ASSESSMENT OF CHANGES IN QUALITY OF PREHOSPITAL TREATMENT OF PATIENTS WITH ACUTE CORONARY SYNDROME IN THE LAST FEW YEARS: LIS-1 VS LIS-3 REGISTRIES
https://doi.org/10.20996/1819-6446-2017-13-6-827-834
Abstract
Aim. To assess the changes in prehospital treatment of patients with acute coronary syndrome during the last years on the basis of the LIS-3 registry data.
Material and methods. Data of acute coronary syndrome hospital registry LIS-3 (2013-2015, n=397) and acute myocardial infarction hospital registry LIS-1 (2005-2007, n=1133) were used. To assess quality of prehospital treatment the fact of taking specific pharmacological groups of medications for primary and secondary cardiovascular diseases prevention was taken into consideration.
Results. Patients in the LIS-3 registry, in comparison with patients in the LIS-1 registry, more often took antiplatelet drugs (23.2% vs 15.7%, respectively; p<0.01) and statins (4.9% vs 2%, respectively; p<0.01). However, in general, the frequency of prescribing these groups of medications remained low. The use of medications of other pharmacological groups was comparable in patients of LIS-1 and LIS-3 registries (p>0.05). The quality of prehospital treatment did not differ significantly in survived and deceased patients of LIS-3 registry (p>0.05).
Conclusion. Only slight improvement in the quality of prehospital therapy in patients with acute coronary syndrome was revealed, mainly due to more frequent use of antiplatelet drugs and statins. It may be explained by poor detection of early forms of ischemic heart disease and underestimation of the importance of risk factors correction, both on the part of patients and on the part of physicians.
About the Authors
Yu. V. Semenova
National Research Center for Preventive Medicine
Russian Federation
Russian Federation
Yulia V. Semenova – MD, Post-Graduate Student
Petroverigskiy per. 10, Moscow, 10199
A. V. Zagrebelnyy
National Research Center for Preventive Medicine
Russian Federation
Russian Federation
Alexander V. Zagrebelnyy – MD, PhD, Senior Researcher, Department of Preventive Pharmacotherapy
Petroverigskiy per. 10, Moscow, 10199
N. P. Kutishenko
National Research Center for Preventive Medicine
Russian Federation
Russian Federation
Natalia P. Kutishenko – MD, PhD, Professor, Head of Laboratory for Pharmacoepidemiological Studies, Department of Preventive Pharmacotherapy
Petroverigskiy per. 10, Moscow, 10199
M. L. Ginzburg
Lyubertsy District Hospital №2
Russian Federation
Russian Federation
Moisey L. Ginsburg – MD, PhD, Head of Cardiology Department
Oktyabrskiy prospect. 338, Lyubertsy, Moscow Region, 140006
S. Yu. Martsevich
National Research Center for Preventive Medicine
Russian Federation
Russian Federation
Sergey Yu. Martsevich – MD, PhD, Professor, Head of Department of Preventive Pharmacotherapy
Petroverigskiy per. 10, Moscow, 10199
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Review
For citations:
Semenova Yu.V., Zagrebelnyy A.V., Kutishenko N.P., Ginzburg M.L., Martsevich S.Yu. ASSESSMENT OF CHANGES IN QUALITY OF PREHOSPITAL TREATMENT OF PATIENTS WITH ACUTE CORONARY SYNDROME IN THE LAST FEW YEARS: LIS-1 VS LIS-3 REGISTRIES. Rational Pharmacotherapy in Cardiology. 2017;13(6):827-834. (In Russ.) https://doi.org/10.20996/1819-6446-2017-13-6-827-834
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