Management, characteristics and outcomes of patients with acute coronary syndrome in Sri Lanka
Management, characteristics and outcomes of patients with acute coronary syndrome in Sri Lanka
复制标题
DOI：
10.1136/heartjnl-2017-312404
复制
发表时间：
2018-09-01
期刊：
影响因子：
5.7
通讯作者：
Ekanayaka, Ruvan
中科院分区：
文献类型：
--
作者：
Galappatthy, Priyadarshani;Bataduwaarachchi, Vipula R.;Ekanayaka, Ruvan
Background I schaemic heart disease is the leading cause of in-hospital mortality in Sri Lanka. Acute Coronary Syndrome Sri Lanka Audit Project (ACSSLAP) is the first national clinical-audit project that evaluated patient characteristics, clinical outcomes and care provided by state-sector hospitals.Methods ACSSLAP prospectively evaluated acute care, in-hospital care and discharge plans provided by all state-sector hospitals managing patients with ACS. Data were collected from 30 consecutive patients from each hospital during 2-4 weeks window. Local and international recommendations were used as audit standards.Results Data from 87/98 (88.7%) hospitals recruited 2177 patients, with 2116 confirmed as having ACS. Mean age was 61.4 +/- 11.8 years (range 20-95) and 58.7% (n=1242) were males. There were 813 (38.4%) patients with unstable angina, 695 (32.8%) with non-ST-elevation myocardial infarction (NSTEMI) and 608 (28.7%) with ST-elevation myocardial infarction (STEMI). Both STEMI (69.9%) and NSTEMI (61.4%) were more in males (P
