TY - JOUR
T1 - Utilization and Determinants of In-Hospital Cardiac Catheterization in Patients With Acute Coronary Syndrome From the Middle East
AU - Panduranga, Prashanth
AU - Sulaiman, Kadhim
AU - al-Zakwani, Ibrahim
AU - Zubaid, Mohammad
AU - Rashed, Wafa
AU - al-Mahmeed, Wael
AU - al-Lawati, Jawad
AU - al-Motarreb, Ahmed
AU - Haitham, Amin
AU - Suwaidi, Jassim
AU - al-Habib, Khalid
PY - 2010/11
Y1 - 2010/11
N2 - We assessed the use and determinants of cardiac catheterization during index admissions, among patients with acute coronary syndrome (ACS) in the Middle East. Data were analyzed from 8150 consecutive ACS patients enrolled prospectively. The overall rate of cardiac catheterization was 20%. Major predictors of cardiac catheterization were university hospitals, hospitals with catheterization facilities, physician type, and Gulf citizenship. High-risk patients were catheterized less compared to low-risk patients; odds ratio (OR) 0.44, 95% confidence interval (CI): 0.33-0.60, P <.001 and OR 0.68, 95% CI: 0.48-0.98, P =.037 for patients with non-ST-elevation ACS and ST-elevation myocardial infarction, respectively. The use of cardiac catheterization in patients with ACS from Middle East is low. It is related more to hospital characteristics than to baseline risks. There is a need to explore ways to increase overall rate of in-hospital cardiac catheterization in the region and direct it to patients who would benefit most.
AB - We assessed the use and determinants of cardiac catheterization during index admissions, among patients with acute coronary syndrome (ACS) in the Middle East. Data were analyzed from 8150 consecutive ACS patients enrolled prospectively. The overall rate of cardiac catheterization was 20%. Major predictors of cardiac catheterization were university hospitals, hospitals with catheterization facilities, physician type, and Gulf citizenship. High-risk patients were catheterized less compared to low-risk patients; odds ratio (OR) 0.44, 95% confidence interval (CI): 0.33-0.60, P <.001 and OR 0.68, 95% CI: 0.48-0.98, P =.037 for patients with non-ST-elevation ACS and ST-elevation myocardial infarction, respectively. The use of cardiac catheterization in patients with ACS from Middle East is low. It is related more to hospital characteristics than to baseline risks. There is a need to explore ways to increase overall rate of in-hospital cardiac catheterization in the region and direct it to patients who would benefit most.
KW - Middle East
KW - acute coronary syndrome
KW - cardiac catheterization
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U2 - 10.1177/0003319710369794
DO - 10.1177/0003319710369794
M3 - Article
C2 - 20498144
AN - SCOPUS:78049434145
SN - 0003-3197
VL - 61
SP - 744
EP - 750
JO - Angiology
JF - Angiology
IS - 8
ER -