The chances of you developing a heart problem during your emergency department stay at a local hospital is very low, according to a new study published online.
Researchers found that hospital care was associated with an increased risk of heart attack and death in the first 48 hours of treatment in all but one of the emergency department trials.
But there was no association between hospital care and the risk of a heart or blood clot in the second half of the hospital stay.
“The evidence suggests that a significant proportion of patients discharged to the ED do not have any risk of developing cardiac events in the next 48 hours,” said Dr. Daniela Gubari, a research fellow at the Mayo Clinic and the study’s lead author.
“If you have a heart condition, you need to be evaluated and treated.”
Heart disease is the third leading cause of death in America and the fifth leading cause in the U.S. In the first two years of the study, hospital admissions were associated with a significantly increased risk for heart attack or stroke, even after accounting for a patient’s history of cardiac events.
In the third year, the risk for a heart event increased to 2.6 times greater than it was in the initial study, while hospital admissions and deaths increased.
The risk was greatest for patients who had previously suffered a heart surgery or heart attack, as well as patients with heart problems, including myocardial infarction, and had undergone an angioplasty, a procedure that removes the outer layer of the heart muscle.
“These results highlight the need to improve care and monitor patients during their ED visits,” said Gubaris.
“Patients with known cardiac risk factors should be considered for emergency department visits even if they are not at risk for cardiac events.”
While hospital admission was associated, hospital care did not increase the risk.
In addition, the study found that patients who were discharged to their homes and on the street were not more likely to develop a cardiac event than those who remained in the ED.
In all of the studies, patients who died were more likely than patients who survived to develop heart disease in the following years.
Dr. Brian E. Schubert, the lead author of the paper, is the assistant director of the Mayo Institute for Health Policy and Outcomes Research.
“Patients who were admitted to the hospital had an increased likelihood of having a cardiac condition and of having more cardiac events than those discharged,” said Schuert.
“However, they also had less risk of having the cardiac condition or having the more severe cardiac events that could lead to death.
This finding does not support the notion that hospital admission may increase the likelihood of heart disease.
The evidence from the first study is that the risk increases over time.
This may be because the more hospital stays a patient has, the more risk is associated with hospital care.
The second study found the same, with hospital admissions increasing the risk over time.””
Patient safety should be the primary consideration for the hospital and ED care staff,” Schuret said.
“In addition to the risks to patients and their families, the hospital may not be able to provide a sufficient degree of protection from potential adverse events, such as sudden cardiac death or myocardium rupture.”