ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2022; 50(6): 431-437 | DOI: 10.5543/tkda.2022.22417

Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients

Şeyhmus Külahçıoğlu1, Rezzan Deniz Acar1, Servet İzci1, Durmuş Demir1, Sibel Doğan Kaya2, Mustafa Emre Gürcü3, Murat Gu&776;cu&776;n4, Mehmet Kaan Kırali5
1Department of Cardiology, Kartal Koşuyolu Education and Research Hospital, İstanbul, Turkey
2Department of Infectious Diseases, Kartal Koşuyolu Education and Research Hospital, İstanbul, Turkey
3Department of Anesthesiology, Kartal Koşuyolu Education and Research Hospital, İstanbul, Turkey
4Department of Nephrology, Kartal Koşuyolu Education and Research Hospital, İstanbul, Turkey
5Department of Cardiovascular Surgery, Kartal Koşuyolu Education and Research Hospital, İstanbul, Turkey


OBJECTIVE
Parallel to the aging of the world population, the complexity of patients with cardiac problems has increased, especially in intensive cardiology care units, and the importance of multidisciplinary care has become more evident. The aim of this study was to analyze the clinical characteristics and gender-related differences of patients hospitalized in a large intensive cardiology care unit.


METHODS
This single-center, retrospective, cross-sectional study includes all hospitalizations in a large intensive cardiology care unit between January 2016 and March 2021. All data were obtained using data collection software and transferred to MEDULLA, Turkey’s general database system.


RESULTS
Of the 55 737 consecutive patients included in the analysis, 16 342 (29%) were women. The mean age of males was 59.71 ± 12 years, and the mean age of females was 63.3 ± 14 years (P <.001). Over a period of 5 years, the most common reason for hospitalization in the intensive cardiac care unit was acute coronary syndrome. The number of acute coronary syndrome patients who underwent coronary angiography was found to be 17 478 (31%), of which 12 878 were males and 26.3% were female. The number of patients who underwent at least 1 stent implantation was 13 952 (80% of coronary angiography procedures), and 2960 (21%) were women. The second cause of hospitalization in the intensive cardiology care unit was arrhythmias (5654 patients [10%]) followed by advanced heart failure (932 patients [1.7%]). During follow-up in the intensive cardiology care unit, the percentage of development of multiorgan failure was found to be approximately 18%. The mortality rate was 7% in women, which was higher than in men (4%). While the most common cause of death was acute coronary syndrome, the highest rate of death was found in patients with advanced heart failure. Among the patients who died, the mean age of females was higher than that of males, and the length of hospital stay was longer.


CONCLUSION
Although numerically the highest death rate was observed in male acute coronary syndrome patients, the highest mortality rate was found in patients with advanced heart failure. Due to the elderly population and the increase in the number of patients requiring multidisciplinary treatment, the development of multiorgan failure in intensive cardiology care units seems to be one of the most important causes of death. Although the number of females hospitalized in the intensive cardiology care unit is lower than that of males, the mean age and mortality rate were found to be higher than males.

Keywords: Cardiac diseases, critical care, intensive cardiac care unit, length of stay, mortality

How to cite this article
Şeyhmus Külahçıoğlu, Rezzan Deniz Acar, Servet İzci, Durmuş Demir, Sibel Doğan Kaya, Mustafa Emre Gürcü, Murat Gu&776;cu&776;n, Mehmet Kaan Kırali. Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. Turk Kardiyol Dern Ars. 2022; 50(6): 431-437

Corresponding Author: Şeyhmus Külahçıoğlu
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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