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December 25, 2020Journal of Clinical MedicineOpen Access

Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015

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Why the study?

Reducing total ischemic time through appropriate reperfusion strategies is vital for ACS, but transfers to PCI-capable hospitals pose a time-consuming challenge for outer-metropolitan and rural patients in Western Australia.

Population

Patients with a confirmed first-time diagnosis of ACS in Western Australia

Comparison

Direct admission vs inter-hospital transfer across rural and metropolitan residential cohorts

Design

Retrospective linked administrative health data study

Authors

RFRene K. ForsythCurtin UniversityZSZhonghua SunCardiac ImagingCRChristopher M. ReidFlorida State University

Discussion

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Overview

Rural ACS disparities and frequent metro transfers persist; leaves open whether optimized pre-hospital triage reduces transfers or improves outcomes.

Structured PICO

P
Population
Patients with a confirmed first-time diagnosis of acute coronary syndrome (ACS) in Western Australia between 2007 and 2015, including direct admissions and inter-hospital transfers.
O
Outcome
Rates and patterns of first-time admissions for ACS and frequency of inter-hospital transfers

The study highlights a high rate of inter-hospital transfers for ACS patients even within metropolitan areas, emphasizing the need for improved pre-hospital triage to PCI-capable centers.

Cite This Study

Forsyth et al. (2020) studied this question.

synapsesocial.com/papers/6a87db7df762332bf8fe86a6https://doi.org/10.3390/jcm10010049
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