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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Prevalence, predictors, and outcomes of conservative medical management in non-ST-segment elevation acute coronary syndromes in gulf RACE-2
Angiology, Volume 63, No. 2, Year 2012
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Description
We assessed the prevalence, predictors, and in-hospital and long-term outcomes of conservative medical management for patients with non-ST-segment elevation acute coronary syndrome (NSTEACS) compared with percutaneous coronary intervention (PCI) and coronary artery bypass graft surgery (CABG). This prospective study conducted from October 2008 to June 2009 in 65 hospitals from 6 Arabian Gulf countries included 30-day and 1-year mortality follow-up for 3661 patients. Compared with conservative management group (2859 patients; 78.1%), the PCI group (638; 17.4%) had significantly better unadjusted and adjusted in-hospital (odds ratio [OR]: 0.40, 95% confidence interval [CI]: 0.17-0.97), 30-day (OR: 0.44, 95% CI: 0.24-0.76) and 1-year (OR: 0.58, 95% CI: 0.40-0.87) mortality rates. Comparison with the CABG group (164; 4.5%) yielded similar results with inclusion of patients scheduled for CABG after hospital discharge. Independent predictors of conservative medical management were mainly country of residence and history of prior CABG. © 2012 SAGE Publications.
Authors & Co-Authors
AlHabib, Khalid Faiz
Saudi Arabia, Riyadh
King Khalid University Hospital
Hersi, Ahmad Salah
Saudi Arabia, Riyadh
King Khalid University Hospital
Alsheikh-Ali, Alawi A.
United Arab Emirates, Abu Dhabi
Sheikh Khalifa Medical City
United States, Boston
Tufts Medical Center
Sulaiman, Kadhim J.
Oman, Muscat
Royal Hospital
Al-Faleh, Hussam F.
Saudi Arabia, Riyadh
King Khalid University Hospital
AlSaif, Shukri Merza
Saudi Arabia, Dammam
Saud Albabtain Cardiac Center
Al-Mahmeed, Wael Abdulrahman R.
Unknown Affiliation
Asaad, Nidal Ahmad
Qatar, Doha
Hamad Medical Corporation
Amin, Haitham
Bahrain, West Riffa
Bahrain Defence Force Royal Medical Services
Al-Motarreb, Ahmed Lotf
Yemen
Sana's University
Al-Lawati, Jawad Ahmed
Oman, Muscat
Ministry of Health Oman
Suwaidi, Jassim Al
Qatar, Doha
Hamad Medical Corporation
Statistics
Citations: 13
Authors: 12
Affiliations: 9
Identifiers
Doi:
10.1177/0003319711409200
ISSN:
00033197
e-ISSN:
19401574
Research Areas
Health System And Policy
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Case-Control Study