Adherence to ACC/AHA performance measures for myocardial infarction in six Middle-Eastern countries: association with in-hospital mortality and clinical characteristics

International Journal of Cardiology
Joseph C LongeneckerJassim Al-Suwaidi

Abstract

This study assesses adherence to performance measures for acute myocardial infarction (AMI) in six Middle-Eastern countries, and its association with in-hospital mortality. Few studies have previously assessed these performance measures in the Middle East. This cohort study followed 5813 patients with suspected AMI upon admission to discharge. Proportions of eligible participants receiving the following performance measures were calculated: medications within 24 hours of admission (aspirin and beta-blocker) and on discharge (aspirin, beta-blockers, angiotensin converting enzyme inhibitors [ACEI], and lipid-lowering therapy), reperfusion therapy, and low-density lipoprotein (LDL) cholesterol measurement. A composite adherence score was calculated. Associations between performance measures and clinical characteristics were assessed using multivariate logistic regression. Adherence was above 90% for aspirin, reperfusion, and lipid-lowering therapies; between 60% and 82% for beta-blockers, ACEI, statin therapy, time-to-balloon within 90 minutes, and LDL-cholesterol measurement; and 33% for time-to-needle within 30 minutes. After adjustment, factors associated with high composite performance score (>85%) included Asian ethnicity (Od...Continue Reading

References

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Citations

Feb 3, 2015·Tropical Medicine & International Health : TM & IH·Thang NguyenKatja Taxis
Feb 24, 2016·Heart Views : the Official Journal of the Gulf Heart Association·Hajar A Albinali
May 21, 2016·Journal of the American College of Cardiology·Emily M BucholzHarlan M Krumholz
Feb 13, 2019·Critical Pathways in Cardiology·Harel GilutzIlana Shoham-Vardi
Feb 14, 2015·Critical Pathways in Cardiology·Mohammadreza FarahzadiSaeed Sadeghian

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