Long term outcomes of a coordinate care program in patients after myocardial infarction (KOS-MI)

Autor: P P Buszman, A Kolarczyk-Haczyk, M Konopko, M Mazur, P Przybyla, K Ciesielska, E Pietrzyk, M Hermasch, A Zurakowski, M Gasior, M Rogala, P Jankowski, P Kazmierczak, K P Milewski, P E Buszman
Rok vydání: 2021
Předmět:
Zdroj: European Heart Journal. 42
ISSN: 1522-9645
0195-668X
DOI: 10.1093/eurheartj/ehab724.1450
Popis: Introduction Despite significant progress in treatment of myocardial infarction (MI), the annual mortality remains a challenge. Since 2017, The Coordinated Care in Myocardial Infarction Program (KOS-MI) has been introduced in Poland, which guarantees and coordinates patients to achieve complete revascularization, electrotherapy when necessary, cardiac rehabilitation and access to cardiologist for patients after MI. Purpose The aim of this study was to assess long term outcomes (3-year follow-up) of patients enrolled in KOS-MI. Methods This is a prospective multicenter registry of 1973 consecutive patients with myocardial infarction hospitalized in 4 centers of American Heart of Poland from 11.2017 to 11.2018. Patients which constituted a study group were enrolled in KOS-MI program at discharge. A control group consisted patients who received standard of care. Propensity score matching was utilized for patients baseline characteristic matching and results adjustment. Follow-up was obtained from the National Health Fund registry citizens. Combine endpoint of MACCE consisted of death, MI, stroke and repeated revascularization. Results In total 753 patients were enrolled in KOS program and 1173 constituted a control group. More than 90% of patients in both groups underwent PCI. Patients in KOS-MI were mostly men (70% vs. 65%; p In long- term follow-up (mean 2,8±0,27 years) mortality was significantly lower in KOS group (9% vs. 16,3%; p Conclusions Combination and coordination of unrestricted rehabilitation, complete revascularization, electrotherapy and ambulatory cardiologist care in the KOS-MI program improves long term prognosis in patients after MI. Funding Acknowledgement Type of funding sources: None. Figure 1
Databáze: OpenAIRE
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