PMID- 18431881 OWN - NLM STAT- MEDLINE DCOM- 20080521 LR - 20220318 IS - 0125-2208 (Print) IS - 0125-2208 (Linking) VI - 90 Suppl 1 DP - 2007 Oct TI - Demographic, management practices and in-hospital outcomes of Thai Acute Coronary Syndrome Registry (TACSR): the difference from the Western world. PG - 1-11 AB - BACKGROUND: To establish a national registration of acute coronary syndrome (ACS) registry in Thailand by networking health service institutions to determine the demographic, management practices, and in-hospital outcomes of patients with ACS. MATERIAL AND METHOD: The Thai ACS registry is a multi-center prospective project of nationwide registration in Thailand. Institutions were invited to participate in the registry through members of the Heart Association of Thailand. A series of workshops were organized to ensure standardization and quality control of the data and conduct of the present study. Web-based double data entry was used and the data were centrally managed and analyzed. RESULTS: The enrollment of the patients started in August 2002. After three years, records of 9,373 patients were collected from 17 hospitals. The patients were classified as ST elevation myocardial infarction (STEMI) (40.9.%), non-ST-elevation myocardial infarction (NSTEMI) (37.9%) and unstable angina (UA) (21.2%). The STEMI group was younger predominantly male, with a fewer number of diabetes than NSTEMI or UA. About half of the STEMI patients (52.6%) received reperfusion therapy. Primary percutaneous coronary intervention (PCI) was performed in 22.2% of STEMI. The median door to needle and door to balloon time were 85.0 and 122 minutes respectively. The median times to treatment were 240 minutes in the thrombolysis group and 359 minutes in the primary PCI group. Nearly half of NSTEMI and UA went to coronary angiography and about one-fourth of them received revascularization either PCI or coronary artery bypass grafting in the same admission. The total mortality rate was high in STEMI (17.0%) followed by NSTEMI (13.1%) and UA (3.0%). CONCLUSION: Thai ACS registry provides a detail of demographic, management practices, and in-hospital outcomes of patients with ACS. Time from onset to admission, door to needle time and door to balloon time were considered as suboptimal. Overall, in-hospital mortality is higher than reports from Western countries. The raising awareness among the general population about urgency of seeking medical attention for chest pain and concerted effect to improve in-hospital time delay is warranted. These data may have an impact on our health care system and alert the government to adopt an appropriate policy to solve these problems. FAU - Srimahachota, Suphot AU - Srimahachota S AD - Division of Cardiovascular Diseases, Department of Medicine, King Chulalongkorn Memorial Hospital, Bangkok 10330, Thailand. s_srimahachota@yahoo.co.th FAU - Kanjanavanit, Rungsrit AU - Kanjanavanit R FAU - Boonyaratavej, Smonporn AU - Boonyaratavej S FAU - Boonsom, Watana AU - Boonsom W FAU - Veerakul, Gumpanart AU - Veerakul G FAU - Tresukosol, Damras AU - Tresukosol D CN - TACSR Group LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - Thailand TA - J Med Assoc Thai JT - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JID - 7507216 SB - IM MH - Acute Coronary Syndrome/*drug therapy/therapy MH - Adult MH - Age Factors MH - Aged MH - Angina, Unstable/drug therapy MH - Angioplasty, Balloon, Coronary MH - Chest Pain MH - Demography MH - Female MH - *Health Services Accessibility MH - *Hospitalization MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/drug therapy MH - Myocardial Reperfusion MH - Prospective Studies MH - Registries MH - Thailand MH - *Treatment Outcome FIR - Chaithiraphan, Suphachai IR - Chaithiraphan S FIR - Yipintsoi, Tada IR - Yipintsoi T FIR - Prachuabmoh, Chadsri IR - Prachuabmoh C FIR - Tatsanavivat, Pyatat IR - Tatsanavivat P FIR - Tanomsup, Supachai IR - Tanomsup S FIR - Sritara, Piyamitr IR - Sritara P FIR - Suithichaiyakul, Taworn IR - Suithichaiyakul T FIR - Nontakanum, Sawaet IR - Nontakanum S FIR - Tresukosol, Damras IR - Tresukosol D FIR - Piamsomboon, Chumpol IR - Piamsomboon C FIR - Tansuphaswadikul, Sudaratana IR - Tansuphaswadikul S FIR - Veerakul, Gampanart IR - Veerakul G FIR - Prompongsa, Saowaluk IR - Prompongsa S FIR - Kanjanavanit, Rungsrit IR - Kanjanavanit R FIR - Silaruks, Songkwan IR - Silaruks S FIR - Moleerergpoom, Worachat IR - Moleerergpoom W FIR - Jintapakorn, Woravut IR - Jintapakorn W FIR - Hutayanon, Pisit IR - Hutayanon P FIR - Ratanaprakarn, Rangson IR - Ratanaprakarn R FIR - Ruengsakulrach, Permyos IR - Ruengsakulrach P FIR - Sriyadthasak, Osthon IR - Sriyadthasak O FIR - Krisanarungson, Sopon IR - Krisanarungson S FIR - Kangkagate, Charuwan IR - Kangkagate C FIR - Prachuabmoh, Chadsri IR - Prachuabmoh C FIR - Tatsanavivat, Pyatat IR - Tatsanavivat P FIR - Sritara, Piyamitr IR - Sritara P FIR - Srimahachota, Suphot IR - Srimahachota S FIR - Tresukisol, Damras IR - Tresukisol D FIR - Sanguanwong, Sopon IR - Sanguanwong S FIR - Veerakul, Gampanart IR - Veerakul G FIR - Angkasuwapala, Kitiporn IR - Angkasuwapala K FIR - Kanjanavanit, Rungsrit IR - Kanjanavanit R FIR - Moleerergpoom, Worachart IR - Moleerergpoom W FIR - Hutayanon, Pisit IR - Hutayanon P FIR - Suwan, Ladathip IR - Suwan L FIR - Kangkagate, Charuwan IR - Kangkagate C FIR - Kespechara, Kongkait IR - Kespechara K FIR - Mahanonda, Nithi IR - Mahanonda N FIR - Ruengsakulrath, Permyos IR - Ruengsakulrath P FIR - Lolekha, Pakorn IR - Lolekha P FIR - Srichaieveth, Boonchu IR - Srichaieveth B FIR - Veerakul, Gampanart IR - Veerakul G FIR - Chaothawee, Lertlak IR - Chaothawee L FIR - Tansuphaswadikul, Sudaratana IR - Tansuphaswadikul S FIR - Kehasukcharoen, Wirash IR - Kehasukcharoen W FIR - Saejueng, Boonjong IR - Saejueng B FIR - Suithichaiyakul, Taworn IR - Suithichaiyakul T FIR - Srimahachota, Suphot IR - Srimahachota S FIR - Benjanuwattra, Thanawat IR - Benjanuwattra T FIR - Kanjanavanit, Rungsrit IR - Kanjanavanit R FIR - Sriyadthasak, Osthon IR - Sriyadthasak O FIR - Moleerergpoom, Worachart IR - Moleerergpoom W FIR - Ratanasumawong, Kasem IR - Ratanasumawong K FIR - Piamsomboon, Chumpol IR - Piamsomboon C FIR - Sanguanwong, Sopon IR - Sanguanwong S FIR - Prompongsa, Saowaluk IR - Prompongsa S FIR - Angkasuwapala, Kitiporn IR - Angkasuwapala K FIR - Siriviwattanakul, Napa IR - Siriviwattanakul N FIR - Tanomsup, Supachai IR - Tanomsup S FIR - Sritara, Piyamitr IR - Sritara P FIR - Ratanaprakarn, Rangson IR - Ratanaprakarn R FIR - Suntiparpluacha, Chartchai IR - Suntiparpluacha C FIR - Tresukosol, Damras IR - Tresukosol D FIR - Tungsubutra, Wiwum IR - Tungsubutra W FIR - Jintapakorn, Woravut IR - Jintapakorn W FIR - Silaruks, Songkwan IR - Silaruks S FIR - Kiatchoosakul, Songsak IR - Kiatchoosakul S FIR - Wongviporn, Chaiyasit IR - Wongviporn C FIR - Hutayanon, Pisit IR - Hutayanon P FIR - Buakhamsri, Adisai IR - Buakhamsri A FIR - Nontakanun, Sawaet IR - Nontakanun S FIR - Khaopaisarn, Kajorn IR - Khaopaisarn K FIR - Suraphakde, Navin IR - Suraphakde N FIR - Boonsom, Watana IR - Boonsom W FIR - Krisanarungson, Sopon IR - Krisanarungson S EDAT- 2008/04/25 09:00 MHDA- 2008/05/22 09:00 CRDT- 2008/04/25 09:00 PHST- 2008/04/25 09:00 [pubmed] PHST- 2008/05/22 09:00 [medline] PHST- 2008/04/25 09:00 [entrez] PST - ppublish SO - J Med Assoc Thai. 2007 Oct;90 Suppl 1:1-11.