Lower long-term mortality within a regional system of care for ST-elevation myocardial infarction
Autor: | Leonardo G. Pancaldi, Angelo Branzi, Cinzia Marrozzini, Paolo Guastaroba, Nevio Taglieri, Giuseppe Di Pasquale, Paolo Ortolani, Tullio Palmerini, Rossana De Palma, Antonio Marzocchi, Francesco Saia, Giovanni Gordini, Pier Camillo Pavesi |
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Přispěvatelé: | Saia F, Marrozzini C, Guastaroba P, Ortolani P, Palmerini T, Pavesi PC, Gordini G, Pancaldi LG, Taglieri N, Palma R, Pasquale G, Branzi A, Marzocchi A. |
Jazyk: | angličtina |
Rok vydání: | 2010 |
Předmět: |
Male
medicine.medical_specialty Emergency Medical Services medicine.medical_treatment Myocardial Infarction Regional Medical Programs Electrocardiography Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Thrombolytic Therapy cardiovascular diseases Chromatin structure remodeling (RSC) complex Myocardial infarction Angioplasty Balloon Coronary Survival rate Stroke Aged Aged 80 and over biology medicine.diagnostic_test business.industry Percutaneous coronary intervention Middle Aged medicine.disease Triage Survival Rate Treatment Outcome ST-elevation myocardial infarction Italy Conventional PCI Emergency Medicine biology.protein Cardiology Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
Popis: | INTRODUCTION: Organization of regional systems of care (RSC) with an emphasis on pre-hospital triage and primary percutaneous coronary intervention (PCI) has been recommended to implement guidelines and improve clinical outcome in ST-segment elevation myocardial infarction (STEMI). PATIENTS AND METHODS: All STEMI patients (n = 1,823) admitted to any of the 13 hospitals of the province of Bologna, Italy, before (pre-RSC, n = 858) and after (RSC, n = 965) the implementation of a RSC were enrolled in the study. Primary evaluation was mortality. Secondary outcomes included death, myocardial infarction, stroke, and coronary revascularization procedures up to three-year follow-up. RESULTS: Among patients admitted |
Databáze: | OpenAIRE |
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