2026-04-29T12:24:10Zhttps://repisalud.isciii.es/rest/oai/requestoai: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
Repisalud
author
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
2023-09-12T13:23:21Z
2023-09-12T13:23:21Z
2023
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
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.
eng
Regional differences in STEMI care in Spain. Data from the ACI-SEC Infarction Code Registry
research article
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Regional differences in STEMI_REC Interv Cardiol_2023.pdf
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Regional differences in STEMI_REC Interv Cardiol_2023.pdf.txt