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

Detalhes bibliográficos
Autor(a) principal: Abreu, D.
Data de Publicação: 2019
Outros Autores: Pinto, Fausto J., Dias, C. Matias, Sousa, P.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/39807
Resumo: © The Author(s) 2019. Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons AttributionNonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
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spelling Trends of case-fatality rate by acute coronary syndrome in Portugal : impact of a fast track to the coronary unitAcute coronary syndromeCardiovascular diseaseEpidemiologyFast-track system© The Author(s) 2019. Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons AttributionNonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).Introduction: 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 fasttrack 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 (b¼1.27, 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.SAGE PublicationsRepositório da Universidade de LisboaAbreu, D.Pinto, Fausto J.Dias, C. MatiasSousa, P.2019-10-11T11:15:08Z20192019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/39807engJRSM Cardiovascular Disease, Volume 8: 1–102048-00400.1177/2048004019851952info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:38:39Zoai:repositorio.ul.pt:10451/39807Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:53:33.667024Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Trends of case-fatality rate by acute coronary syndrome in Portugal : impact of a fast track to the coronary unit
title Trends of case-fatality rate by acute coronary syndrome in Portugal : impact of a fast track to the coronary unit
spellingShingle Trends of case-fatality rate by acute coronary syndrome in Portugal : impact of a fast track to the coronary unit
Abreu, D.
Acute coronary syndrome
Cardiovascular disease
Epidemiology
Fast-track system
title_short Trends of case-fatality rate by acute coronary syndrome in Portugal : impact of a fast track to the coronary unit
title_full Trends of case-fatality rate by acute coronary syndrome in Portugal : impact of a fast track to the coronary unit
title_fullStr Trends of case-fatality rate by acute coronary syndrome in Portugal : impact of a fast track to the coronary unit
title_full_unstemmed Trends of case-fatality rate by acute coronary syndrome in Portugal : impact of a fast track to the coronary unit
title_sort Trends of case-fatality rate by acute coronary syndrome in Portugal : impact of a fast track to the coronary unit
author Abreu, D.
author_facet Abreu, D.
Pinto, Fausto J.
Dias, C. Matias
Sousa, P.
author_role author
author2 Pinto, Fausto J.
Dias, C. Matias
Sousa, P.
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Abreu, D.
Pinto, Fausto J.
Dias, C. Matias
Sousa, P.
dc.subject.por.fl_str_mv Acute coronary syndrome
Cardiovascular disease
Epidemiology
Fast-track system
topic Acute coronary syndrome
Cardiovascular disease
Epidemiology
Fast-track system
description © The Author(s) 2019. Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons AttributionNonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
publishDate 2019
dc.date.none.fl_str_mv 2019-10-11T11:15:08Z
2019
2019-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/39807
url http://hdl.handle.net/10451/39807
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv JRSM Cardiovascular Disease, Volume 8: 1–10
2048-0040
0.1177/2048004019851952
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SAGE Publications
publisher.none.fl_str_mv SAGE Publications
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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