دورية أكاديمية
Application of the Appropriate Use Criteria for Coronary Revascularization in Patients with Acute Coronary Syndrome in the Russian Federation: Data from the Federal Registry.
| العنوان: | Application of the Appropriate Use Criteria for Coronary Revascularization in Patients with Acute Coronary Syndrome in the Russian Federation: Data from the Federal Registry. |
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| المؤلفون: | Popova YV; Saratov State Medical University, Saratov, Russia., Kiselev AR; Saratov State Medical University, Saratov, Russia., Sagaydak OV; National Medical Research Center of Cardiology, Moscow, Russia., Posnenkova OM; Saratov State Medical University, Saratov, Russia., Gridnev VI; Saratov State Medical University, Saratov, Russia., Oshchepkova EV; National Medical Research Center of Cardiology, Moscow, Russia. |
| المصدر: | The Eurasian journal of medicine [Eurasian J Med] 2021 Jun; Vol. 53 (2), pp. 96-101. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: AVES Country of Publication: Turkey NLM ID: 101557701 Publication Model: Print Cited Medium: Print ISSN: 1308-8734 (Print) Linking ISSN: 13088734 NLM ISO Abbreviation: Eurasian J Med Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Istanbul, Turkey : AVES |
| مستخلص: | Objective: The aim of the study was to apply the appropriate use criteria (AUC) for coronary revascularization on Russian Acute Coronary Syndrome Registry (RusACSR) data to analyze validity of the decision to perform percutaneous coronary interventions (PCIs) among patients with acute coronary syndrome (ACS). Material and Methods: In Russia, the frequency of performing PCI increased almost 7.5 times, and more than half of all interventions were performed in patients with ACS, in the period from 2006 to 2015. AUC 2012 were used to assess PCI appropriateness. Data were exported from RusACSR from a period of January 1, 2016 to December 31, 2016. We analyzed 33 893 cases, but 13 957 patients were excluded owing to absence of data needed. The study group therefore included 19 936 patients with ACS (mean age, 65.3 ± 11.9 years; 40.3% women), and it was divided into 2 subgroups: 13 757 (67.2%) patients who were treated conservatively and 6179 (32.8%) patients who underwent PCI. According to AUC, physicians' choice of strategy was validated. Results: Patients treated conservatively differed significantly ( P < .001) from those who underwent PCI. In this group, non-ST segment elevation ACS was significantly more common than in the group of patients who received PCI (84.4% vs. 43.9%, P < .001). They also had more severe clinical status. According to AUC, among patients with ACS treated with PCI, the decision was warranted in 86.3% (valid decision). In 7.6% of cases, there was no need for PCI. Among patients who underwent conservative treatment, 77.7% of patients needed PCI according to AUC. According to our data, only 3.8% of patients who were treated conservatively did not need PCI. Appropriateness of invasive treatment was uncertain in 18.5% and 6.1% in the PCI and non-PCI groups, respectively. All differences were significant ( P < .001). Conclusion: AUC implementation showed low availability of PCI for patients with non-ST segment elevation ACS accompanied by complicated clinical status. AUC for coronary revascularization could be applied in Russian clinical practice for unbiased PCI candidate selection and for evaluation of decision validity. Competing Interests: Conflict of Interest: The authors have no conflicts of interest to declare. (©Copyright 2021 by the Atatürk University School of Medicine - Available online at www.eurasianjmed.com.) |
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| فهرسة مساهمة: | Keywords: acute coronary syndrome; percutaneous coronary intervention; registry |
| تواريخ الأحداث: | Date Created: 20210628 Latest Revision: 20230602 |
| رمز التحديث: | 20230602 |
| مُعرف محوري في PubMed: | PMC8184040 |
| DOI: | 10.5152/eurasianjmed.2021.20004 |
| PMID: | 34177290 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1308-8734 |
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| DOI: | 10.5152/eurasianjmed.2021.20004 |