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Pre-hospital management of acute coronary syndrome patients in Belgium and Luxembourg and other Western European countries.
Acta Cardiol. 2016 Feb; 71(1):15-24.AC

Abstract

OBJECTIVES

This sub-analysis of the EPICOR study describes pre-hospital care (PHC) patterns in Belgium, Luxembourg (Belux) and Western European (WEU) countries (Finland, Norway, Denmark, the Netherlands, UK, Belgium, Luxembourg, Spain, France, Italy, Greece and Germany.

METHODS AND RESULTS

EPICOR (NCT01171404) is multinational, observational study comprising patients with acute coronary syndrome hospitalized within 24h of symptoms onset, diagnosed with ST-segment elevation myocardial infarction (STEMI), non-STEMI (NSTEMI) or unstable angina (UA). Of the 325 WEU centres, 37 were in Belgium and 1 in Luxembourg. PHC was defined as pre-hospital ECG and/or pre-hospital medication (PHM). 504 Belux and 6,119 WEU patients were enrolled. Of the WEU patients 51.5% received PHC and 28.1% PHM, compared to 27.6% and 11.3% of the Belux patients. These differences were observed in both STEMI and UA/NSTEMI patients. In Belux, the most frequent PHM was acetylsalicylic acid (53 patients); only 1 patient received thrombolytics. The median time from symptoms onset to ECG was longer for Belux (2.8 h) than for WEU patients (2.4 h). PHC shortened this time by almost 1.5h. Belux patients with PHC had a shorter median time between symptoms onset and first medical attention (FMA) than WEU patients (1.0 vs 1.3 h). Only 34.7% of Belux patients with pre-hospital ECG and with time from FMA to ECG available had ECG within 10 minutes of FMA, as recommended by the European Society of Cardiology.

CONCLUSIONS

In Belux, diagnostic ECG is delayed compared to WEU, despite the short time to FMA. Few patients undergo ECG within the recommended period, indicating room for improvement.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Observational Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26853249

Citation

Beauloye, Christophe, et al. "Pre-hospital Management of Acute Coronary Syndrome Patients in Belgium and Luxembourg and Other Western European Countries." Acta Cardiologica, vol. 71, no. 1, 2016, pp. 15-24.
Beauloye C, Vrolix M, Claeys MJ, et al. Pre-hospital management of acute coronary syndrome patients in Belgium and Luxembourg and other Western European countries. Acta Cardiol. 2016;71(1):15-24.
Beauloye, C., Vrolix, M., Claeys, M. J., van de Borne, P., Vandendriessche, E., & Van De Werf, F. (2016). Pre-hospital management of acute coronary syndrome patients in Belgium and Luxembourg and other Western European countries. Acta Cardiologica, 71(1), 15-24. https://doi.org/10.2143/AC.71.1.3132093
Beauloye C, et al. Pre-hospital Management of Acute Coronary Syndrome Patients in Belgium and Luxembourg and Other Western European Countries. Acta Cardiol. 2016;71(1):15-24. PubMed PMID: 26853249.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pre-hospital management of acute coronary syndrome patients in Belgium and Luxembourg and other Western European countries. AU - Beauloye,Christophe, AU - Vrolix,Mathias, AU - Claeys,Marc J, AU - van de Borne,Philippe, AU - Vandendriessche,Eef, AU - Van De Werf,Frans, PY - 2016/2/9/entrez PY - 2016/2/9/pubmed PY - 2016/4/30/medline KW - Belgium KW - EPICOR KW - Luxembourg KW - STEMI KW - acute coronary syndrome KW - pre-hospital management SP - 15 EP - 24 JF - Acta cardiologica JO - Acta Cardiol VL - 71 IS - 1 N2 - OBJECTIVES: This sub-analysis of the EPICOR study describes pre-hospital care (PHC) patterns in Belgium, Luxembourg (Belux) and Western European (WEU) countries (Finland, Norway, Denmark, the Netherlands, UK, Belgium, Luxembourg, Spain, France, Italy, Greece and Germany. METHODS AND RESULTS: EPICOR (NCT01171404) is multinational, observational study comprising patients with acute coronary syndrome hospitalized within 24h of symptoms onset, diagnosed with ST-segment elevation myocardial infarction (STEMI), non-STEMI (NSTEMI) or unstable angina (UA). Of the 325 WEU centres, 37 were in Belgium and 1 in Luxembourg. PHC was defined as pre-hospital ECG and/or pre-hospital medication (PHM). 504 Belux and 6,119 WEU patients were enrolled. Of the WEU patients 51.5% received PHC and 28.1% PHM, compared to 27.6% and 11.3% of the Belux patients. These differences were observed in both STEMI and UA/NSTEMI patients. In Belux, the most frequent PHM was acetylsalicylic acid (53 patients); only 1 patient received thrombolytics. The median time from symptoms onset to ECG was longer for Belux (2.8 h) than for WEU patients (2.4 h). PHC shortened this time by almost 1.5h. Belux patients with PHC had a shorter median time between symptoms onset and first medical attention (FMA) than WEU patients (1.0 vs 1.3 h). Only 34.7% of Belux patients with pre-hospital ECG and with time from FMA to ECG available had ECG within 10 minutes of FMA, as recommended by the European Society of Cardiology. CONCLUSIONS: In Belux, diagnostic ECG is delayed compared to WEU, despite the short time to FMA. Few patients undergo ECG within the recommended period, indicating room for improvement. SN - 0001-5385 UR - https://www.unboundmedicine.com/medline/citation/26853249/Pre_hospital_management_of_acute_coronary_syndrome_patients_in_Belgium_and_Luxembourg_and_other_Western_European_countries_ L2 - https://ClinicalTrials.gov/search/term=26853249 [PUBMED-IDS] DB - PRIME DP - Unbound Medicine ER -