FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2019960415> ?p ?o ?g. }

• W2019960415 endingPage "P4045" @default.
• W2019960415 startingPage "P4045" @default.
• W2019960415 abstract "Improving the uptake of guideline-recommended therapy for suspected acute coronary syndrome (ACS) is a global health priority. Australia and New Zealand (NZ) undertook a snapshot of ACS to compare in-hospital care and prevention measures at discharge to published guidelines. Methods: Demographic and clinical details of individuals hospitalised with suspected ACS between 14-27th May 2012 were collected. Some 525 hospitals (39 in NZ) were identified from public records and peers as accepting ACS cases and considered for participation. Descriptive and logistic regression analysis was performed. The main indicators included: rates of guideline-advocated investigations, therapies, referral to cardiac rehabilitation. Outcomes included, in-hospital case-fatality, new myocardial infarction (MI), stroke, cardiac arrest, worsening heart failure. Results: 478 hospitals (91%) agreed to participate, 285 of which saw ACS patients and contributed data over the 2-week collection (46% large urban public/private hospitals, 26% regional and 28% small rural). The other 193 participating predominantly small rural facilities did not have ACS admissions over the two-week study period. 4,365 patients were enrolled, mean age 67 (SD 14) years, 60% men and median GRACE score of 118 (IQR: 96-143). Although the majority of presentations were to large urban hospitals (74%), the audit also captured information on 1,135 patient presenting to regional or rural hospitals. At discharge, 34% were diagnosed as MI, 21% unstable angina, 26% unlikely ischaemia, and 19% had other diagnoses. For the 1474 with MI; angiography was performed in 70%, angioplasty in 41% and cardiac surgery in 8%. As patient risk increased invasive management was less likely (GRACE score <100: 85.0% vs. 101-150: 79.4% vs. 151-200: 49.0% vs. >200: 36.1%, p<0.0001). Case-fatality was 4.4% and new MI 5.0%. Adjusted for GRACE score, there was significant variation in care, clinical course, and secondary prevention measures at discharge, by hospital type/regionality and state/province. Conclusions: This first comprehensive audit of ACS care in large urban, regional and small rural hospitals in Australia and NZ confirms there are significant variations in the application of the guideline-recommended treatment across both countries. Underutilisation of guideline recommended therapy occurred across all hospital types, in particular for the patients deemed at higher risk by the calculated GRACE score. Focus on quality improvement supported by integrated clinical service delivery is warranted to improve access to, and utilisation of, evidence-based ACS care in both countries." @default.
• W2019960415 created "2016-06-24" @default.
• W2019960415 creator A5017226541 @default.
• W2019960415 creator A5020832846 @default.
• W2019960415 creator A5034429927 @default.
• W2019960415 creator A5037363092 @default.
• W2019960415 creator A5045302681 @default.
• W2019960415 creator A5060283841 @default.
• W2019960415 creator A5063921553 @default.
• W2019960415 creator A5065555453 @default.
• W2019960415 creator A5066342956 @default.
• W2019960415 creator A5080390810 @default.
• W2019960415 date "2013-08-02" @default.
• W2019960415 modified "2023-10-05" @default.
• W2019960415 title "Acute coronary syndrome care across Australia and New Zealand" @default.
• W2019960415 doi "https://doi.org/10.1093/eurheartj/eht309.p4045" @default.
• W2019960415 hasPublicationYear "2013" @default.
• W2019960415 type Work @default.
• W2019960415 sameAs 2019960415 @default.
• W2019960415 citedByCount "1" @default.
• W2019960415 countsByYear W20199604152015 @default.
• W2019960415 crossrefType "journal-article" @default.
• W2019960415 hasAuthorship W2019960415A5017226541 @default.
• W2019960415 hasAuthorship W2019960415A5020832846 @default.
• W2019960415 hasAuthorship W2019960415A5034429927 @default.
• W2019960415 hasAuthorship W2019960415A5037363092 @default.
• W2019960415 hasAuthorship W2019960415A5045302681 @default.
• W2019960415 hasAuthorship W2019960415A5060283841 @default.
• W2019960415 hasAuthorship W2019960415A5063921553 @default.
• W2019960415 hasAuthorship W2019960415A5065555453 @default.
• W2019960415 hasAuthorship W2019960415A5066342956 @default.
• W2019960415 hasAuthorship W2019960415A5080390810 @default.
• W2019960415 hasBestOaLocation W20199604151 @default.
• W2019960415 hasConcept C126322002 @default.
• W2019960415 hasConcept C142724271 @default.
• W2019960415 hasConcept C194828623 @default.
• W2019960415 hasConcept C2776135927 @default.
• W2019960415 hasConcept C2776863835 @default.
• W2019960415 hasConcept C2777698277 @default.
• W2019960415 hasConcept C2777785093 @default.
• W2019960415 hasConcept C2777995511 @default.
• W2019960415 hasConcept C2778425758 @default.
• W2019960415 hasConcept C2780182762 @default.
• W2019960415 hasConcept C2780326628 @default.
• W2019960415 hasConcept C2780400711 @default.
• W2019960415 hasConcept C500558357 @default.
• W2019960415 hasConcept C512399662 @default.
• W2019960415 hasConcept C71924100 @default.
• W2019960415 hasConceptScore W2019960415C126322002 @default.
• W2019960415 hasConceptScore W2019960415C142724271 @default.
• W2019960415 hasConceptScore W2019960415C194828623 @default.
• W2019960415 hasConceptScore W2019960415C2776135927 @default.
• W2019960415 hasConceptScore W2019960415C2776863835 @default.
• W2019960415 hasConceptScore W2019960415C2777698277 @default.
• W2019960415 hasConceptScore W2019960415C2777785093 @default.
• W2019960415 hasConceptScore W2019960415C2777995511 @default.
• W2019960415 hasConceptScore W2019960415C2778425758 @default.
• W2019960415 hasConceptScore W2019960415C2780182762 @default.
• W2019960415 hasConceptScore W2019960415C2780326628 @default.
• W2019960415 hasConceptScore W2019960415C2780400711 @default.
• W2019960415 hasConceptScore W2019960415C500558357 @default.
• W2019960415 hasConceptScore W2019960415C512399662 @default.
• W2019960415 hasConceptScore W2019960415C71924100 @default.
• W2019960415 hasIssue "suppl 1" @default.
• W2019960415 hasLocation W20199604151 @default.
• W2019960415 hasOpenAccess W2019960415 @default.
• W2019960415 hasPrimaryLocation W20199604151 @default.
• W2019960415 hasRelatedWork W1970865244 @default.
• W2019960415 hasRelatedWork W1973615350 @default.
• W2019960415 hasRelatedWork W1980777772 @default.
• W2019960415 hasRelatedWork W2002178134 @default.
• W2019960415 hasRelatedWork W2076092911 @default.
• W2019960415 hasRelatedWork W2100991293 @default.
• W2019960415 hasRelatedWork W2139800370 @default.
• W2019960415 hasRelatedWork W2152267722 @default.
• W2019960415 hasRelatedWork W2324693508 @default.
• W2019960415 hasRelatedWork W4211015911 @default.
• W2019960415 hasVolume "34" @default.
• W2019960415 isParatext "false" @default.
• W2019960415 isRetracted "false" @default.
• W2019960415 magId "2019960415" @default.
• W2019960415 workType "article" @default.