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Temporal trends in diagnosis,treatment,and outcome for non-ST-segment elevation acute coronary syndrome in three regions of China,2008–2015

引用

Chinese Medical Journal 2021年第16期134卷 1997-1999页

作者： Rong Liu Yu-Qing Sun Xiao-Xia Hou Yang Zheng Mark DHuffman craig sanderson Liu He Shi-Jun Xia Chao Jiang Xin Du Jian-Zeng Dong Chang-Sheng Ma Department of Research and Development Heart Health Research Center(HHRC)Beijing100029China Cardiovascular Program The George Institute for Global HealthFaculty of MedicineUniversity of New South WalesSydney 2050Australia Department of Cardiology Beijing Anzhen HospitalCapital Medical UniversityBeijing 100029China Department of Cardiology Beijing Tongren HospitalCapital Medical UniversityBeijing100176China Department of Cardiology The First Bethune Hospital of Jilin UniversityChangchunJilin 130021China Institute for Global Health Northwestern University Feinberg School of MedicineChicago 60611USA Neurological Program The George Institute for Global HealthFaculty of MedicineUniversity of New South WalesSydney 2050Australia Neurological Program The George Institute China at Peking University Health Science CenterBeijing 100600China Department of Cardiology The First Affiliated Hospital of Zhengzhou UniversityZhengzhouHenan 450052China.

To the Editor:As acute coronary syndromes(ACS)is common causes of morbidity and mortality in China,they serve as an important case example to assess the impact of these health reforms on the quality,safety,and efficiency of healthcare.[1]ACS comprises a wide spectrum of disease subgroups,including ST-segment elevation myocardial infarction(STEMI),unstable angina(UA),and non-ST-segment elevation myocardial infarction(NSTEMI).Previous studies have shown increases in the intensity of testing and treatment while stable in-hospital mortality for STEMI in China between 2001 and 2011.[2]As non-ST-segment elevation acute coronary syndrome(NSTE-ACS)patients,who account for about two-thirds of ACS patients,have a wide spectrum of disease severity,risk-stratified management is recommended to ensure appropriate allocation of resources,especially in limited-resource settings of China.As limited data exist on the use of medical services and clinical outcomes in relation to health reforms,we aimed to determine temporal trends in diagnosis,treatment,and outcome for hospitalized NSTE-ACS patients in three regions of China between 2008 and 2015.

关键词： diagnosis unstable treatment

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