Reperfusion strategy and in-hospital outcomes for ST elevation myocardial infarction in secondary and tertiary hospitals in predominantly rural central China: a multicentre, prospective and observational study

ObjectivesTo assess differences in reperfusion treatment and outcomes between secondary and tertiary hospitals in predominantly rural central China.DesignMulticentre, prospective and observational study.SettingSixty-six (50 secondary and 16 tertiary) hospitals in Henan province, central China.Partic...

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Veröffentlicht in:	BMJ open 2021-12, Vol.11 (12), p.e053510-e053510
Hauptverfasser:	Zhang, You, Wang, Shan, Cheng, Qianqian, Zhang, Junhui, Qi, Datun, Wang, Xianpei, Zhu, Zhongyu, Li, Muwei, Hu, Dayi, Gao, Chuanyu, Wang, Zhifang, Su, Shuhong, Dong, Pingshuan, Yang, Xuming, Li, Shengli, Xia, Hualing, Li, Wuxing, Ding, Shuiyin, Bai, Baoqiang, Yang, Xinyuan, Tian, Changming, Li, Jinbo, Wang, Chuntong, Yang, Yi, Gao, Yanhui, Sun, Haiyan, Yan, Jixia, Li, Heping, Li, Wanke, Zhao, Zhenfu, Zhou, Huading, Zhang, Chuanqian, Wang, Hengliang, Jing, Dequan, Chen, Suxia, Ji, Xiaoli, Zheng, Haijun, Lin, Fengxian, Zhao, Guiye, Wei, Wei, Liu, Peng, Liu, Yanggui, Cheng, Xiangyang, Ma, Xiaowen, Zhang, Chengwen, Wang, Liangping, Tong, Changgang, Zhang, Ling, Lang, Huihui, Xu, Haojie, Wei, Hengshan, Wang, Haitao, Xue, Ruilu, Geng, Hongxu, Shi, Yonghong, Tang, Qiwei, Li, Yuchun, Liu, Yonggang, Wang, Dongsheng, Jia, Jianbo, Li, Xianzhang, Deng, Xinling, Xu, Qinghua, Zhao, Linming, Zhang, Hongxia, Li, Lipeng, Chen, Suqin, Liang, Keqi, Zhang, Linwu, Jiang, Jiandang, Xiao, Weitian, Zhang, Hongwen, Zhu, Shengke, Liu, Baofu, Pan, Chengxuan, Lu, Fengyun, Yang, Jie, Li, Yaoze, Liu, Zheng, Zhang, Qingchun, Qiao, Yintao, Sun, Na, Li, Lianjie
Format:	Artikel
Sprache:	eng
Schlagworte:	adult intensive & critical care Angioplasty Blood pressure Cardiovascular disease Cardiovascular Medicine Clinical medicine coronary heart disease coronary intervention Coronary vessels Data collection Diabetes Heart attacks Heart rate Hospital Mortality Hospitals Humans Hypertension Ischemia Mortality myocardial infarction Observational studies Patients Percutaneous Coronary Intervention Prospective Studies quality in health care Reperfusion Risk factors Rural areas ST Elevation Myocardial Infarction Stroke Tertiary Care Centers Thrombolytic Therapy Treatment Outcome Variables Veins & arteries
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Zusammenfassung:	ObjectivesTo assess differences in reperfusion treatment and outcomes between secondary and tertiary hospitals in predominantly rural central China.DesignMulticentre, prospective and observational study.SettingSixty-six (50 secondary and 16 tertiary) hospitals in Henan province, central China.ParticipantsPatients with ST elevation myocardial infarction (STEMI) within 30 days of symptom onset during 2016–2018.Primary outcome measuresIn-hospital mortality, and in-hospital death or treatment withdrawal.ResultsAmong 5063 patients of STEMI, 2553 were treated at secondary hospitals. Reperfusion (82.0% vs 73.0%, p
ISSN:	2044-6055 2044-6055
DOI:	10.1136/bmjopen-2021-053510