Temporal trends and predictors of time to coronary angiography following non-ST-elevation acute coronary syndrome in the USA
Coronary Artery Disease Apr 18, 2019
Rashid M, et al. - Using the National Inpatient Sample, researchers examined patients with a primary diagnosis of non-ST-elevation acute coronary syndrome (NSTEACS) from 2004 to 2014, to analyze temporal trends in use of invasive coronary angiography (CA) at different time points and changing profiles of patients undergoing CA post-NSTEACS. They also looked at the link between time to CA and in-hospital clinical outcomes. Based on time to CA, they stratified participants into early (day 0, 1), intermediate (day 2) and late strategy (day≥3). The intermediate group had the lowest in-hospital mortality. Findings revealed an increase in the utilization of early CA in the management of NSTEACS. Early CA group vs late CA group had younger subjects (age: 64 vs 70 years), more likely males (63.7 vs 55.3%), having Caucasian ethnic background (68.7 vs 64.7%). Receipt of early CA was less likely to be seen in women, weekend admissions and African Americans.
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