National Trends of Tobacco, Alcohol, and Drug Use in Patients Admitted With Acute Myocardial Infarction

Acute myocardial infarction (AMI) is a significant health and economic burden in the US. Tobacco, alcohol, and drug use are established risk factors. We sought to evaluate the national trend of use of each substance in patients admitted with AMI. We used the National Inpatient Sample between 2005 an...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine 2021-05, Vol.26, p.26-31
Main Authors: Kadri, Amer N., Khodor, Sara, Ali, Ahmed, Nusairat, Leen, Mahmood, Asadullah, Nahhas, George, Dabbous, Samir, Spears, James, Jafri, Syed, Werns, Steven
Format: Article
Language:English
Subjects:
Acute myocardial infarction
Adult
Alcohol
Drug use
Hospital Mortality
Hospitalization
Humans
Myocardial Infarction - epidemiology
Nicotiana
Pharmaceutical Preparations
Risk Factors
Smoking
Substance-Related Disorders - epidemiology
Tobacco Use
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Summary:Acute myocardial infarction (AMI) is a significant health and economic burden in the US. Tobacco, alcohol, and drug use are established risk factors. We sought to evaluate the national trend of use of each substance in patients admitted with AMI. We used the National Inpatient Sample between 2005 and 2017. We included adult patients hospitalized with AMI. International Classification of Diseases, Ninth and Tenth Revisions codes were used to define tobacco, alcohol, cocaine, opioid, cannabis and other drug use. Trends of each substance use were assessed using multivariable Poisson regression, and were expressed as annual percent change (APC) with their 95% confidence intervals (CIs). A total of 10,796,844 hospitalizations with AMI were included. Among all substances used, tobacco was the most common (32.7%), followed by alcohol (3.2%). Between 2005 and 2017, the prevalence ratio of tobacco use increased from 21.5% to 44.5% with an APC +6.2% (95%CI 6.2%–6.2%). Tobacco users had more percutaneous coronary intervention (41%vs25%) and coronary artery bypass surgery (6.9%vs4.9%), p 
ISSN:1553-8389
1878-0938
DOI:10.1016/j.carrev.2020.10.021