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February 19, 2018Journal of Evaluation in Clinical Practice

A 15-year Portuguese registry shows improving ACS care with STEMI reperfusion rates reaching ~85%.

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Population

45,141 patients with acute coronary syndromes included since 2002 in the nationwide Portuguese Registry of…

Design

Cohort

Key result

In a nationwide Portuguese registry of 45,141 patients with acute coronary syndromes, reperfusion rates for STEMI increased to 85%, and invasive strategy for NSTE-ACS exceeded 80%.

Authors

ATAna Teresa TimóteoJMJorge Mimoso

Discussion

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Member takes

Overview

Registry trends support rising ACS reperfusion in Portugal; leaves open generalizability and outcome links beyond this cohort.

Study Design

Type

Observational (n=45,141)

Multicenter

Yes

Structured PICO

P
Population
45,141 patients with acute coronary syndromes included in a nationwide Portuguese registry since 2002.
E
Exposure
Assessment of quality performance measures and quality of care over 15 years
O
Outcome
Specific quality indicators for the treatment of ACS previously defined by international scientific societies

Nationwide registry data from Portugal demonstrates significant improvements in ACS quality of care and hospital mortality over 15 years, though in-hospital time delays and optimal medication use remain areas for improvement.

Cite This Study

Timóteo et al. (2018) conducted an observational in Acute coronary syndromes (n=45,141). Guideline-directed care for acute coronary syndromes was evaluated on Specific quality indicators for the treatment of acute coronary syndromes. In a nationwide Portuguese registry of 45,141 patients with acute coronary syndromes, reperfusion rates for STEMI increased to 85%, and invasive strategy for NSTE-ACS exceeded 80%.

synapsesocial.com/papers/6aa21884d753d5d98d80d12ehttps://doi.org/10.1111/jep.12881
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