An independent observatory in Vendée on ST-elevated acute myocardial infarction (the OVISCA Register). A Departmental evaluation of demographic trends, mortality and delays before treatment
Copyright © 2019 Elsevier Masson SAS. All rights reserved..
AIM: Mortality from acute myocardial infarction has been falling during the past 30 years. The aim of the study was to evaluate the temporal trends of demographics, mortality rates, and time to treatment in patients admitted for acute ST elevation myocardial infarction (STEMI) in Vendée.
PATIENTS AND METHODS: From 2008 to 2016, 1994 patients hospitalised in CHD Vendée for STEMI <48hours were included. Two groups were compared, 838 patients admitted between 2008 and 2011 (group 1), and 1156 admitted between 2013 and 2016 (group 2).
RESULTS: Between the 2 periods, mean age was comparable (63.8 vs. 64.4 years), the gender ratio decreased (from 3.15 to 2.79 ; P=0.25). The mean duration of hospital stay was 0.8 day shorter (P=0.008). Treatment at discharge was optimum in 97.5% patients versus 92% (P<0.001). Left ventricular ejection fraction was comparable (50.6% vs. 50.2%). There was a non-significant trend to a decrease in hospital mortality (from 6.3% to 4.4%; p=0.12), and 6-month mortality (from 6.9% to 5.9%; P=0.51). There was a reduction in the use of emergency call-outs (74.9% to 68.9%; P<0.01), but an increase in direct presentations from 44% to 48.7% (P<0.05). The time before calling was comparable (2.5hours vs. 2.3hours; P=04.7). The "door-to-balloon" time decreased (0.71 vs. 0.55hour; P<0.001). The mean time between pain and angioplasty increased (5.7 vs. 6.8hours; P<0.05).
CONCLUSIONS: In vendee, from 2011 to 2016, hospital and 6-month mortality of STEMI trend to decrease non-significantly. The door to balloon time decreased, although emergency call-out rates and delays did not. Considerable efforts are still required with respect to patient information and education. Our registry offers an excellent tool to improve practices, the aim being to ensure its integration in the CRAC-France PCI registry.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:68 |
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| Enthalten in: |
Annales de cardiologie et d'angeiologie - 68(2019), 5 vom: 01. Nov., Seite 300-305 |
| Sprache: |
Französisch |
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| Weiterer Titel: |
Observatoire Vendéen indépendant des syndromes Coronarien aigus avec sus-décalage du segment ST (Registre OVISCA). Évaluation départementale, évolution démographique, mortalité, délais de prise en charge |
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| Beteiligte Personen: |
Boiffard, E [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 07.04.2020 Date Revised 08.04.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ancard.2019.08.008 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM301501815 |
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| 100 | 1 | |a Boiffard, E |e verfasserin |4 aut | |
| 245 | 1 | 3 | |a An independent observatory in Vendée on ST-elevated acute myocardial infarction (the OVISCA Register). A Departmental evaluation of demographic trends, mortality and delays before treatment |
| 246 | 3 | 3 | |a Observatoire Vendéen indépendant des syndromes Coronarien aigus avec sus-décalage du segment ST (Registre OVISCA). Évaluation départementale, évolution démographique, mortalité, délais de prise en charge |
| 264 | 1 | |c 2019 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 07.04.2020 | ||
| 500 | |a Date Revised 08.04.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2019 Elsevier Masson SAS. All rights reserved. | ||
| 520 | |a AIM: Mortality from acute myocardial infarction has been falling during the past 30 years. The aim of the study was to evaluate the temporal trends of demographics, mortality rates, and time to treatment in patients admitted for acute ST elevation myocardial infarction (STEMI) in Vendée | ||
| 520 | |a PATIENTS AND METHODS: From 2008 to 2016, 1994 patients hospitalised in CHD Vendée for STEMI <48hours were included. Two groups were compared, 838 patients admitted between 2008 and 2011 (group 1), and 1156 admitted between 2013 and 2016 (group 2) | ||
| 520 | |a RESULTS: Between the 2 periods, mean age was comparable (63.8 vs. 64.4 years), the gender ratio decreased (from 3.15 to 2.79 ; P=0.25). The mean duration of hospital stay was 0.8 day shorter (P=0.008). Treatment at discharge was optimum in 97.5% patients versus 92% (P<0.001). Left ventricular ejection fraction was comparable (50.6% vs. 50.2%). There was a non-significant trend to a decrease in hospital mortality (from 6.3% to 4.4%; p=0.12), and 6-month mortality (from 6.9% to 5.9%; P=0.51). There was a reduction in the use of emergency call-outs (74.9% to 68.9%; P<0.01), but an increase in direct presentations from 44% to 48.7% (P<0.05). The time before calling was comparable (2.5hours vs. 2.3hours; P=04.7). The "door-to-balloon" time decreased (0.71 vs. 0.55hour; P<0.001). The mean time between pain and angioplasty increased (5.7 vs. 6.8hours; P<0.05) | ||
| 520 | |a CONCLUSIONS: In vendee, from 2011 to 2016, hospital and 6-month mortality of STEMI trend to decrease non-significantly. The door to balloon time decreased, although emergency call-out rates and delays did not. Considerable efforts are still required with respect to patient information and education. Our registry offers an excellent tool to improve practices, the aim being to ensure its integration in the CRAC-France PCI registry | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a 6-month mortality | |
| 650 | 4 | |a Délai préhospitalier | |
| 650 | 4 | |a Hospital mortality | |
| 650 | 4 | |a Infarctus du myocarde avec sus décalage du segment ST | |
| 650 | 4 | |a Mortalité hospitalière | |
| 650 | 4 | |a Mortalité à 6 mois | |
| 650 | 4 | |a Prehospital delay | |
| 650 | 4 | |a Registre | |
| 650 | 4 | |a Registry | |
| 650 | 4 | |a STEMI | |
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| 700 | 1 | |a Billon, O |e verfasserin |4 aut | |
| 700 | 1 | |a Boivineau, C |e verfasserin |4 aut | |
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| 700 | 1 | |a Doizon, T |e verfasserin |4 aut | |
| 700 | 1 | |a Federspiel, C |e verfasserin |4 aut | |
| 700 | 1 | |a Flori, M |e verfasserin |4 aut | |
| 700 | 1 | |a Georges, J-L |e verfasserin |4 aut | |
| 700 | 1 | |a Haddad, G |e verfasserin |4 aut | |
| 700 | 1 | |a Lipp, D |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, J-O |e verfasserin |4 aut | |
| 700 | 1 | |a Mouhoub, D |e verfasserin |4 aut | |
| 700 | 1 | |a Pernollet, P |e verfasserin |4 aut | |
| 700 | 1 | |a Philippot, M |e verfasserin |4 aut | |
| 700 | 1 | |a Pouliquen, H |e verfasserin |4 aut | |
| 700 | 1 | |a Roy, N |e verfasserin |4 aut | |
| 700 | 1 | |a Trebouet, E |e verfasserin |4 aut | |
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