Impact of admitting department on the management of acute
coronary syndrome after an out of hospital cardiac arrest

J 2023

Impact of admitting department on the management of acute coronary syndrome after an out of hospital cardiac arrest

JANSKY, Pavel, Zuzana MOTOVSKA, Josef KROUPA, Petr WALDAUF, Petr KAFKA et. al.

Basic information

Original name

Impact of admitting department on the management of acute coronary syndrome after an out of hospital cardiac arrest

Authors

JANSKY, Pavel (203 Czech Republic), Zuzana MOTOVSKA (203 Czech Republic, guarantor), Josef KROUPA (203 Czech Republic), Petr WALDAUF (203 Czech Republic), Petr KAFKA (203 Czech Republic), Jiri KNOT (203 Czech Republic) and Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution)

Edition

Biomedical Papers, Olomouc: Palacky University, Olomouc, Palacky University, 2023, 1213-8118

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 0.900 in 2022

RIV identification code

RIV/00216224:14110/23:00130212

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.5507/bp.2022.044

UT WoS

000875948300001

Keywords in English

out-of-hospital cardiac arrest; acute coronary syndrome; coronary care unit; general intensive care unit; coronary angiography; antithrombotic therapy

Abstract

V originále

Aim. This study aimed to analyze the influence of the hospital admitting department on adherence to the Guidelines of European Society of Cardiology for management of acute coronary syndromes in patients after out-of-hospital Methods. We studied retrospective-prospective register of 102 consecutive patients with OHCA as a manifestation of acute coronary syndrome (ACS). Patients were admitted to the coronary care unit (CCU) 52, general intensive care unit (GICU) 21, or GICU after initial Cath lab treatment (CAG-GICU) 29. This study compared the differences in the management of ACS in patients with OHCA of coronary etiology based on the admitting department in a tertiary care institution. Results. Twelve of the 21 (57.1%) patients admitted to the GICU were evaluated as having ACS on-site where they experienced OHCA. In the CCU group, 50 out of 52 (96.2%) and 28 of 29 (100%) patients in the CAG-GICU group (P<0.001). Coronary angiography was performed in 10 of 21 patients (48%) admitted to the GICU. It was performed in 49 out of 52 (94%) CCU patients and, in the CAG-GICU group, 28 out of 29 patients. The mean time to CAG differed significantly across groups (that is, GICU 200.7 min., CCU 71.2 min., and CAG-GICU 7.5 min. (P<0.001)). Aspirin was used in 48% of GICU, 96% of CCU, and 79% of CAG-GICU patients (P<0.001), while in the pre-hospital phase, aspirin was used in 9.5% of GICU, 71.2% of CCU, and 50% of CAG-GICU patients (P<0.001). P2Y12 inhibitor prescriptions were lower in patients admitted to the GICU (33% vs. 89% CCU and 57% CAG-GICU, P<0.001). The department's choice significantly affected the time to initiation of antithrombotics, which was the longest in the GICU. Conclusion. The choice of admission department for patients with OHCA caused by ACS was found to affect the extent to which the recommended treatments were used. An examination of OHCA patients by a cardiologist upon admission to the hospital increased the likelihood of an early diagnosis of ACS as the cause of OHCA.

Citovat

JANSKY, Pavel, Zuzana MOTOVSKA, Josef KROUPA, Petr WALDAUF, Petr KAFKA, Jiri KNOT and Jiří JARKOVSKÝ. Impact of admitting department on the management of acute coronary syndrome after an out of hospital cardiac arrest. Biomedical Papers, Olomouc: Palacky University. Olomouc: Palacky University, 2023, vol. 167, No 2, p. 169-176. ISSN 1213-8118. Available from: https://dx.doi.org/10.5507/bp.2022.044.

@article{2249051,
   author = {Jansky, Pavel and Motovska, Zuzana and Kroupa, Josef and Waldauf, Petr and Kafka, Petr and Knot, Jiri and Jarkovský, Jiří},
   article_location = {Olomouc},
   article_number = {2},
   doi = {http://dx.doi.org/10.5507/bp.2022.044},
   keywords = {out-of-hospital cardiac arrest; acute coronary syndrome; coronary care unit; general intensive care unit; coronary angiography; antithrombotic therapy},
   language = {eng},
   issn = {1213-8118},
   journal = {Biomedical Papers, Olomouc: Palacky University},
   title = {Impact of admitting department on the management of acute coronary syndrome after an out of hospital cardiac arrest},
   url = {https://biomed.papers.upol.cz/corproof.php?tartkey=bio-000000-3262},
   volume = {167},
   year = {2023}
}

TY  - JOUR
ID  - 2249051
AU  - Jansky, Pavel - Motovska, Zuzana - Kroupa, Josef - Waldauf, Petr - Kafka, Petr - Knot, Jiri - Jarkovský, Jiří
PY  - 2023
TI  - Impact of admitting department on the management of acute coronary syndrome after an out of hospital cardiac arrest
JF  - Biomedical Papers, Olomouc: Palacky University
VL  - 167
IS  - 2
SP  - 169-176
EP  - 169-176
PB  - Palacky University
SN  - 12138118
KW  - out-of-hospital cardiac arrest
KW  - acute coronary syndrome
KW  - coronary care unit
KW  - general intensive care unit
KW  - coronary angiography
KW  - antithrombotic therapy
UR  - https://biomed.papers.upol.cz/corproof.php?tartkey=bio-000000-3262
N2  - Aim. This study aimed to analyze the influence of the hospital admitting department on adherence to the Guidelines of European Society of Cardiology for management of acute coronary syndromes in patients after out-of-hospital Methods. We studied retrospective-prospective register of 102 consecutive patients with OHCA as a manifestation of acute coronary syndrome (ACS). Patients were admitted to the coronary care unit (CCU) 52, general intensive care unit (GICU) 21, or GICU after initial Cath lab treatment (CAG-GICU) 29. This study compared the differences in the management of ACS in patients with OHCA of coronary etiology based on the admitting department in a tertiary care institution. Results. Twelve of the 21 (57.1%) patients admitted to the GICU were evaluated as having ACS on-site where they experienced OHCA. In the CCU group, 50 out of 52 (96.2%) and 28 of 29 (100%) patients in the CAG-GICU group (P<0.001). Coronary angiography was performed in 10 of 21 patients (48%) admitted to the GICU. It was performed in 49 out of 52 (94%) CCU patients and, in the CAG-GICU group, 28 out of 29 patients. The mean time to CAG differed significantly across groups (that is, GICU 200.7 min., CCU 71.2 min., and CAG-GICU 7.5 min. (P<0.001)). Aspirin was used in 48% of GICU, 96% of CCU, and 79% of CAG-GICU patients (P<0.001), while in the pre-hospital phase, aspirin was used in 9.5% of GICU, 71.2% of CCU, and 50% of CAG-GICU patients (P<0.001). P2Y12 inhibitor prescriptions were lower in patients admitted to the GICU (33% vs. 89% CCU and 57% CAG-GICU, P<0.001). The department's choice significantly affected the time to initiation of antithrombotics, which was the longest in the GICU. Conclusion. The choice of admission department for patients with OHCA caused by ACS was found to affect the extent to which the recommended treatments were used. An examination of OHCA patients by a cardiologist upon admission to the hospital increased the likelihood of an early diagnosis of ACS as the cause of OHCA.
ER  -

JANSKY, Pavel, Zuzana MOTOVSKA, Josef KROUPA, Petr WALDAUF, Petr KAFKA, Jiri KNOT and Jiří JARKOVSKÝ. Impact of admitting department on the management of acute coronary syndrome after an out of hospital cardiac arrest. \textit{Biomedical Papers, Olomouc: Palacky University}. Olomouc: Palacky University, 2023, vol.~167, No~2, p.~169-176. ISSN~1213-8118. Available from: https://dx.doi.org/10.5507/bp.2022.044.

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