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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/201166
Regional differences in STEMI care in Spain. Data from the ACI-SEC Infarction Code Registry
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Introduction and objectives: Geographical and organizational differences between different autonomous communities (AC) can generate differences in care for ST-segment elevation myocardial infarction (STEMI). A total of 17 heart attack code programs have been compared in terms of incidence rate, clinical characteristics, reperfusion therapy, delay to reperfusion, and 30-day mortality. Methods: National prospective observational study (83 centers included in 17 infarction networks). The recruitment period was 3 months (April 1 to June 30, 2019) with clinical follow-up at 30 days. Results: 4366 patients with STEMI were included. The incidence rate was variable between different AC (P <.0001), as was gender (P =.003) and the prevalence of cardiovascular risk factors (P <.0001). Reperfusion treatment was primary angioplasty (range 77.5%-97.8%), fibrinolysis ( range 0%-12.9%) or no treatment (range 2.2%- 13.5%). The analysis of the delay to reperfusion showed significant differences (P <.001) for all the intervals analyzed. There were significant differences in 30-days mortality that disappeared after adjusting for clinical and healthcare network characteristics. Conclusions: Large differences in STEMI care have been detected between the different AC, in terms of incidence rate, clinical characteristics, reperfusion treatment, delay until reperfusion, and 30-day mortality. The differences in mortality disappeared after adjusting for the characteristics of the patient and the care network.
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RODRÍGUEZ LEOR, Oriol, CID ÁLVAREZ, Ana belén, MORENO, Raúl, ROSSELLÓ, Xavier, OJEDA, Soledad, SERRADOR, Ana, LÓPEZ PALOP, Ramón, MARTÍN MOREIRAS, Javier, RAMÓN RUMOROSO, José, CEQUIER FILLAT, Àngel r., IBÁÑEZ, Borja, CRUZ GONZÁLEZ, Ignacio, ROMAGUERA, Rafael, RAPOSEIRAS ROUBÍN, Sergio, PÉREZ DE PRADO, Armando. Regional differences in STEMI care in Spain. Data from the ACI-SEC Infarction Code Registry. _REC: interventional cardiology (English Edition)_. 2023. [consulta: 23 de gener de 2026]. ISSN: 0300-8932. [Disponible a: https://hdl.handle.net/2445/201166]