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Regional Networking for Decreasing Mortality in Acute Coronary Syndromes on a Target Population of 1 Million Inhabitants

机译:用于降低急性冠状动脉综合征的死亡率的区域网络,目标人口100万居民

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Aim: In a period of 4 years we created a regional registry on acute coronary syndromes on a target population of 1 million inhabitants, and we followed the evolution of all patients with acute coronary syndromes (ACS). During this period we performed an intense educational activity in order to increase the adherence to European guidelines regarding the treatment of ACS. Material and method: The registry included 10 hospitals in 2004 and 13 hospitals in the following years, serving a population of 1 million inhabitants. Data regarding clinical presentation, risk factors, therapy and evolution were collected, centralized and processed in the clinic of cardiology of Targu Murescedil. Results: The registry included a number of 3455 patients with ACS, from which 1457 acute myocardial infarction (AMI) and 1998 unstable angina (UA). Mortality rates in AMI in the territorial hospitals was: 19,8% in 2004 which decreased to 11.04% in 2007, in parallel with an increase in the number of cases sent to interventional center (from 20% in 2004 to 28.51% in 2007). Conclusions: After the experience in running a registry on ACS, we conclude that we succeeded to decrease the mortality rates in AMI by increasing the adherence to European guidelines and by increasing the rates of patients sent to interventional center.
机译:目的:在4年的时间内,我们在目标人口上创建了一个关于急性冠状动脉综合征的区域登记,我们遵循所有急性冠状动脉综合征(ACS)的所有患者的演变。在此期间,我们进行了强烈的教育活动,以增加对欧洲关于ACS治疗的欧洲准则的依从性。材料和方法:登记处包括2004年的10家医院,并在接下来的几年内提供13家医院,服务于100万居民。收集有关临床介绍,危险因素,治疗和进化的数据,集中在塔尔穆尔森氏菌心脏病学中。结果:注册处包括许多3455名ACS患者,从中有1457名急性心肌梗死(AMI)和1998年不稳定的心绞痛(UA)。领土医院AMI的死亡率是:2004年的19,8%,2007年下降至11.04%,同时同时递增于介入中心的案件数量(2004年的20%到2007年的28.51%) 。结论:在对ACS运营登记处的经验之后,我们得出结论,我们成功地通过增加对欧洲准则的依从性以及增加送到介入中心的患者率来降低AMI的死亡率。

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