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The Psoriasis Mortality Paradox In Acute Myocardial Infarction: A Nationwide Inpatient Sample Analysis by Ei Ei Thwe; Milan Mahesh; Mahesh Krishnamurthy is a Medicine article available to read on EtoBox.

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Background: Psoriasis is associated with increased cardiovascular risk. There is conflicting data about outcomes in acute myocardial infarction (AMI) patients with and without psoriasis. Methods: National Inpatient Sample 2016-2019 was used to identify AMI patients with and without psoriasis. Analysis was done using logistic regression. Results: We identified 2.55 million in-hospital AMI patients in the 4-year period 2016 to 2019, of which 15,520 patients had psoriasis. At baseline (Table ), psoriasis patients had significantly higher rates of smoking (31% vs 25%), alcohol use (1.39% vs 1%), diabetes (43% vs 41%), hypertension (47% vs 44%), dyslipidemia (71% vs 66%), prior coronary artery disease (83% vs 80%), COPD (25% vs 22%) and thyroid disease (14% vs 13%). Psoriasis patients had significantly lower age (64.9 vs 66.9 years), congestive heart failure (38% vs 42%), and chronic kidney disease (19% vs 22%). Psoriasis patients had similar rates of stent placement (28%) but significantly higher rates of coronary artery bypass surgery (11% vs 7%), length of stay (4.5 versus 4.4 days), and hospital costs ($ 103,247 vs $ 99,094). Notably, psoriasis patients had significantly lower in-ho

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Author

Ei Ei Thwe; Milan Mahesh; Mahesh Krishnamurthy

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)