Outcome of patients with acute myocardial infarction admitted in hospitals with or without catheterization laboratory: results from the HELIOS registry

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dc.contributor.authorPipilis, A.en
dc.contributor.authorAndrikopoulos, G.en
dc.contributor.authorLekakis, J.en
dc.contributor.authorKalantzi, K.en
dc.contributor.authorKitsiou, A.en
dc.contributor.authorToli, K.en
dc.contributor.authorFloros, D.en
dc.contributor.authorGaita, D.en
dc.contributor.authorKaralis, I.en
dc.contributor.authorDragomanovits, S.en
dc.contributor.authorKalogeropoulos, P.en
dc.contributor.authorSynetos, A.en
dc.contributor.authorKoutsogiannis, N.en
dc.contributor.authorStougiannos, P.en
dc.contributor.authorAntonakoudis, C.en
dc.contributor.authorGoudevenos, J.en
dc.date.accessioned2015-11-24T19:00:32Z
dc.date.available2015-11-24T19:00:32Z
dc.identifier.issn1741-8275-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19552
dc.rightsDefault Licence-
dc.subjectAdrenergic beta-Antagonists/therapeutic useen
dc.subjectAgeden
dc.subjectAngina Pectoris/epidemiologyen
dc.subjectAngioplasty, Balloon, Coronaryen
dc.subjectAngiotensin II Type 1 Receptor Blockers/therapeutic useen
dc.subjectAngiotensin-Converting Enzyme Inhibitors/therapeutic useen
dc.subjectAnticoagulants/therapeutic useen
dc.subjectDrug Utilizationen
dc.subjectFemaleen
dc.subjectGreece/epidemiologyen
dc.subjectHealth Facilities/*statistics & numerical dataen
dc.subject*Heart Catheterizationen
dc.subjectHeart Failure/epidemiologyen
dc.subjectHeparin/therapeutic useen
dc.subject*Hospitalizationen
dc.subjectHumansen
dc.subjectHydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic useen
dc.subjectMaleen
dc.subjectMyocardial Infarction/epidemiology/*therapyen
dc.subjectMyocardial Reperfusionen
dc.subject*Outcome Assessment (Health Care)en
dc.subjectPlatelet Aggregation Inhibitors/therapeutic useen
dc.subjectRecurrenceen
dc.subjectRegistriesen
dc.subjectShock/epidemiologyen
dc.subjectStroke/epidemiologyen
dc.titleOutcome of patients with acute myocardial infarction admitted in hospitals with or without catheterization laboratory: results from the HELIOS registryen
heal.abstractAIMS: To compare the treatment and outcomes of myocardial infarction patients in hospitals with and without catheterization laboratory. METHODS AND RESULTS: The Hellenic Infarction Observation Study was a countrywide registry of acute myocardial infarction, conducted during 2005-2006. The registry enrolled 1840 patients with myocardial infarction from 31 hospitals with a proportional representation of all types of hospitals and of all geographical areas. Out of these patients, 645 (35%) were admitted in 11 hospitals with and 1195 (65%) in 20 hospitals without catheterization laboratory. Patients admitted in hospitals with catheterization laboratory in comparison with patients admitted in hospitals without were younger (66+/-14 vs. 68+/-13, P<0.004) with less diabetes (27 vs. 33%, P<0.001), but without other baseline differences (female 27 vs. 25%, prior myocardial infarction 20 vs. 17%, Killip class>1 22 vs. 23%). Reperfusion rates for ST-segment elevation myocardial infarction were 67% (43% lytic, 24% primary percutaneous coronary interventions) versus 56% (55% lytic, 1% percutaneous coronary interventions; P<0.01). In-hospital outcomes in hospitals with versus in hospitals without laboratory were: mortality 6.5 versus 8.3% (NS), stroke 2.2 versus 1.1% (NS), major bleeding 1.1 versus 0.6% (NS), and heart failure 11 versus 16% (P<0.01). In multivariate regression analysis, being admitted in a hospital without catheterization laboratory was not an independent predictor of increased in-hospital mortality (odds ratio=1.18, 95% confidence interval: 0.72-1.93, P=0.505). CONCLUSION: Although the majority of acute myocardial infarction patients was admitted in hospitals without catheterization laboratory, these patients do not have a survival disadvantage, provided they are treated with lytic therapy, medical secondary prevention drugs, and eventual revascularization according to current guidelines.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1097/HJR.0b013e32831e954e-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/19188809-
heal.identifier.secondaryhttp://cpr.sagepub.com/content/16/1/85-
heal.journalNameEur J Cardiovasc Prev Rehabilen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2009-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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