Coronary disease & ACSResearch article
Characteristics, clinical management and outcomes of patients with acute myocardial infarction enrolled or not enrolled in a quality registry
- Methods and results: We linked health records
Authors' conclusion
Patients non-enrolled in SWEDEHEART received less evidence-based care and had worse short- and long-term outcomes. This study identifies a non-negligible population in need of better care and provides support for the value of structured care models in improving patient outcomes through closer monitoring and better treatment.
Study context
- Population
- Patients hospitalised for a first or recurrent myocardial infarction between 2006 and 2021 in the region of Stockholm, Sweden, linked to the SWEDEHEART quality registry
- Participants
- 47,342 hospitalisations
- Comparison
- non-enrolled vs. enrolled patients
- Non-enrolledn = 6,113
Main finding
Initiation of aspirin
Hazard ratio
0.88
95% CI 0.84–0.91
Non-enrolled vs Enrolled
HR 0.88 (95% CI 0.84–0.91)
As reported in the abstract
Further findings
| Outcome | HR | |
|---|---|---|
| Initiation of beta-blockers · less likely to initiate | 0.87 (CI 0.84–0.90) | |
| Initiation of renin-angiotensin system inhibitors · less likely to initiate | 0.73 (CI 0.69–0.76) | |
| Initiation of statins · less likely to initiate | 0.59 (CI 0.56–0.61) | |
| In-hospital and long-term mortality · higher in non-enrolled · after extensive adjustments | 1.15 (95% CI 1.09–1.21) | |
| Reinfarction/stroke · more in non-enrolled · after extensive adjustments | 1.16 (95% CI 1.08–1.26) | |
| 0.512Hazard ratio (log scale) |
Admission characteristics
- Non-enrolled participants were older, had more chronic kidney disease and other comorbidities
Invasive procedures
- Non-enrolled underwent fewer coronary angiographies and fewer coronary interventions
Adherence to treatments
- Non-enrolled less likely to adhere to treatments, in part explained by their comorbid profile
Original publication
Characteristics, clinical management and outcomes of patients with acute myocardial infarction enrolled or not enrolled in a quality registry. Eur Heart J Qual Care Clin Outcomes. Published 10 February 2026. doi:10.1093/ehjqcco/qcag023
Summarised from the published abstract; every number is checked against it