Abstract 12886: Ten-year Trends in Patient Characteristics, Treatments, and Outcomes in St Elevation Mi Patients in the Us - A Report From NCDR CP-MI Registry

Autor:	Sanjay Gandhi, Leslie L. Davis, Shuang Li, Deepak L. Bhatt, Michael C. Kontos, Kirk N. Garratt, Michel Zeitouni, Tracy Y. Wang
Rok vydání:	2020
Předmět:	medicine.medical_specialty business.industry Physiology (medical) ST elevation medicine.medical_treatment Emergency medicine Medicine In patient Thrombolysis Cardiology and Cardiovascular Medicine business Stemi patient
Zdroj:	Circulation. 142
ISSN:	1524-4539 0009-7322
DOI:	10.1161/circ.142.suppl_3.12886
Popis:	Introduction: The National Cardiovascular Data Registry affords a 10-year perspective of the landscape of STEMI patient characteristics, management, and clinical outcomes. Methods: Annual trends in patient characteristics and in-hospital treatments of 604,936 STEMI patients treated at 1226 US hospitals between 2009 and 2018 were analyzed. Using the ACTION mortality risk model incorporating cardiac arrest, the trend in in-hospitals risk adjusted mortality rates (RAMR) between 2011-2018 was tested. Results: While patient age (median 61 years) and sex (70.7% male) remained stable over time, the prevalence of diabetes (22.8% in 2009 to 28.3% in 2018) and atrial fibrillation (4.1% to 6.1%) increased, while smoking decreased (43.5% to 37.9%) . Among eligible patients, primary PCI use increased (82.3% to 96.0%) with more rapid door to balloon times for both direct arrival (median 62 min vs 56 min) and transferred-in pts (median 113 min vs 103 min, p for trend Conclusions: Characteristics of patients presenting with STEMI changed over time with improvements in primary PCI use and timeliness. However, there was no significant reduction in risk-adjusted mortality over the past decade.
Databáze:	OpenAIRE
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