Presentation, care, and outcomes of patients with NSTEMI according to World Bank country income classification: the ACVC-EAPCI EORP NSTEMI Registry of the European Society of Cardiology
Authors' conclusion
Patients with NSTEMI in LLMICs present with fewer comorbidities but a more advanced stage of acute disease, and have worse outcomes compared with HICs.
Study context
- Population
- Patients with NSTEMI from 287 centres in 59 countries
- Participants
- 2,947 patients · 287 centres · 59 countries
- Exposure
- NSTEMI presentation, care and outcomes by World Bank country income classification
- Outcome
- In-hospital outcomes and 30-day mortality
Methodological detailsmulticentre, registry
- Multicentre
- Registry
Main finding
As reported in the abstract
Acute HF
Stroke/TIA
In-hospital mortality
30-day mortality
Observational data: associations, not effects.
Further findings
Invasive coronary angiography use
Care quality: ≥80% of eligible interventions achieved
- Very high risk criteria for immediate invasive strategy (low to lower-middle-income countries (LLMICs))
- 76.7%
- Care quality: ≥80% of eligible interventions achieved: 12 guideline-recommended care interventions
Original publication
Presentation, care, and outcomes of patients with NSTEMI according to World Bank country income classification: the ACVC-EAPCI EORP NSTEMI Registry of the European Society of Cardiology. Eur Heart J Qual Care Clin Outcomes. Published 3 February 2023. doi:10. 1093/ ehjqcco/ qcad008
Summarised from the published abstract; every number is checked against it