Seeking actual benchmarks in acute coronary syndromes for European countries: insights from the EURHOBOP registry

Ribeiro, Henrique Barbosa; Lemos, Pedro A.

doi:10.1136/heartjnl-2014-305957

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Numerous large-scale randomized clinical trials have demonstrated the benefit of timely interventions as well, including antiplatelet therapy, thrombolysis, and cardiac catheterization [17,32]. Results from these trials have been incorporated into guidelines for inpatient and outpatient cardiac care internationally [33,34].…”

Section: Cardiovascular Carementioning

confidence: 99%

The Impact of Systems of Care on International Health Security

Reis¹,

Cipolla²

2021

Contemporary Developments and Perspectives in International Health Security - Volume 1

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International health security (IHS) prioritizes cross-border threats to nations such as epidemics, bioterrorism, and climate change. In the modern era, however, the leading causes of mortality are not infectious. Cardiovascular disease (CVD) is the leading cause of death worldwide. Over three-quarters of CVD deaths take place in low-income countries, illustrating a disparity in care. Traumatic injury also remains one of the leading causes of morbidity and mortality worldwide, placing a particularly heavy burden upon countries with limited resources. Cerebrovascular disease and acute stroke syndromes are major causes of mortality and disability worldwide. Programs leading to timely revascularization have proven to be the most powerful predictor of disease outcomes. The health of women and children is vital to creating a healthy world. The impact of neonatal resuscitation programs on mortality has been a major force in advancing international health security. Finally, the establishment of emergency medical services (EMS) systems has been shown to improve the health of communities in both high- and low-income nations. In order to address health security on a global scale, government authorities and public health institutions must incorporate access to modern systems of care addressing the major determinants of health and primary causes of mortality.

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Section: Cardiovascular Carementioning

confidence: 99%

The Impact of Systems of Care on International Health Security

Reis¹,

Cipolla²

2021

Contemporary Developments and Perspectives in International Health Security - Volume 1

View full text Add to dashboard Cite

show abstract

“… 1 Over the past decades, numerous large-scale randomised clinical trials have demonstrated the benefits of timely interventions for patients with ACS, including antiplatelet therapy, thrombolysis and urgent cardiac catheterisation followed by revascularisation as appropriate. 2 The results of these trials have been incorporated in national and international guidelines providing treatment recommendations. 3 4 Following these guidelines, the use of prehospital thrombolysis and percutaneous coronary intervention (PCI), the appropriate prescription of adjunctive pharmacotherapy and referral to cardiac rehabilitation are now more widespread.…”

Section: Introductionmentioning

confidence: 99%

Long-term outcomes after acute myocardial infarction in countries with different socioeconomic environments: an international prospective cohort study

et al. 2017

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BackgroundHospital-based data on the impact of socioeconomic environment on long-term survival after myocardial infarction (MI) are lacking. We compared outcome and quality of secondary prevention in patients after MI living in three different socioeconomic environments including patients from three tertiary-care teaching hospitals with similar service population size in Switzerland, Poland and Ukraine.MethodsThis is a prospective cohort study of patients with a first MI in three different tertiary-care teaching hospitals in Bern (Switzerland), Gdansk (Poland) and Lutsk (Ukraine) during the acute phase in the year 2010 and follow-up of these patients with a questionnaire and, if necessary, telephone interviews 3.5 years after the acute event. The study cohort comprises all consecutive patients hospitalised in every one of the three study centres during the year 2010 for a first MI in the age ≤75 years who survived ≥30 days.ResultsThe proportion of patients with ST-segment elevation myocardial infarction (STEMI) was high in Gdansk (Poland) (80%) and in Lutsk (Ukraine) (74%), while the ratio of STEMIs to non-STEMIs was nearly 50:50 in Bern (Switzerland) (50.6% STEMIs). Percutaneous coronary intervention (PCI) was the first choice therapy both in Bern (Switzerland) (100%) and in Gdansk (Poland) (92%), while it was not performed at all in Lutsk (Ukraine). We found substantial differences in treatment and also in secondary prevention interventions including cardiac rehabilitation. All-cause mortality at 3.5 year follow-up was 4.6% in Bern (Switzerland), 8.5% in Gdansk (Poland) and 14.6% in Lutsk (Ukraine).ConclusionSubstantial differences in treatment and secondary prevention measures according to low-income, middle-income and high-income socioeconomic situation are associated with a threefold difference in mortality 3.5 years after the acute event. Countries with low socioeconomic environment should increase efforts and be supported to improve care including secondary prevention in particular for MI patients. A greater number of PCIs per million inhabitants itself does not guarantee lower mortality scores.

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Seeking actual benchmarks in acute coronary syndromes for European countries: insights from the EURHOBOP registry

Cited by 2 publications

References 10 publications

The Impact of Systems of Care on International Health Security

The Impact of Systems of Care on International Health Security

Long-term outcomes after acute myocardial infarction in countries with different socioeconomic environments: an international prospective cohort study

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