Results of the Croatian Primary Percutaneous Coronary Intervention Network for Patients With ST-Segment Elevation Acute Myocardial Infarction

Heitzler, Vjeran Nikolić; Babić, Zdravko; Miličić, Davor; Bergovec, Mijo; Raguž, Miroslav; Mirat, Jure; Strozzi, Maja; Plazonić, Željko; Giunio, Lovel; Steiner, Robert; Starčević, Boris; Vuković, Ivica

doi:10.1016/j.amjcard.2009.12.041

Cited by 17 publications

(12 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Descriptive data analysis obtained in this study could be expected and corresponds to such data in the literature [1,2]. High percentage of male gender, smokers, low rate of cardiogenic shock could be explained by inclusion and exclusion criteria: patients needed to be younger than 60 years old and alive 2 years after STEMI.…”

Section: Discussionmentioning

confidence: 94%

“…Up to 45% of patients with acute myocardial infarction (AMI) are younger than 65, which in most societies represents active population [1,2]. Primary percutaneous coronary intervention (PCI) networks organized in the developed countries ensure the best treatment results for patients with AMI, particularly those with STelevation myocardial infarction (STEMI) [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Primary percutaneous coronary intervention (PCI) networks organized in the developed countries ensure the best treatment results for patients with AMI, particularly those with STelevation myocardial infarction (STEMI) [1,2]. Croatian primary PCI network is recognized internationally as an example of good acute STEMI treatment at the national level with results comparable to randomised studies and registries of economically more developed countries [2,3]. Data from 1980's for the USA population showed that patients following uncomplicated AMI returned to work after 75 days, while in Europe the same occurred after 3 to 6 months.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era

Babić¹,

Pavlov²,

Ostrić³

et al. 2015

Int J Occup Med Environ Health

View full text Add to dashboard Cite

Objectives: To investigate the aspects of return to work, socio-economic and quality of life aspects in 145 employed patients under 60 years of age treated with primary percutaneous coronary intervention for acute ST-elevation myocardial infarction. Material and Methods: During hospital treatment demographic and clinical data was collected. Data about major adverse cardiovascular events, rehabilitation, sick leave, discharge from job and retirement, salary, major life events and estimation of quality of life after myocardial infarction were obtained after follow-up (mean: 836±242 days). Results: Average sick leave was 126±125 days. Following myocardial infarction, 3.4% of patients were discharged from their jobs while 31.7% retired. Lower salary was reported in 17.9% patients, major life events in 9.7%, while 40.7% estimated quality of life as worse following the event. Longer hospitalization was reported in patients transferred from surrounding counties, those with inferior myocardial wall and right coronary artery affected. Age, hyperlipoproteinemia and lower education degree were connected to permanent working cessation. Significant salary decrease was observed in male patients. Employer type was related to sick leave duration. Impaired quality of life was observed in patients who underwent in-hospital rehabilitation and those from surrounding counties. Longer sick leave was observed in patients with lower income before and after myocardial infarction. These patients reported lower quality of life after myocardial infarction. Conclusions: Inadequate health policy and delayed cardiac rehabilitation after myocardial infarction may lead to prolonged hospitalization and sick leave as well as lower quality of life after the event, regardless of optimal treatment in acute phase of disease.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era

Babić¹,

Pavlov²,

Ostrić³

et al. 2015

Int J Occup Med Environ Health

View full text Add to dashboard Cite

show abstract

“…sastanak intervencijskih kardioloških medicinskih sestara i tehničara mativnih analiza broja kardioloških intervencijskih zahvata, osim analize rezultata Hrvatske mreže za primarni PCI. 15 Globalno gledano, stagnacija broja koronarnih intervencija nakon razdoblja porasta u razvijenim zemljama, poput SADa, objašnjava se uspjehom u provođenju preventivnih mjera za KBS. Teško je odrediti u kojoj je mjeri razlika u broju koronarnih intervencija pojedinih zemalja određena različitom prevalencijom KBS-a, a u kojoj mjeri različitim resursima i načinom organizacije rada te indikacijama za provođenje dijagnostičkih i terapijskih postupaka u pojedinim zemljama i centrima za PCI.…”

Section: Discussionunclassified

An analysis of cardiologic interventional procedures in Croatia between 2010 and 2014: towards the establishment of a national registry.

et al. 2016

Self Cite

View full text Add to dashboard Cite

Iako intervencijska kardiologija u Hrvatskoj unatrag dvaju desetljeća bilježi napredak, ne nalazimo analizu broja intervencijskih kardioloških zahvata na nacionalnoj razini. Cilj je rada bila analiza broja koronarnih angiografija (CA) i perkutanih koronarnih intervencija (PCI) u razdoblju od 2010. do 2014. godine. Analizirani su dijagnostičko-terapijski postupci iz računa hospitaliziranih bolesnika u Hrvatskoj koji se odnose na CA i PCI u 13 hrvatskih centara. U promatranom je razdoblju prosječna stopa CA bila 4390 na milijun stanovnika godišnje uz porast od 8,5 % u promatranom razdoblju. Prosječna stopa PCI-ja bila je 2208 uz porast od 15 %. Omjer PCI/CA porastao je s 0,48 na 0,52. Od 47 470 PCI-ja učinjenih u Hrvatskoj od 2010. do 2014. godine 18,6 % učinjeno je u Klinici za kardiovaskularne bolesti Magdalena, 13,8 % u Kliničkom bolničkom centru (KBC) Zagreb, 11,9 % u KBC-u Rijeka i 11,3 % u Kliničkoj bolnici Dubrava, dok su ostali centri imali udjele manje od 10 %. Prema broju PCI-ja, sedam hrvatskih centara (54 %) ubrajamo u velike centre, a četiri (30,7 %) među srednje velike centre. Opća bolnica Dubrovnik od 2013. godine ima dovoljan godišnji broj PCI-ja (> 200), dok Opća bolnica Karlovac radi samo CA. Rezultati upućuju na izniman uspjeh hrvatske intervencijske kardiologije u zadnja dva desetljeća. Hrvatska je 2010. godine imala višu stopu PCI-ja od prosjeka članica Organizacije za ekonomsku suradnju i razvoj (OECD) i 21 zemlje članice Europske unije i veći prosječan godišnji rast (26,8 %) od svih analiziranih zemlja, osim Rumunjske. Stopa PCI-ja bila je viša od većine europskih zemalja, osim Njemačke, Belgije, Austrije i Norveške. Za daljnju analizu uspješnosti intervencijskih zahvata i planiranje daljnjeg razvoja nužno je formiranje unificiranoga Hrvatskog registra kardioloških procedura. SUMMARY: Although there has been progress in interventional cardiology in Croatia over the last two decades, there has been no analysis of interventional cardiologic procedures at the national level. The aim of this article was to analyze of the number of coronary angiographies (CA) and percutaneous coronary interventions (PCI) in the period from 2010 to 2014. Diagnostic and treatment procedures were analyzed based on the CA and PCI hospital claims of Croatian patients in 13 Croatian centers. The average rate of CA in the observed period was 4 390 per million population annually, with a growth of 8.5% over the observed period. The average rate of PCI was 2 208 with an increase of 15%. The PCI/CA ratio grew from 0.48 to 0.52. Of the 47 470 PCI procedures performed in Croatia between 2010 and 2014, 18.6% were performed in the Magdalena Special Hospital for Cardiovascular Surgery and Cardiology, 13.8% in the University Hospital Centre Zagreb, 11.9% in the University Hospital Centre Rijeka, and 11.3% in the University Hospital Dubrava, while other centers had shares below 10%. Based on PCI numbers, 7 Croatian centers (54%) can be classified as high volume centers, and 4 (30.7%) as medium volume centers. The Dubrovnik General...

show abstract

“…All patients with acute cardiac conditions are urgently hospitalized in the nearest hospital. The Croatian primary percutaneous coronary intervention (PCI) network was introduced earlier 13,14 , and showed a growing trend of 540-550 patients with acute St-segment elevation myocardial infarction (StemI) per million inhabitants. each of the eleven PCI centers in Croatia with 24/7 work schedule had a catchment population of 384,000 inhabitants, approaching the number of at least 600 primary PCIs per million inhabitants.…”

Section: Introductionmentioning

confidence: 99%

Importance of Acute Cardiac Care Registries at the National Level

Đuzel

Pavlov

Babić

2020

ACC

View full text Add to dashboard Cite

Improving organization and patient care quality in intensive care units is increasingly important as intensive care unit diagnostic and therapeutic procedures account for a growing proportion of hospital services. We identified the lack of comprehensive national and international registries available in the contemporary literature. This paper aims to describe and analyze cardiac intensive care unit (CICu) network at the national level in Croatia and its comparison with more developed countries. Thirty-four representatives from all Croatian acute hospitals (response rate of 100%) filled in a web based questionnaire on CICu organization and competence during September and October 2016. Organization and available technical procedures for health care in general, and especially in very expensive CICu treatment, highly depends on gross domestic product (gdP) per capita. That is why one could expect that Croatia, with the second lowest gdP among european union countries and 4.7 CICu per million inhabitants will have worse results in this field in comparison with most of these countries. results such as one nurse responsible for a mean of 2.7 CICu patients, 52% of cardiologists among physicians during working hours but 37% during night shifts, 24/7 transesophageal echocardiography in only 26.5% of CICus, one-third without therapeutic hypothermia, and 23.5% without extracorporeal membrane oxygenation treatment are some of these results, revealing much room for improvement. This representative, nationwide sample of Croatian CICus also demonstrated considerable variation of key elements of structures with respect to hospital size, academic status and financial issues, as well as a trend towards current guidelines. This kind of investigation is very important for proposing standards, reimbursement master plan, or quality assessment of the national health system.

show abstract

Results of the Croatian Primary Percutaneous Coronary Intervention Network for Patients With ST-Segment Elevation Acute Myocardial Infarction

Cited by 17 publications

References 24 publications

Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era

Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era

An analysis of cardiologic interventional procedures in Croatia between 2010 and 2014: towards the establishment of a national registry.

Importance of Acute Cardiac Care Registries at the National Level

Contact Info

Product

Resources

About