2.40)

GDMTa

0.43 (0.22–0.84)*

0.617 (0.31–1.23)

Atrial fibrillations

2.14 (0.88–5.21)

1.31 (0.51–3.39)

Acute kidney injury

2.69 (1.25–5.78)*

1.01 (0.39–2.61)

Cardiogenic shock

7.27 (3.66–14.44)*

7.20 (3.55–14.55)*

Re-infraction

3.47 (1.55–7.76)*

1.87 (0.78–4.46)

Hospital acquired infection

2.45 (1.11–5.38)*

1.41 (0.57–3.50)

  1. CI Confidence interval, FMC First Medical contact, GDMT Guideline directed medical therapy, HR Hazard ratio, LVEF Left ventricular ejection fraction, STEMI ST-Elevation Myocardial infarction. aGDMT (initiation of Dual antiplatelet, statin, beta-blockers, and ACEI within 24 h of hospital admission and heparin during hospital stay); *p-value < 0.005