ISSN 1016-5169 | E-ISSN 1308-4488
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Baseline Characteristics of a Patient Cohort and Predictors of In-hospital MORtality in CORonary Care Units (MORCOR-TURK) Trial in Türkiye [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2024; 52(3): 175-181 | DOI: 10.5543/tkda.2023.67505

Baseline Characteristics of a Patient Cohort and Predictors of In-hospital MORtality in CORonary Care Units (MORCOR-TURK) Trial in Türkiye

Ahmet Seyda Yılmaz1, Fatih Kahraman2, İbrahim Ersoy3, Gökay Taylan4, Emin Erdem Kaya5, Ertan Aydın6, Muammer Karakayalı7, Muhammet Mürsel Öğütveren1, Aybike Gül Taşdelen8, Ömer Kümet9, Murat Gül10, Serdar Gökhan Nurkoç11, Şeyhmus Atan12, Mehmet Özgeyik13, Oğuz Kılıç14, Aslıhan Merve Toprak15, Mehmet Özbek16, Ömer Kertmen17, Özgen Şafak18, Gurbet Özge Mert19, Mevlüt Demir2, Yunus Emre Yavuz20, Şaban Keleşoğlu21, Melisa Uçar22, İsmail Barkın Işık23, Can Ramazan Öncel24, Muhammed Erkam Cengil25, Uğur Küçük26, Ferhat Dindaş27, Meltem Altınsoy28, Fatih Akkaya29
1Recep Tayyip Erdogan University, Faculty of Medicine, Department of Cardiology, Rize, Turkiye
2Kütahya Evliya Çelebi Training and Research Hospital, Department of Cardiology, Kütahya, Turkiye
3Afyonkarahisar Science of Health University, Department of Cardiology, Afyon, Turkiye
4Trakya University, Department of Cardiology, Tekirdağ, Turkiye
5Ersin Arslan Training and Research Hospital, Department of Cardiology, Gaziantep, Turkiye
6Giresun University, Department of Cardiology, Giresun, Turkiye
7Kafkas University Training and Research Hospital, Department of Cardiology, Kars, Turkiye
8İstanbul Cardiology Institute, Department of Cardiology, Istanbul, Turkiye
9Van Training and Research Hospital, Department of Cardiology, Van, Turkiye
10Aksaray University, Department of Cardiology, Aksaray, Turkiye
11Yozgat City Hospital, Department of Cardiology, Yozgat, Turkiye
12Ankara University, Faculty of Medicine, Department of Cardiology, Ankara, Turkiye
13Eskişehir City Hospital, Department of Cardiology, Eskişehir, Turkiye
14Karaman Training and Research Hospital, Department of Cardiology, Karaman, Turkiye
15Selçuk University, Faculty of Medicine, Department of Cardiology, Konya, Turkiye
16Dicle University, Faculty of Medicine, Department of Cardiology, Diyarbakır, Turkiye
17Amasya Training and Research Hospital, Department of Cardiology, Amasya, Turkiye
18Balıkesir University, Faculty of Medicine, Department of Cardiology, Balıkesir, Turkiye
19Osmangazi University, Faculty of Medicine, Department of Cardiology, Eskişehir, Turkiye
20Siirt Training and Research Hospital, Department of Cardiology, Siirt, Turkiye
21Erciyes University, Faculty of Medicine, Department of Cardiology, Kayseri, Turkiye
22Samsun Training and Research Hospital, Department of Cardiology, Samsun, Turkiye
23Rize State Hospital, Department of Cardiology, Rize, Turkiye
24Alanya Alaaddin Keykubat University, Department of Cardiology, Antalya, Turkiye
25Osmaniye State Hospital, Department of Cardiology, Adana, Turkiye
26Çanakkale 18 Mart University, Department of Cardiology, Çanakkale, Turkiye
27Uşak Training and Research Hospital, Department of Cardiology, Uşak, Turkiye
28Ankara Etlik City Hospital, Department of Cardiology, Ankara, Turkiye
29Ordu University, Faculty of Medicine, Department of Cardiology, Ordu, Turkiye


OBJECTIVE
The MORtality in CORonary Care Units in Türkiye (MORCOR-TURK) trial is a national registry evaluating predictors and rates of in-hospital mortality in coronary care unit (CCU) patients in Türkiye. This report describes the baseline demographic characteristics of patients recruited for the MORCOR-TURK trial.


METHODS
The study is a multicenter, cross-sectional, prospective national registry that included 50 centers capable of 24-hour CCU service, selected from all seven geographic regions of Türkiye. All consecutive patients admitted to CCUs with cardiovascular emergencies between September 1-30, 2022, were prospectively enrolled. Baseline demographic characteristics, admission diagnoses, laboratory data, and cardiovascular risk factors were recorded.


RESULTS
A total of 3,157 patients with a mean age of 65 years (range: 56-73) and 2,087 (66.1%) males were included in the analysis. Patients with arterial hypertension [1,864 patients (59%)], diabetes mellitus (DM) [1,184 (37.5%)], hyperlipidemia [1,120 (35.5%)], and smoking [1,093 (34.6%)] were noted. Non-ST elevation myocardial infarction (NSTEMI) was the leading cause of admission [1,187 patients (37.6%)], followed by ST elevation myocardial infarction (STEMI) in 742 patients (23.5%). Other frequent diagnoses included decompensated heart failure (HF) [339 patients (10.7%)] and arrhythmia [272 patients (8.6%)], respectively. Atrial fibrillation (AF) was the most common pathological rhythm [442 patients (14%)], and chest pain was the most common primary complaint [2,173 patients (68.8%)].


CONCLUSION
The most common admission diagnosis was acute coronary syndrome (ACS), particularly NSTEMI. Hypertension and DM were found to be the two leading risk factors, and AF was the most commonly seen pathological rhythm in all hospitalized patients. These findings may be useful in understanding the characteristics of patients admitted to CCUs and thus in taking precautions to decrease CCU admissions.

Keywords: Coronary care unit, baseline characteristics, MORCOR-TURK

How to cite this article
Ahmet Seyda Yılmaz, Fatih Kahraman, İbrahim Ersoy, Gökay Taylan, Emin Erdem Kaya, Ertan Aydın, Muammer Karakayalı, Muhammet Mürsel Öğütveren, Aybike Gül Taşdelen, Ömer Kümet, Murat Gül, Serdar Gökhan Nurkoç, Şeyhmus Atan, Mehmet Özgeyik, Oğuz Kılıç, Aslıhan Merve Toprak, Mehmet Özbek, Ömer Kertmen, Özgen Şafak, Gurbet Özge Mert, Mevlüt Demir, Yunus Emre Yavuz, Şaban Keleşoğlu, Melisa Uçar, İsmail Barkın Işık, Can Ramazan Öncel, Muhammed Erkam Cengil, Uğur Küçük, Ferhat Dindaş, Meltem Altınsoy, Fatih Akkaya. Baseline Characteristics of a Patient Cohort and Predictors of In-hospital MORtality in CORonary Care Units (MORCOR-TURK) Trial in Türkiye. Turk Kardiyol Dern Ars. 2024; 52(3): 175-181
Manuscript Language: English


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