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- W1988533708 abstract "Results: During the 5-year post-Katrina group, there were 849 admissions for AMI out of a total census of 38,521 patients (2.2%) compared to 150 admissions out of a census of 21,079 (0.7%) in the 2-year pre-Katrina group (p<0.0001). The post-Katrina group had a higher prevalence of known coronary artery disease (48.5% vs. 30.7%, p<0.001), prior coronary artery bypass grafts (14.1% vs. 9.3%, p<0.05), hyperlipidemia (53.8% vs. 45.0%, p<0.01), psychiatric comorbidities (11.0% vs. 6.7%, p<0.05), smoking (56.4% vs. 39.3%, p<0.0005), and substance abuse (15.9% vs. 6.7%, p<0.005). While the post-Katrina group had more often been prescribed aspirin (42.4% vs. 31.3%, p<0.05), ACE inhibitors or angiotensin receptor blockers (47.4% vs. 36.0%, p<0.05), and statins (44.0% vs. 28.0%, p<0.005), medication adherence was less (53.3% vs. 70.7%, p<0.0001). The post-Katrina group was also more likely to be unemployed (17.9% vs. 2.0%, p<0.0001), uninsured (11.5% vs. 6.0%, p<0.0001), and reside in New Orleans (88.1% vs. 70.0%, p<0.0001). There were no significant differences between the two groups in terms of age, sex, ethnicity, diabetes mellitus, and hypertension. Conclusion: Hurricane Katrina placed an arduous physical, psychological, and social burden on the residents of New Orleans. After five years of study at our institution, we find a three-fold increased incidence of AMI along with increased rates of coronary artery disease, hyperlipidemia, psychiatric comorbidities, smoking, substance abuse, medication non-adherence, unemployment, and lack of medical insurance. The higher prevalence of these clinical and psychosocial risk factors suggests that this profound natural disaster has had a long-standing impact on cardiovascular health in our community." @default.
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- W1988533708 date "2012-03-01" @default.
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- W1988533708 title "THE EFFECTS OF HURRICANE KATRINA ON ACUTE MYOCARDIAL INFARCTION FIVE YEARS AFTER THE STORM" @default.
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