Temporary Housing Negatively Affects the Clinical Follow-up and Outcome of Myocardial Infarction Patients after the 2023 Türkiye-Syria Earthquake.
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| Název: | Temporary Housing Negatively Affects the Clinical Follow-up and Outcome of Myocardial Infarction Patients after the 2023 Türkiye-Syria Earthquake. |
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| Autoři: | Faideci EM; Cardiology Clinic, Dörtyol State Hospital, Hatay, Türkiye., Güzel S; Cardiovascular Surgery Clinic, Dörtyol State Hospital, Hatay, Türkiye., Hancıoğlu E; Cardiology Department, Samandağ State Hospital, Hatay, Türkiye., Maraşlı MB; Statistics Department, Dörtyol State Hospital, Hatay, Türkiye., Ziyrek M; Cardiology Clinic, https://ror.org/054341q84KTO Karatay University, Konya, Türkiye., Okuyan E; Cardiology Clinic, https://ror.org/037jwzz50Istanbul Bagcilar Training and Research Hospital, Istanbul, Türkiye. |
| Zdroj: | Disaster medicine and public health preparedness [Disaster Med Public Health Prep] 2025 Nov 28; Vol. 19, pp. e330. Date of Electronic Publication: 2025 Nov 28. |
| Způsob vydávání: | Journal Article |
| Jazyk: | English |
| Informace o časopise: | Publisher: Cambridge University Press Country of Publication: United States NLM ID: 101297401 Publication Model: Electronic Cited Medium: Internet ISSN: 1938-744X (Electronic) Linking ISSN: 19357893 NLM ISO Abbreviation: Disaster Med Public Health Prep Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2013>- : New York : Cambridge University Press Original Publication: Philadelphia, PA : Lippincott Williams & Wilkins |
| Výrazy ze slovníku MeSH: | Myocardial Infarction*/epidemiology , Myocardial Infarction*/therapy , Myocardial Infarction*/complications , Myocardial Infarction*/psychology , Earthquakes*/statistics & numerical data , Housing*/statistics & numerical data , Housing*/standards , Aftercare*/statistics & numerical data , Aftercare*/standards , Aftercare*/methods, Humans ; Male ; Female ; Retrospective Studies ; Middle Aged ; Aged ; Turkey/epidemiology ; Follow-Up Studies ; Cohort Studies |
| Abstrakt: | Objectives: This study aimed to evaluate the impact of temporary housing challenges (THC) after the February 6, 2023, Türkiye earthquake on clinical follow-up non-adherence (CFNA), low-density lipoprotein cholesterol (LDL-C) target achievement, and major adverse cardiac events (MACE) in patients with myocardial infarction (MI). Methods: A retrospective cohort of 283 MI patients undergoing coronary angiography and stenting between May 6 and November 6, 2023, was analyzed. Patients were divided into Group 1 (THC group: residing in container cities) and Group 2 (non-THC group: living in intact/usable homes). Initial laboratory parameters and 1-year MACE incidence were compared. In MACE-free patients, adherence to 5 scheduled face-to-face visits (week 1, months 1, 3, 6, and 12) and LDL-C goal achievement were evaluated. CFNA was defined as attending fewer than 3 visits. One-year lab results were also compared. Results: THC independently predicted CFNA (OR: 1.925, P = 0.019) and MACE (OR: 3.937, P = 0.006). Follow-up attendance was lower in Group 1 (week 1: 43.2% vs 69.9%, P <0.001; month 12: 82.2% vs 95.1%, P = 0.008). LDL-C target achievement was significantly lower (6.85% vs 31.07%, P <0.001). Conclusions: THC adversely impacts clinical follow-up adherence and increases MACE rates. Addressing THC's challenges is essential for improving post-disaster health care outcomes. |
| Contributed Indexing: | Keywords: Clinical follow-up non-adherence; myocardial infarction; post-disaster health care management; social determinants of health; temporary housing challenges |
| Entry Date(s): | Date Created: 20251128 Date Completed: 20251128 Latest Revision: 20251128 |
| Update Code: | 20251128 |
| DOI: | 10.1017/dmp.2025.10259 |
| PMID: | 41310929 |
| Databáze: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstrakt: | Objectives: This study aimed to evaluate the impact of temporary housing challenges (THC) after the February 6, 2023, Türkiye earthquake on clinical follow-up non-adherence (CFNA), low-density lipoprotein cholesterol (LDL-C) target achievement, and major adverse cardiac events (MACE) in patients with myocardial infarction (MI).<br />Methods: A retrospective cohort of 283 MI patients undergoing coronary angiography and stenting between May 6 and November 6, 2023, was analyzed. Patients were divided into Group 1 (THC group: residing in container cities) and Group 2 (non-THC group: living in intact/usable homes). Initial laboratory parameters and 1-year MACE incidence were compared. In MACE-free patients, adherence to 5 scheduled face-to-face visits (week 1, months 1, 3, 6, and 12) and LDL-C goal achievement were evaluated. CFNA was defined as attending fewer than 3 visits. One-year lab results were also compared.<br />Results: THC independently predicted CFNA (OR: 1.925, P = 0.019) and MACE (OR: 3.937, P = 0.006). Follow-up attendance was lower in Group 1 (week 1: 43.2% vs 69.9%, P <0.001; month 12: 82.2% vs 95.1%, P = 0.008). LDL-C target achievement was significantly lower (6.85% vs 31.07%, P <0.001).<br />Conclusions: THC adversely impacts clinical follow-up adherence and increases MACE rates. Addressing THC's challenges is essential for improving post-disaster health care outcomes. |
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| ISSN: | 1938-744X |
| DOI: | 10.1017/dmp.2025.10259 |