Trends of case-fatality rate by acute coronary syndrome in Portugal : impact of a fast track to the coronary unit
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
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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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 |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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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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1799134474171056128 |