Abstract:
BACKGROUND:Timely restoration of bloodflow acute ST-segment elevation myocardial infarction (STEMI) reduces myocardial damage and improves prognosis. The objective of this study was describe the association of demographic factors with hospitalisation rates for STEMI and time to angiography, Percutaneous Coronary Intervention (PCI) and Coronary Artery Bypass Graft (CABG) in New South Wales (NSW) and the Australian Capital Territory (ACT), Australia. METHODS:This was an observational cohort study using linked population health data. We used linked records of NSW and the ACT hospitalisations and the Australian Government Medicare Benefits Schedule (MBS) for persons aged 35 and over hospitalised with STEMI in the period 1 July 2010 to 30 June 2014. Survival analysis was used to determine the time between STEMI admission and angiography, PCI and CABG, with a competing risk of death without cardiac procedure. RESULTS:Of 13,117 STEMI hospitalisations, 71% were among males; 55% were 65-plus years; 64% lived in major cities, and 2.6% were Aboriginal people. STEMI hospitalisation occurred at a younger age in males than females. Angiography and PCI rates decreased with age: angiography 69% vs 42% and PCI 60% vs 34% on day 0 for ages 35-44 and 75-plus respectively. Lower angiography and PCI rates and higher CABG rates were observed outside major cities. Aboriginal people with STEMI were younger and more likely to live outside a major city. Angiography, PCI and CABG rates were similar for Aboriginal and non-Aboriginal people of the same age and remoteness area. CONCLUSIONS:There is a need to improve access to definitive revascularisation for STEMI among appropriately selected older patients and in regional areas. Aboriginal people with STEMI, as a population, are disproportionately affected by access to definitive revascularisation outside major cities. Improving access to timely definitive revascularisation in regional areas may assist in closing the gap in cardiovascular outcomes between Aboriginal and non-Aboriginal people.
journal_name
BMC Cardiovasc Disordjournal_title
BMC cardiovascular disordersauthors
Taylor LK,Nelson MA,Gale M,Trevena J,Brieger DB,Winch S,Cretikos MA,Newman LA,Phung HN,Faddy SC,Kelly PM,Chant Kdoi
10.1186/s12872-020-01487-0subject
Has Abstractpub_date
2020-05-14 00:00:00pages
224issue
1issn
1471-2261pii
10.1186/s12872-020-01487-0journal_volume
20pub_type
杂志文章abstract:BACKGROUND:Using the current meta-analysis as well as systematic review, to determine the curative effect of Nicorandil in comparison of no Nicorandil after elective percutaneous coronary intervention(PCI) on patients. METHODS:Published literatures were identified via a computerized literature search of CENTRAL, PubMe...
journal_title:BMC cardiovascular disorders
pub_type: 杂志文章,meta分析
doi:10.1186/s12872-019-1071-x
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abstract:BACKGROUND:Swallow or deglutition syncope is an unusual type of neurally-mediated syncope associated with life-threatening bradyarrhythmia and hypotension. It is a difficult condition to diagnose with commonly delayed diagnosis and management. There is lack of review articles that elucidate the basic demographics, clin...
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pub_type: 杂志文章
doi:10.1186/1471-2261-6-27
更新日期:2006-06-12 00:00:00
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doi:10.1186/1471-2261-14-190
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pub_type: 杂志文章
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更新日期:2014-09-11 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2017-01-31 00:00:00
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pub_type: 杂志文章
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更新日期:2011-06-14 00:00:00
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更新日期:2010-12-17 00:00:00
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pub_type: 杂志文章
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