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Trends of case-fatality rate by acute coronary syndrome in Portugal: Impact of a fast track to the coronary unit

2019-05-24Journal article Open access
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dc.contributor.authorAbreu, D.
dc.contributor.authorPinto, F.J.
dc.contributor.authorMatias-Dias, C.
dc.contributor.authorSousa, P.
dc.date.accessioned2020-05-11T09:24:17Z
dc.date.available2020-05-11T09:24:17Z
dc.date.issued2019-05-24
dc.description.abstractIntroduction: Efforts were made to improve management of coronary disease as the fast-track system to the Coronary Unit. We aim to analyse case-fatality rates by acute coronary syndrome in Portugal from 2000 to 2016, mainly the impact of the fast-track system and the proportion of patients that activate the fast-track system. Methods: We analysed monthly acute coronary syndrome case-fatality before and after the implementation of the fast-track system in 2007. Impact of the system was assessed through regression models for interrupted time-series. We calculated annual proportion of fast-track system admissions. Results: After 2007 case-fatality by acute coronary syndrome decreased (β=-1.27, p-value < 0.01). The estimates obtained for ST Elevation Myocardial Infarction suggest a reduction of nearly 86 monthly deaths prevented after 2007. The highest percentage of patients admitted through the fast-track system was 35%. Conclusions: Our results suggest fast-track system may have contributed to a decline in acute coronary syndrome case-fatality. However, more than half of patients were not admitted through the system. This should encourage health authorities to make efforts to ensure compliance.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJRSM Cardiovasc Dis. 2019 May 24;8:2048004019851952. doi: 10.1177/2048004019851952. eCollection Jan-Dec 2019pt_PT
dc.identifier.doi10.1177/2048004019851952pt_PT
dc.identifier.issn2048-0040
dc.identifier.urihttp://hdl.handle.net/10400.18/6647
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGE Publicationspt_PT
dc.relation.publisherversionhttps://journals.sagepub.com/doi/full/10.1177/2048004019851952?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmedpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectAcute Coronary Syndromept_PT
dc.subjectCardiovascular Diseasept_PT
dc.subjectEpidemiologypt_PT
dc.subjectFast-track Systempt_PT
dc.subjectEstados de Saúde e de Doençapt_PT
dc.subjectDoenças Cardio e Cérebro-vascularespt_PT
dc.titleTrends of case-fatality rate by acute coronary syndrome in Portugal: Impact of a fast track to the coronary unitpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage204800401985195pt_PT
oaire.citation.titleJRSM Cardiovascular Diseasept_PT
oaire.citation.volume8pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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