1. In-Hospital Coronary Revascularization Rates and Post-Discharge Mortality Risk in Non–ST-Segment Elevation Acute Coronary Syndrome
- Author
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Stuart J. Pocock, Nicolas Danchin, Stephen W.L. Lee, Yong Huo, Jesús Medina, Héctor Bueno, Xavier Rossello, Frans Van de Werf, Chee Tang Chin, Fundación AstraZeneca, Fundación ProCNIC, Instituto de Salud Carlos III, Ministerio de Economía y Competitividad (España), Bristol-Myers Squibb, Novartis, Instituto de Salud Carlos III - ISCIII, and Novartis Farmaceutica S.A.
- Subjects
Male ,medicine.medical_specialty ,Acute coronary syndrome ,Time Factors ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Risk Assessment ,03 medical and health sciences ,Percutaneous Coronary Intervention ,0302 clinical medicine ,Internal medicine ,Antithrombotic ,Humans ,Medicine ,ST segment ,Prospective Studies ,030212 general & internal medicine ,Acute Coronary Syndrome ,Prospective cohort study ,Survival rate ,Aged ,business.industry ,Mortality rate ,Percutaneous coronary intervention ,Middle Aged ,medicine.disease ,Patient Discharge ,Hospitalization ,Survival Rate ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business ,Risk assessment - Abstract
The relationship between in-hospital coronary revascularization rate (CRR) and post-discharge mortality rates in survivors of non-ST-segment elevation acute coronary syndrome (NSTE-ACS) at a system level is unclear. The purpose of this study was to evaluate CRR and 2-year post-discharge mortality rate (2YMR) in NSTE-ACS. CRR and 2YMR were analyzed by hospital rate of CRR (in deciles), by country, and by world region in 11,931 patients with NSTE-ACS who survived to discharge and were enrolled in the EPICOR (long-tErm follow uP of antithrombotic management patterns In acute CORonary syndrome patients) and EPICOR Asia: twin multinational, observational, prospective cohort studies. Significant differences in patient baseline characteristics, medical therapies, CRR, and 2YMR were found. Mean CRR ranged from 0.0% to 96.8% in the first and tenth decile, respectively (p
- Published
- 2019
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