2026-04-29T12:24:03Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/164542024-10-04T14:36:30Zcom_20.500.12105_19604com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19605col_20.500.12105_16960col_20.500.12105_16962col_20.500.12105_16967col_20.500.12105_16971col_20.500.12105_16977col_20.500.12105_16979col_20.500.12105_16982

00925njm 22002777a 4500 dc Rodríguez-Leor, Oriol author Cid-Álvarez, Ana Belén author Moreno, Raúl author Rosselló, Xavier author Ojeda, Soledad author Serrador, Ana author López-Palop, Ramón author Martín-Moreiras, Javier author Ramón Rumoroso, José author Cequier, Ángel author Ibáñez, Borja author Cruz-González, Ignacio author Romaguera, Rafael author Raposeiras-Roubín, Sergio author Pérez de Prado, Armando author 2023 Introduction and objectives: Geographical and organizational differences between different autonomous communities (AC) can generate differences in care for ST-segment elevation myocardial infarction (STEMI). A total of 17 heart attack code programs have been compared in terms of incidence rate, clinical characteristics, reperfusion therapy, delay to reperfusion, and 30-day mortality. Methods: National prospective observational study (83 centers included in 17 infarction networks). The recruitment period was 3 months (April 1 to June 30, 2019) with clinical follow-up at 30 days. Results: 4366 patients with STEMI were included. The incidence rate was variable between different AC (P < .0001), as was gender (P = .003) and the prevalence of cardiovascular risk factors (P < .0001). Reperfusion treatment was primary angioplasty (range 77.5%-97.8%), fibrinolysis (range 0%-12.9%) or no treatment (range 2.2%- 13.5%). The analysis of the delay to reperfusion showed significant differences (P < .001) for all the intervals analyzed. There were significant differences in 30-days mortality that disappeared after adjusting for clinical and healthcare network characteristics. Conclusions: Large differences in STEMI care have been detected between the different AC, in terms of incidence rate, clinical characteristics, reperfusion treatment, delay until reperfusion, and 30-day mortality. The differences in mortality disappeared after adjusting for the characteristics of the patient and the care network. REC Interv Cardiol. 2023;5(2):118-128 10.24875/RECICE.M22000360 2604-7322 REC: interventional cardiology (English Edition) https://hdl.handle.net/20.500.13003/20101 L2026887831 2-s2.0-85172018384 http://hdl.handle.net/20.500.12105/16454 Regional differences in STEMI care in Spain. Data from the ACI-SEC Infarction Code Registry