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- W2079669823 abstract "Background: Invasive assessment and revascularisation is essential for optimal ACS patient (pt) management. The NZ Cardiac Society ACS audit group has provided ‘momentum’ for improved service provision over a decade. We assessed pts receiving invasive management over the three National ACS pts audits in May 2002, 2007 and most recently from the 2012 ‘SNAPSHOT’ audit. Methods: NZ Hospitals which admit ACS pts collected information on all suspected ACS admission over 14 consecutive days. Those discharged with STEMI/LBBB, NSTEMI or unstable angina pain were further classified as ‘definite’ ACS. Results: There has been an increase in the total number of suspected ACS pts admitted to hospital, with a significant trend to increasing investigations and revascularisation over the last 10 years (table).Tabled 1Suspect ACS Admissions2002 (n = 930)2007 (n = 1003)2012 (n = 1007)Chest X-ray794 (85%)880 (88%)911 (90%)*Test for trend P<0.0001.Echocardiogram184 (20%)195 (19%)287 (29%)*Test for trend P<0.0001.Exercise test190 (20%)214 (21%)229 (23%)*Test for trend P<0.0001.Conventional angiogram199 (21%)317 (32%)331 (33%)*Test for trend P<0.0001.Definite ACS discharges n=721 (73%)828 (83%)531 (53%)Conventional angiogram159 (22%)291 (35%)284(53%)*Test for trend P<0.0001.Percutaneous coronary intervention (PCI)50 (6.9%)157 (19%)165 (31%)*Test for trend P<0.0001.Coronary artery bypass grafts (CABG)25 (3.5%)23 (2.8%)30 (5.7%)*Test for trend P<0.0001.PCI or CABG72 (9.9%)178 (22%)194 (37%)*Test for trend P<0.0001.* Test for trend P < 0.0001. Open table in a new tab Conclusion: The number of pts admitted with a suspected ACS has increased. Patients discharged with a ‘definite’ ACS are increasingly more likely to have guideline directed invasive investigations and revascularisation. Despite changes in the definition of a ‘definite’ ACS, over time, this third (2012) NZ ACS audit has demonstrated small, but clear, improvements in the invasive management of ACS patients and highlights the utility of audit as a catalyst for change." @default.
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- W2079669823 date "2013-01-01" @default.
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- W2079669823 title "Improving Interventional Management of Acute Coronary Syndrome (ACS) Patients in New Zealand (NZ): A Comparison of the 2002, 2007 and 2012 National ACS Audits" @default.
- W2079669823 doi "https://doi.org/10.1016/j.hlc.2013.05.519" @default.
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