Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2014;67:545-51 - Vol. 67 Num.07 DOI: 10.1016/j.rec.2013.11.010

Cocaine Use Disorders and Acute Myocardial Infarction, Excess Length of Hospital Stay and Overexpenditure

Miguel Gili a,b,, Gloria Ramírez a,b, Luis Béjar b, Julio López a,b, Dolores Franco c,d, José Sala e

a Unidad de Gestión Clínica de Medicina Preventiva, Vigilancia y Promoción de la Salud, Hospital Universitario Virgen Macarena, Seville, Spain
b Departamento de Medicina Preventiva y Salud Pública, Universidad de Sevilla, Seville, Spain
c Unidad de Gestión Clínica de Salud Mental, Hospital Universitario Virgen Macarena, Seville, Spain
d Departamento de Psiquiatría, Universidad de Sevilla, Seville, Spain
e Servicio de Documentación Clínica, Hospital Universitario Virgen Macarena, Seville, Spain

Refers to

The Epidemiology of Clinical and Health Effects Associated With Cocaine
Clara Gironés-Bredy, Miguel Galicia, Alberto Domínguez-Rodríguez, Guillermo Burillo-Putze
Rev Esp Cardiol. 2014;67:966-7
Full text - PDF
Is Cocaine-associated Acute Myocardial Infarction the Same as Myocardial Infarction Associated With Recent Cocaine Consumption?
Xavier Carrillo, Eduard Fernandez-Nofrerias, Oriol Rodriguez-Leor, Antoni Bayes-Genis
Rev Esp Cardiol. 2014;67:964-5
Full text - PDF

Keywords

Cocaine. Myocardial infarction. Excess length of stay. Overexpenditure.

Abstract

Introduction and objectives

To investigate the relationship between the prevalence of cocaine use disorders and acute myocardial infarction in patients aged ≥ 18 years and to estimate the influence of cocaine use disorders on mortality, excess length of stay, and overexpenditure among hospitalized patients with acute myocardial infarction.

Methods

Retrospective study of the minimum basic data set of 87 Spanish hospitals from 2008 to 2010.

Results

Among 5 575 325 admissions reviewed, there were 24 126 patients with cocaine use disorders and 79 076 cases of acute myocardial infarction. The incidence of acute myocardial infarction among patients with cocaine use disorders increased with age and reached a peak at 55 years to 64 years (P < .0001). Multivariate analysis showed that cocaine use disorders were more prevalent among patients with acute myocardial infarction independently of age, sex, other addictive disorders, and 30 other comorbidities (odds ratio = 3.0). Among patients with acute myocardial infarction, those with cocaine use disorders did not show an increase of in-hospital death, but did show excess length of hospital stay (1.5 days) and overexpenditure (382 euros).

Conclusions

Cocaine use disorders are associated with acute myocardial infarction and increase the length of hospital stay and overexpenditure among acute myocardial infarction patients. Cessation of cocaine use among these patients should be one of the primary therapeutic goals after hospital discharge.

1885-5857/© 2014 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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