title: [Predictors of non-fulfillment of reperfusion therapy in patients with ST-elevation acute coronary syndrome].
abstract: At present reperfusion therapy in ST-elevation (STE) acute coronary syndrome (ACS) is carried out in majority of countries not more than in 70% of cases. We analyzed predictors of non-fulfillment of reperfusion therapy in patients with STEACS included into ACS registry conducted in the Kemerovo cardiological dispensary. Reperfusion therapy was not carried out in 154 patients with STEACS (36.2%). Main predictors of non-fulfillment of reperfusion were age older than 75 years (odds ratio [OR] 47.97, 95% confidence interval [CI] 19.47-118.21), admission later than in 12 hours after onset of disease (OR 4.29, 95%CI 1.52-12.13), history of myocardial infarction (OR 2.68, 95%CI 1.11-6.48). Thus there are factors including subjective ones which preclude full-fledged use of contemporary recommendations on the management of patients with STEACS.
authors: S S
authors: SS
authors: Altarev
authors: O L
authors: OL
authors: Barbarash
authors: S A
authors: SA
authors: Pomeshkina
authors: V V
authors: VV
authors: Kashtalap
authors: M V
authors: MV
authors: Zykov
authors: E V
authors: EV
authors: Tavlueva
authors: L S
authors: LS
authors: Barbarash
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D000367:Age Factors; D000368:Aged; D019090:Case Management / Q000592:standards*; D016001:Confidence Intervals; D019091:Critical Pathways / Q000592:standards; D003695:Delivery of Health Care / Q000458:organization & administration; D004562:Electrocardiography; D005260:Female; D006301:Health Services Needs and Demand; D006304:Health Status; D006801:Humans; D008297:Male; D015425:Myocardial Reperfusion / Q000379:methods / Q000706:statistics & numerical data*; D016079:Refusal to Treat / Q000706:statistics & numerical data*; D012042:Registries; D012307:Risk Factors; D012800:Siberia / Q000453:epidemiology; D016019:Survival Analysis; D013997:Time Factors