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Table 2 Characteristics of hospitalized STEMI patients (n = 11, 879)* by infection status, Florida 2006.

From: Prevalence of major infections and adverse outcomes among hospitalized. ST-elevation myocardial infarction patients in Florida, 2006

 

All STEMI Patients

n = 11, 879

% (n)

Non-Infected STEMI Patients

n = 9, 910

% (n)

Blood Stream Infection

n = 310

% (n)

Pneumonia

n = 550

% (n)

Surgical Site Infection

n = 491

% (n)

Urinary Tract Infection

n = 708

% (n)

All Other Infections

n = 503

% (n)

Patient Sociodemographic

Characteristics^

       

Age

       

Age 18-34 Years

0.9 (107)

1.0 (100)

No cases**

No cases**

0.6 (3) ‡‡

0.3 (2)**

0.8 (4)**

Age 35-44 Years

6.2 (735)

6.6 (658)

4.9 (15)

2.4 (13)

5.9 (29)

1.4 (10)

6.4 (32)

Age 45-54 Years

18.7 (3057)

20.0 (1984)

10.1 (31)

3.6 (47)

20.6 (101)

5.4 (38)

14.5 (73)

Age 55-64 Years

23.9 (2837)

24.9 (2471)

19.5 (60)

19.6 (108)

22.8 (112)

14.0 (99)

19.7 (99)

Age 65-74 Years

21.7 (2573)

21.4 (2116)

24.7 (76)

24.9 (137)

25.3 (124)

21.2 (150)

22.3 (112)

Age 75-84 Years

18.5 (2196)

17.0 (1680)

26.3 (81)

28.0 (154)

19.1 (94)

34.0 (241)

23.7 (119)

Age 85+ Years

10.2 (1216)

9.1 (901)

14.6 (45)

16.6 (91)

5.7 (28)

23.7 (168)

12.7 (64)

Sex

       

Female

33.7 (4001)

31.8 (3149)

38.6 (119) ††

38.6 (212) ††

30.4 (149)

59.5 (421)**

42.9 (216)**

Male

66.3 (7878)

68.2 (6761)

61.4 (189)

61.5 (338)

69.7 (342)

40.5 (287)

57.1 (287)

Race/Ethnicity

       

White

83.1 (9868)

83.3 (8256)

78.3 (241)

81.8 (450)

81.5 (400)

82.2 (582)

82.3 (414)

Black

6.7 (798)

6.5 (640)

9.1 (28)

7.6 (52)

9.2 (45)

8.2 (58)

7.4 (37)

Hispanic

10.2 (1213)

10.2 (1014)

12.7 (39)

10.6 (58)

9.4 (46)

9.6 (68)

10.3 (52)

Income by Proxy

       

Low income (Medicaid, self-pay,

uninsured)

16.7 (1979)

17.3 (1711)

13.0 (40) ‡‡

10.6 (58)**

19.6 (96)

9.5 (67)**

15.9 (80)

All other insurance§

83.3 (9900)

82.7 (8199)

87.0 (268)

89.5 (492)

80.5 (395)

90.5 (641)

84.1 (423)

Patient Risk Factors

       

Cigarette smoking

28.9 (3430)

30.6 (3030)

14.9 (46)**

22.4 (123)**

24.4 (120) ††

12.0 (85)**

23.7 (119) ††

Alcohol abuse

3.0 (352)

2.8 (273)

4.6 (14)

5.3 (29) ††

4.9 (24) ††

2.0 (14)

5.8 (29)**

Drug abuse

2.4 (287)

2.4 (237)

2.3 (7)

2.2 (12)

3.3 (16)

1.6 (11)

4.2 (21) ‡‡

Patient Co-Morbidities

       

Chronic bronchitis

2.7 (317)

2.2 (213)

6.8 (21)**

10.0 (55)**

4.3 (21) ††

5.1 (36)**

4.0 (20) ††

Chronic obstructive pulmonary

disease (COPD)

16.2 (1921)

14.0 (1382)

28.3 (87)**

30.7 (169)**

20.8 (102)**

24.0 (170)**

37.0 (186)**

Diabetes

27.1 (3222)

25.5 (2527)

35.1 (108) §§

34.2 (188)**

32.4 (159) ††

38.6 (273)**

37.2 (187)**

Chronic kidney diseases| |

9.6 (1145)

7.7 (764)

29.9 (92)**

22.7 (125)**

13.4 (66)**

23.2 (164)**

17.1 (86)**

Cardiomyopathy

6.3 (755)

5.5 (546)

16.9 (52)**

12.7 (70)**

9.8 (48)**

11.0 (78)**

11.9 (60)**

Valve disorders

10.1 (1203)

9.1 (902)

21.4 (66)**

16.0 (88)**

11.8 (58) ‡‡

16.2 (115)**

17.9 (90)**

Patient Procedures

       

Cardiac catheterization

66.9 (7941)

67.7 (6710)

59.4 (184) ††

57.1 (314)**

80.7 (396)**

54.2 (384)**

65.4 (329)

Percutaneous coronary intervention

(PCI)

59.0 (7009)

61.2 (6065)

41.6 (128)**

44.0 (242)**

62.1 (305)

41.0 (290)**

47.9 (241)**

Cardiac surgical procedures

9.8 (1168)

8.4 (830)

24.4 (75)**

18.6 (102)**

19.4 (95)**

16.4 (116)**

24.1 (121)**

Indwelling arterial or venous

catheter

6.0 (707)

3.6 (360)

45.2 (140)**

26.6 (146)**

18.1 (89)**

18.9 (134)**

20.9 (105)**

Pacemaker#

2.3 (275)

2.1 (210)

3.6 (11)

4.2 (23) ††

4.9 (24)**

2.3 (16)

3.6 (18) ‡‡

Dialysis

1.5 (172)

0.7 (68)

16.5 (51)**

6.9 (38)**

6.5 (32)**

5.1 (36)**

6.6 (33)**

Blood transfusion

6.7 (800)

5.1 (507)

26.6 (82)**

15.3 (84)**

15.3 (75)**

17.5 (124)**

15.5 (78)**

Patients with none of the above

procedures

26.7 (3169)

26.5 (2630)

21.0 (65) ‡‡

30.4 (167) ‡‡

11.0 (54)**

34.9 (247)**

23.9 (120)

  1. *Excludes patients who were transferred to another hospital.
  2. ** p < .0001; †† p < .01; ‡‡ p < .05; §§ p = .0001
  3. †Patients can appear in more than one infection category.
  4. ‡Includes lower respiratory, gastrointestinal, cardiovascular, bone and joint, ear, eye, nose & throat, skin and soft tissue, and site unspecified bacterial infections.
  5. §Includes Medicare, commercial insurance, worker's compensation, CHAMPUS, VA, and unspecified.
  6. | |Includes hypertensive chronic kidney disease, end-stage renal disease (ESRD), unspecified chronic kidney disease and unspecified chronic renal failure.
  7. #Includes temporary/permanent pacemakers and implantable defibrillators.
  8. ^Chi-square tests of homogeneity were conducted to compare patient characteristics for each infection to non-infected STEMI patients (excluding all patients).