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The management of acute myocardial infarction in the Russian Federation: protocol for a study of patient pathways
Background: Death rates from cardiovascular disease in Russia are among the highest in the world. In recent years, the Russian government has invested substantially in the healthcare system, with a particular focus on improving access to advanced technology, especially for acute myocardial infarctio...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
F1000 Research Limited
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930545/ https://www.ncbi.nlm.nih.gov/pubmed/29774243 http://dx.doi.org/10.12688/wellcomeopenres.12478.2 |
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author | Kontsevaya, Anna Bobrova, Natalia Barbarash, Olga Duplyakov, Dmitry Efanov, Alexey Galyavich, Albert Frants, Maria Khaisheva, Larisa Malorodova, Tatyana Mirolyubova, Olga Nedbaikin, Andrei Osipova, Irina Platonov, Dmitry Posnenkova, OIga Syromiatnikova, Liudmila Bates, Katie Leon, David A McKee, Martin |
author_facet | Kontsevaya, Anna Bobrova, Natalia Barbarash, Olga Duplyakov, Dmitry Efanov, Alexey Galyavich, Albert Frants, Maria Khaisheva, Larisa Malorodova, Tatyana Mirolyubova, Olga Nedbaikin, Andrei Osipova, Irina Platonov, Dmitry Posnenkova, OIga Syromiatnikova, Liudmila Bates, Katie Leon, David A McKee, Martin |
author_sort | Kontsevaya, Anna |
collection | PubMed |
description | Background: Death rates from cardiovascular disease in Russia are among the highest in the world. In recent years, the Russian government has invested substantially in the healthcare system, with a particular focus on improving access to advanced technology, especially for acute myocardial infarction (AMI). This protocol describes a study to understand the management of AMI in different Russian regions, investigating the role of patient, clinical, and health system characteristics. Methods: A prospective observational study has recruited a representative sample of AMI patients within 16 hospitals from 13 regions across Russia. Criteria for inclusion are being aged 35-70 years with a confirmed diagnosis of AMI and surviving until the day after admission. Information being collected includes health system contacts and features of clinical management prior to the event and in the 12 months following discharge from hospital. Following initial exploration of the data to generate hypotheses, multivariate analyses will be applied to assess the role of these characteristics in both treatment decisions and any delays in time critical interventions. Between June 2015 and August 2016, 1,122 patients have been recruited at baseline and follow-up to 12 months post-discharge is scheduled to be completed by autumn 2017. The study is unique in examining patient factors, clinical management prior to admission and in hospital in the acute phase and throughout the critical first year of recovery across a diverse range of geographies and facilities. It uses standardized instruments to collect data from patients and health care providers and includes regions that are diverse in terms of geography and development of cardiology capacity. However, given the limited health services research capacity in the Russian Federation, it was not possible to obtain a sample that was truly nationally representative. |
format | Online Article Text |
id | pubmed-5930545 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | F1000 Research Limited |
record_format | MEDLINE/PubMed |
spelling | pubmed-59305452018-05-16 The management of acute myocardial infarction in the Russian Federation: protocol for a study of patient pathways Kontsevaya, Anna Bobrova, Natalia Barbarash, Olga Duplyakov, Dmitry Efanov, Alexey Galyavich, Albert Frants, Maria Khaisheva, Larisa Malorodova, Tatyana Mirolyubova, Olga Nedbaikin, Andrei Osipova, Irina Platonov, Dmitry Posnenkova, OIga Syromiatnikova, Liudmila Bates, Katie Leon, David A McKee, Martin Wellcome Open Res Study Protocol Background: Death rates from cardiovascular disease in Russia are among the highest in the world. In recent years, the Russian government has invested substantially in the healthcare system, with a particular focus on improving access to advanced technology, especially for acute myocardial infarction (AMI). This protocol describes a study to understand the management of AMI in different Russian regions, investigating the role of patient, clinical, and health system characteristics. Methods: A prospective observational study has recruited a representative sample of AMI patients within 16 hospitals from 13 regions across Russia. Criteria for inclusion are being aged 35-70 years with a confirmed diagnosis of AMI and surviving until the day after admission. Information being collected includes health system contacts and features of clinical management prior to the event and in the 12 months following discharge from hospital. Following initial exploration of the data to generate hypotheses, multivariate analyses will be applied to assess the role of these characteristics in both treatment decisions and any delays in time critical interventions. Between June 2015 and August 2016, 1,122 patients have been recruited at baseline and follow-up to 12 months post-discharge is scheduled to be completed by autumn 2017. The study is unique in examining patient factors, clinical management prior to admission and in hospital in the acute phase and throughout the critical first year of recovery across a diverse range of geographies and facilities. It uses standardized instruments to collect data from patients and health care providers and includes regions that are diverse in terms of geography and development of cardiology capacity. However, given the limited health services research capacity in the Russian Federation, it was not possible to obtain a sample that was truly nationally representative. F1000 Research Limited 2018-04-06 /pmc/articles/PMC5930545/ /pubmed/29774243 http://dx.doi.org/10.12688/wellcomeopenres.12478.2 Text en Copyright: © 2018 Kontsevaya A et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Study Protocol Kontsevaya, Anna Bobrova, Natalia Barbarash, Olga Duplyakov, Dmitry Efanov, Alexey Galyavich, Albert Frants, Maria Khaisheva, Larisa Malorodova, Tatyana Mirolyubova, Olga Nedbaikin, Andrei Osipova, Irina Platonov, Dmitry Posnenkova, OIga Syromiatnikova, Liudmila Bates, Katie Leon, David A McKee, Martin The management of acute myocardial infarction in the Russian Federation: protocol for a study of patient pathways |
title | The management of acute myocardial infarction in the Russian Federation: protocol for a study of patient pathways |
title_full | The management of acute myocardial infarction in the Russian Federation: protocol for a study of patient pathways |
title_fullStr | The management of acute myocardial infarction in the Russian Federation: protocol for a study of patient pathways |
title_full_unstemmed | The management of acute myocardial infarction in the Russian Federation: protocol for a study of patient pathways |
title_short | The management of acute myocardial infarction in the Russian Federation: protocol for a study of patient pathways |
title_sort | management of acute myocardial infarction in the russian federation: protocol for a study of patient pathways |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930545/ https://www.ncbi.nlm.nih.gov/pubmed/29774243 http://dx.doi.org/10.12688/wellcomeopenres.12478.2 |
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