Quality of Care for Patients with Acute Myocardial Infarction (AMI) in Pakistan: A Retrospective Study

Rehman, Shazia; Li, Xi; Wang, Chao; Ikram, Muhammad; Rehman, Erum; Liu, Meina

doi:10.3390/ijerph16203890

Cited by 20 publications

(17 citation statements)

References 33 publications

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“…CVDs have affected all the income level countries, especially low- and middle-income countries (LMIC) contribute the greatest portion to the overall CVD burden, specifically in terms of deaths at younger ages than in high-income countries, because of scarce human and financial resources [ 11 – 13 ]. Whereas, several of the largest LMIC had an increase in the overall burden of CVD; in decreasing pattern of percent burden increase, those included: India (15.4%), Bangladesh (27.4%), Indonesia (8.8%), China (6.6%), the Philippine (25.3%), and Mexico (19.7%) [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular disease (CVD): assessment, prediction and policy implications

Rehman

Ikram

et al. 2021

BMC Public Health

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Background The study aims to predict and assess cardiovascular disease (CVD) patterns in highly affected countries such as Pakistan, India, China, Kenya, the USA, and Sweden. The data for CVD deaths was gathered from 2005 to 2019. Methods We utilized non-homogenous discrete grey model (NDGM) to predict growth of cardiovascular deaths in selected countries. We take this process a step further by utilizing novel Synthetic Relative Growth Rate (RGR) and Synthetic Doubling Time (Dt) model to assess how many years it takes to reduce the cardiovascular deaths double in numbers. Results The results reveal that the USA and China may lead in terms of raising its number of deaths caused by CVDs till 2027. However, doubling time model suggests that USA may require 2.3 years in reducing the cardiovascular deaths. Conclusions This study is significant for the policymakers and health practitioners to ensure the execution of CVD prevention measures to overcome the growing burden of CVD deaths.

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Section: Introductionmentioning

confidence: 99%

Cardiovascular disease (CVD): assessment, prediction and policy implications

Rehman

Ikram

et al. 2021

BMC Public Health

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“…Time is directly proportional to the rates of mortality in patients with acute STEMI, those who receive reperfusion therapy within time are more likely to get benefited as compare to those who do not [9]. While data from national hospitals is still lacking but a study conducted by Rehman S in 2019 in different cities of Punjab (a province in Pakistan) in which they have included all patients with acute myocardial infarction irrespective of STEMI and non-ST elevation myocardial infarction (NSTEMI) has shown the in-hospital mortality rate was 8.6% [10]. This difference in rates of inhospital outcome is possibly due to eligibility criteria of patients as in our study we included high-risk patients who did not receive reperfusion therapy while their studies have included all patients with acute myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

In-Hospital Outcome of Patients with Acute ST-Segment Elevation Myocardial Infarction Who Did Not Receive Reperfusion Therapy at Our Institute

Memon

Shah²,

Brohi

et al. 2021

JPRI

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Objective: This study aims to determine the in-hospital outcome of patients with acute ST-segment elevation myocardial infarction who did not receive reperfusion therapy at our institute. Methodology: Cohort of patients recruited from Emergency Department of Liaquat University Hospital, Hyderabad affiliated with Liaquat University of Medical & Health sciences, Jamshoro, Sindh, Pakistan from August 2nd, 2019 to 1st July 2020. All the patients who were diagnosed as a case of acute STEMI belongs to any age group of either gender and who did not receive reperfusion therapy either percutaneous or pharmacological therapy due to any cause were included in our study to assess their in-hospital outcome. Results: Total of 106 patients were enrolled having mean age and SD of 51.09 ± 13.50 years in which 67.92% were males. Significantly higher proportion of patients who did not receive reperfusion therapy died during hospitalization (27.35%, N = 29). The most common risk factors associated with higher mortality rates were increasing age, increased mean duration of hospitalization from the onset of chest pain, raised RBS, diabetes mellitus, and smoking, p <0.001. Conclusion: Almost one third of patients with acute STEMI who did not receive reperfusion therapy were died during hospitalization. Among those, unfortunately the higher mortality was observed having modifiable risk factors.

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“…Chronic NCDs, especially CVD, are becoming a serious threat in LMICs, including the densely populated South Asian nations, as a result of fast industrialization, higher survival from acute diseases, and population aging [ 5 ]. NCDs now account for 52 percent of mortality in South Asia, and by 2030, they are expected to account for 72 percent of overall mortality [ 6 , 7 ]. An abundance of evidence has shown that South Asians are at elevated risk of CVDs bringing about calls to upgrade CVD prevention in South Asian nations and migrant populations.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Influence on Cardiac Mortality in the South Asian Region: New Perspectives from Grey Modeling and G-TOPSIS

Rehman

Hussaın

et al. 2021

Journal of Healthcare Engineering

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Background. Measuring the potential socioeconomic factors of cardiac mortality is fundamental to identifying treatments, setting priorities, and effectively allocating resources to minimize disease burden. The study sought to present a methodology that explores the connections between urbanization, population growth, human development index (HDI), access to energy, unemployment, and cardiovascular disease (CVD) mortality within the South Asian Association for Regional Cooperation (SAARC) nations to mitigate the cardiac disease burden. Methods. This investigation uses multiple-criteria decision-making methodologies to analyze data between 2001 and 2017 commencing with a mathematical grey incidence analysis (GIA) methodology to estimate weights and rank nations based on CVD mortality. Then, utilizing the conservative min-max model approach, we sought to determine which country contributes the most to CVD mortality among all South Asian nations. The grey preference by similarity to ideal solution (G-TOPSIS) method is adopted for further optimization by prioritizing the selected factors that have the greatest influence on CVD mortality. Results. The estimated statistic highlights that, among SAARC nations, Pakistan has a significant proportion of the disease burden attributable to cardiac events. In addition, HDI showed a significant contribution in the reduction of CVD mortality, whereas unemployment showed a significant contribution in the rise of CVD mortality among all selected variables. Conclusions. This investigation may facilitate researchers with a multiple-criteria decision-making roadmap to help them enhance the quality of their studies and their understanding of how to use multiple-criteria decision-making techniques to evaluate and prioritize the influencing factors of disease mortality in healthcare research. Further, the study outcomes provide additional practical knowledge for appropriate policy solutions.

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Quality of Care for Patients with Acute Myocardial Infarction (AMI) in Pakistan: A Retrospective Study

Cited by 20 publications

References 33 publications

Cardiovascular disease (CVD): assessment, prediction and policy implications

Cardiovascular disease (CVD): assessment, prediction and policy implications

In-Hospital Outcome of Patients with Acute ST-Segment Elevation Myocardial Infarction Who Did Not Receive Reperfusion Therapy at Our Institute

Socioeconomic Influence on Cardiac Mortality in the South Asian Region: New Perspectives from Grey Modeling and G-TOPSIS

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