Ten years of Working Group for Acute Coronary Syndrome of the Croatian Cardiac Society and the Croatian Primary Percutaneous Coronary Intervention Network

Babić, Zdravko; Heitzler, Vjeran Nikolić; Miličić, Davor

doi:10.15836/ccar.2014.334

Cited by 2 publications

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“…Prethodno navedeni podatci usporedivi su s rezultatima sličnih mreža primarne PCI na regionalnoj i nacionalnoj razini zemalja s bitno većim BDP-om i većim ulaganjima u zdravstveni sustav, zbog čega je Hrvatska mreža primarne PCI prepoznata u relevantnim kardiološkim krugovima, a njezini rezultati objavljeni su u znanstvenim i stručnim medicinskim časopisima. [16][17][18][19][20][21]…”

Section: Treatment Of Acute Coronary Syndrome In Croatiaunclassified

“…The results reported above are comparable with those from similar primary PCI networks at the regional and national levels in countries with a substantially higher GDP and greater healthcare investments. That is why the Croatian Primary PCI Network has been recognized in relevant cardiologic settings, and its results have been published in renowned scientific and professional medical periodicals [16][17][18][19][20][21] .…”

Section: Budući Planovimentioning

confidence: 99%

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Acute Coronary Syndrome in Croatia.

Babić

Pavlov

2016

Cardiol Croat.

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SAŽETAK: Hrvatska u području liječenja akutnoga koronarnog sindroma metodama intervencijske kardiologije (perkutane koronarne intervencije, PCI) vrlo usko prati svjetske rezultate unatoč relativno niskim ulaganjima u zdravstveni sustav u usporedbi s razvijenim zemljama. U posljednjih desetak godina, otkada postoji Hrvatska mreža primarne PCI, hitno je liječeno nešto više od 15 000 bolesnika s akutnim infarktom miokarda s elevacijom ST segmenta (STEMI), a, prema istom principu, liječe se i drugi bolesnici s nestabilnim akutnim koronarnim sindromom. U posljednjim godinama mreža zbrinjava oko 540 -550 bolesnika s akutnim STEMI-jem na milijun stanovnika, a svaki od jedanaest PCI centara koji rade na principu 24/7 zbrinjava prosječno nešto više od 384 000 stanovnika. Prema trendovima zadnjih deset godina, jasan je porast rizičnoga profila tih bolesnika uz održavanje rezultata liječenja na razinama komparabilnima s onima sličnima PCI mrežama (postproceduralni TIMI III protok do 91 %, unutarbolnički mortalitet od 4,4 do 6,3%). Budući su planovi razvijanje kontinuiranoga prospektivnog elektroničkog Registra invazivne i intervencijske kardiologije te akutnoga koronarnog sindroma, daljnje skraćivanje reperfuzijskih vremena, daljnje povećanje uvođenja optimalnih lijekova i materijala u liječenje ovakvih bolesnika te optimizacija liječenja i akutnog infarkta miokarda bez elevacije ST segmenta na cijelom području Republike Hrvatske. SUMMARY:In the field of acute coronary syndrome management by the methods of interventional cardiology (percutaneous coronary intervention, PCI), Croatian medicine has closely followed international results in spite of the relatively low investments in the Croatian healthcare system as compared with industrialized countries. Since the establishment of the Croatian Primary Percutaneous Coronary Intervention Network, i.e. in the last decade, more than 15,000 patients with acute myocardial infarction with ST-segment elevation (STEMI) were treated with PCI; the same treatment protocol has also been applied in other patients with unstable acute coronary syndrome. In recent years, the network has managed 540-550 patients with acute STEMI per million inhabitants, with each of the eleven PCI centers providing care for more than 384,000 catchment population through 24/7 work schedule. The trends observed in the past decade show the risk profile of these patients to increase, while maintaining the results of treatment at the levels comparable to those reported from similar PCI networks (postprocedural TIMI III flow up to 91% and in-hospital mortality ranging from 4.4% to 6.3%). Future plans include development of a continuous prospective electronic Registry of Invasive and Interventional Cardiology and Acute Coronary Syndrome, further reduction of reperfusion time, increasing introduction of optimal medication and materials in the treatment of these patients, and optimization of treatment of acute myocardial infarction without ST-segment elevation all over Croatia.

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Section: Treatment Of Acute Coronary Syndrome In Croatiaunclassified

Section: Budući Planovimentioning

confidence: 99%

Acute Coronary Syndrome in Croatia.

Babić

Pavlov

2016

Cardiol Croat.

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“…Due to insufficient numbers of invasive cardiologists on hire, pPCI treatment started being performed only in 2010 and even then only during working hours. On January 1, 2014, our laboratory with 24-hour readiness was introduced into the Croatian pPCI network 9 . Approximately 140 pPCI procedures are performed annually in the laboratory, as well as a comparable number of interventions with non-ST elevation acute coronary syndrome (NSTE-ACS).…”

Section: Developing a Network Of Primary Percutaneous Coronary Intervention In Western Slavoniamentioning

confidence: 99%

Developing a Treatment Quality Monitoring Program for Patients with Acute Coronary Syndrome in Western Slavonia.

Prvulović¹

2015

Cardiol Croat.

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Dobra organizacija mreže primarne perkutane koronarne intervencije (pPCI) ima najvažnije mjesto u pružanju optimalne zdravstvene skrbi bolesnika s akutnim koronarnim sindromom (AKS). Organizacija mreže pPCI dugotrajan je i logistički kompleksan posao. Prikupljanje, analiziranje i dijeljenje podataka o funkcioniranju mreže zbrinjavanja bolesnika s AKS-om ima za cilj poboljšanje funkcioniranja sustava. Monitoriranje svakodnevnog rada, prikupljanje, analiziranje i dijeljenje podataka ključni je element za kontinuirano poboljšanje rada. U ovome članku opisujemo napore u razvoju programa praćenja kvalitete liječenja bolesnika s AKS-om u zapadnoj Slavoniji, dijagnostičke, terapijske i destinacijske protokole te način i vrstu podataka koje ćemo monitorirati kao pokazatelje kvalitetete i sveobuhvatnosti skrbi za bolesnike s AKS-om.SUMMARY: A well-organized network for primary percutaneous coronary intervention (pPCI) is of paramount importance in providing optimal healthcare for patients with acute coronary syndrome (ACS). Organizing a pPCI network is a lengthy and logistically complex task. The purpose of gathering, analyzing, and sharing data on the functioning of the network is to improve the system. Monitoring everyday work and gathering, analyzing, and sharing data are the key elements of continuous improvement. This article describes the efforts to develop a quality monitoring program for the treatment of patients with ACS in western Slavonia -a region in Croatia. We also explain the diagnostic, treatment, and destination protocols used and the types of data we will monitor as indicators of quality and comprehensiveness of care for patients with ACS. KLJUČNE RIJEČI: akutni infarkt miokarda, mreža primarne perkutane intervencije, reperfuzijska terapija, farmakoinvazivna strategija, primarna perkutana koronarna intervencija.

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Ten years of Working Group for Acute Coronary Syndrome of the Croatian Cardiac Society and the Croatian Primary Percutaneous Coronary Intervention Network

Cited by 2 publications

References 0 publications

Acute Coronary Syndrome in Croatia.

Acute Coronary Syndrome in Croatia.

Developing a Treatment Quality Monitoring Program for Patients with Acute Coronary Syndrome in Western Slavonia.

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