Utilization and determinants of in-hospital cardiac catheterization in patients with acute coronary syndrome from the Middle East.
We assessed the use and determinants of cardiac catheterization during index admissions, among patients with acute coronary syndrome (ACS) in the Middle East. Data were analyzed from 8150 consecutive ACS patients enrolled prospectively. The overall rate of cardiac catheterization was 20%. Major predictors of cardiac catheterization were university hospitals, hospitals with catheterization facilities, physician type, and Gulf citizenship. High-risk patients were catheterized less compared to low-risk patients; odds ratio (OR) 0.44, 95% confidence interval (CI): 0.33-0.60, P < .001 and OR 0.68, 95% CI: 0.48-0.98, P = .037 for patients with non-ST-elevation ACS and ST-elevation myocardial infarction, respectively. The use of cardiac catheterization in patients with ACS from Middle East is low. It is related more to hospital characteristics than to baseline risks. There is a need to explore ways to increase overall rate of in-hospital cardiac catheterization in the region and direct it to patients who would benefit most.
Panduranga
Prashanth
P
Department of Cardiology, Royal Hospital, Muscat, Sultanate of Oman. prashanthp_69@yahoo.co.in
Sulaiman
Kadhim
K
Al-Zakwani
Ibrahim
I
Zubaid
Mohammad
M
Rashed
Wafa
W
Al-Mahmeed
Wael
W
Al-Lawati
Jawad
J
Al-Motarreb
Ahmed
A
Haitham
Amin
A
Suwaidi
Jassim
J
Al-Habib
Khalid
K
D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000628:therapy; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000706:statistics & numerical data*; D004562:Electrocardiography; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D008877:Middle East; D010343:Patient Admission