The first survey of the Saudi Acute Myocardial Infarction Registry Program: Main results and long-term outcomes (STARS-1 Program)

Autor: Abdulrahman Alarabi, Gamal A. Hussein, Elnatheer Saleh, Hassan Khalaf, Adil M Saleh, Ayman Al-Saleh, Adel Almasswary, Zaki Mokhtar, Anhar Ullah, Awatif A Awaad, Shukri AlSaif, Wael Alhaidari, Abdulhalim Jamal Kinsara, Raed AlKutshan, Fawaz Almutairi, Ali H Busaleh, Mohammad Alrazzaz, Muhammed M Selim, Basel Y AlSabatien, Hussam AlFaleh, Hadia B Osman, Farhan Abdullah, Aziza H Aref, Salah Abdelkader, Mushabab Al-Murayeh, Naif Altamimi, Ibrahim Altaj, Khalid M Abohatab, Hassan El-Sayed, Khalid F. AlHabib, Hassan Mhish, Sherief Mansour, Ammar A Alrifai, Modaser A. Butt, Atif A Aziz, Ashraf A Atwa, Turki AlGarni, Mohammad Ali, Essam M Fawzy, Ayman M Morsy, Yahya Alhosni, Abdulrahman Nouri Abdo, Ibrahim A AlHarbi, Mubarak Aldosari, Fathi A AlTohari, Ahmad Hersi, Tarek Kashour, Mohammed R. Arafah, Najeebullah Bugti, Mohammed Ali Alshehri, El Husseini A ElShihawy, Mohammed Abdalmoutaleb, Mohammed A Ahmad, Saleh Al-Ghamdi, Adel M Maria
Rok vydání: 2019
Předmět:
Male
Emergency Medical Services
Critical Care and Emergency Medicine
Economics
Epidemiology
Cardiovascular Procedures
medicine.medical_treatment
Myocardial Infarction
Social Sciences
Health Care Sector
030204 cardiovascular system & hematology
Geographical locations
0302 clinical medicine
Medicine and Health Sciences
Emergency medical services
Prospective Studies
030212 general & internal medicine
Myocardial infarction
Prospective cohort study
Sex Characteristics
Multidisciplinary
Mortality rate
Disease Management
Middle Aged
Hospitals
Medicine
Female
Research Article
Adult
Acute coronary syndrome
medicine.medical_specialty
Asia
Science
Cardiology
Saudi Arabia
Surgical and Invasive Medical Procedures
Revascularization
03 medical and health sciences
Health Economics
medicine
Humans
cardiovascular diseases
Acute Coronary Syndrome
Emergency Treatment
Aged
business.industry
Angioplasty
Percutaneous coronary intervention
medicine.disease
Health Surveys
Health Care
Health Care Facilities
Medical Risk Factors
Conventional PCI
Emergency medicine
People and places
business
Coronary Angioplasty
Zdroj: PLoS ONE, Vol 14, Iss 5, p e0216551 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: Background Prior acute coronary syndrome (ACS) registries in Saudi Arabia might not have accurately described the true demographics and cardiac care of patients with ACS. We aimed to evaluate the clinical characteristics, management, and outcomes of a representative sample of patients with acute myocardial infarction (AMI) in Saudi Arabia. Methods We conducted a 1-month snap-shot, prospective, multi-center registry study in 50 hospitals from various health care sectors in Saudi Arabia. We followed patients for 1 month and 1 year after hospital discharge. Patients with AMI included those with or without ST-segment elevation (STEMI or NSTEMI, respectively). This program survey will be repeated every 5 years. Results Between May 2015 and January 2017, we enrolled 2233 patients with ACS (mean age was 56 [standard deviation = 13] years; 55.6% were Saudi citizens, 85.7% were men, and 65.9% had STEMI). Coronary artery disease risk factors were high; 52.7% had diabetes mellitus and 51.2% had hypertension. Emergency Medical Services (EMS) was utilized in only 5.2% of cases. Revascularization for patients with STEMI included thrombolytic therapy (29%), primary percutaneous coronary intervention (PCI); (42.5%), neither (29%), or a pharmaco-invasive approach (3%). Non-Saudis with STEMI were less likely to undergo primary PCI compared to Saudis (35.8% vs. 48.7%; respectively, p
Databáze: OpenAIRE