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The present study aimed to evaluate the impact of acute insomnia on long-term clinical outcomes in patients underwent PCI or CABG for AMI using the Korean National Health Insurance Service (NHIS) database, and to identify the factors through which insomnia contributes to prognostic determination in this patient population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No insomina | patient did not have insomia | ||
| Insomnia | patient have insomnia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Insomnia medication | Drug | Diagnosed as insomnia and use of anti-insomnia medication |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Rates of MACCE | a composite of death, spontaneous MI, repeat revascularization, and ischemic stroke | up to 10 years |
| Measure | Description | Time Frame |
|---|---|---|
| Rates of Death | All-cause death | up to 10 years |
| Rates of Revascularization | repeat revascularization | up to 10 years |
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Inclusion Criteria:
Exclusion Criteria:
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dults aged ≥18 years who were hospitalized between January 1, 2009, and December 31, 2023, with a primary diagnosis of AMI, defined using ICD-10 codes I21-I23 along with procedure codes for revascularization (either PCI or CABG), were included (N = 318,356). Among the participants, we excluded patients with mental disorder prior to incident MI (N =79,133), and patients who die at the diagnosis of AMI (N = 3,881).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ki Hong Choi, MD, PhD | Contact | +82234100897 | cardiokh@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Samsung Medical Center | Seoul | 06351 | South Korea |
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| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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| No insomnia medication |
| Other |
Diagnosed as insomnia and did not use of anti-insomnia medication |
|
| Rates of Spontaneous MI | MI | up to 10 years |
| Rates of Ischemic stroke | Stroke | up to 10 years |
| D001523 |
| Mental Disorders |