PMID- 31542204
OWN - NLM
STAT- MEDLINE
DCOM- 20200407
LR  - 20200408
IS  - 1768-3181 (Electronic)
IS  - 0003-3928 (Linking)
VI  - 68
IP  - 5
DP  - 2019 Nov
TI  - [An independent observatory in Vendee on ST-elevated acute myocardial infarction 
      (the OVISCA Register). A Departmental evaluation of demographic trends, mortality 
      and delays before treatment].
PG  - 300-305
LID - S0003-3928(19)30068-X [pii]
LID - 10.1016/j.ancard.2019.08.008 [doi]
AB  - AIM: Mortality from acute myocardial infarction has been falling during the past 
      30 years. The aim of the study was to evaluate the temporal trends of 
      demographics, mortality rates, and time to treatment in patients admitted for 
      acute ST elevation myocardial infarction (STEMI) in Vendee. PATIENTS AND METHODS: 
      From 2008 to 2016, 1994 patients hospitalised in CHD Vendee for STEMI <48hours 
      were included. Two groups were compared, 838 patients admitted between 2008 and 
      2011 (group 1), and 1156 admitted between 2013 and 2016 (group 2). RESULTS: 
      Between the 2 periods, mean age was comparable (63.8 vs. 64.4 years), the gender 
      ratio decreased (from 3.15 to 2.79 ; P=0.25). The mean duration of hospital stay 
      was 0.8 day shorter (P=0.008). Treatment at discharge was optimum in 97.5% 
      patients versus 92% (P<0.001). Left ventricular ejection fraction was comparable 
      (50.6% vs. 50.2%). There was a non-significant trend to a decrease in hospital 
      mortality (from 6.3% to 4.4%; p=0.12), and 6-month mortality (from 6.9% to 5.9%; 
      P=0.51). There was a reduction in the use of emergency call-outs (74.9% to 68.9%; 
      P<0.01), but an increase in direct presentations from 44% to 48.7% (P<0.05). The 
      time before calling was comparable (2.5hours vs. 2.3hours; P=04.7). The 
      "door-to-balloon" time decreased (0.71 vs. 0.55hour; P<0.001). The mean time 
      between pain and angioplasty increased (5.7 vs. 6.8hours; P<0.05). CONCLUSIONS: 
      In vendee, from 2011 to 2016, hospital and 6-month mortality of STEMI trend to 
      decrease non-significantly. The door to balloon time decreased, although 
      emergency call-out rates and delays did not. Considerable efforts are still 
      required with respect to patient information and education. Our registry offers 
      an excellent tool to improve practices, the aim being to ensure its integration 
      in the CRAC-France PCI registry.
CI  - Copyright (c) 2019 Elsevier Masson SAS. All rights reserved.
FAU - Boiffard, E
AU  - Boiffard E
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France. Electronic address: emmanuel.boiffard@chd-vendee.fr.
FAU - Dimet, J
AU  - Dimet J
AD  - Clinical Research Centre, Mont-de-Marsan Hospital, 40000, Mont-de-Marsan, France.
FAU - Baron, O
AU  - Baron O
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Billon, O
AU  - Billon O
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Boivineau, C
AU  - Boivineau C
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Charvet, M
AU  - Charvet M
AD  - Post-emergency medical monitoring, polyclinique de l'Europe, 44600 Saint-Nazaire, 
      France.
FAU - Doizon, T
AU  - Doizon T
AD  - General medicine department, CHD Vendee, 85400, Lucon, France.
FAU - Federspiel, C
AU  - Federspiel C
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Flori, M
AU  - Flori M
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Georges, J-L
AU  - Georges JL
AD  - Service de cardiologie centre hospitalier de Versailles, 78150 Le Chesnay, 
      France.
FAU - Haddad, G
AU  - Haddad G
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Lipp, D
AU  - Lipp D
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Nguyen, J-O
AU  - Nguyen JO
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Mouhoub, D
AU  - Mouhoub D
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Pernollet, P
AU  - Pernollet P
AD  - Cardiology department, CH Cote-de-Lumiere, 85100, Les Sables d'Olonne, France.
FAU - Philippot, M
AU  - Philippot M
AD  - Medical Information Service, CHD Vendee, 85000, La Roche-sur-Yon, France.
FAU - Pouliquen, H
AU  - Pouliquen H
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Roy, N
AU  - Roy N
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Trebouet, E
AU  - Trebouet E
AD  - Emergency Department, CHD Vendee, 85000, La Roche-sur-Yon, France.
FAU - Turlotte, G
AU  - Turlotte G
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Zeninari, B
AU  - Zeninari B
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
FAU - Orion, L
AU  - Orion L
AD  - Cardiology department, CHD Vendee, Boulevard Moreau, 85000, La Roche-sur-Yon, 
      France.
LA  - fre
PT  - Journal Article
TT  - Observatoire Vendeen independant des syndromes Coronarien aigus avec sus-decalage 
      du segment ST (Registre OVISCA). Evaluation departementale, evolution 
      demographique, mortalite, delais de prise en charge.
DEP - 20190918
PL  - France
TA  - Ann Cardiol Angeiol (Paris)
JT  - Annales de cardiologie et d'angeiologie
JID - 0142167
SB  - IM
MH  - Aged
MH  - Female
MH  - France
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Registries
MH  - ST Elevation Myocardial Infarction/*mortality/*therapy
MH  - *Time-to-Treatment
OTO - NOTNLM
OT  - 6-month mortality
OT  - Delai prehospitalier
OT  - Hospital mortality
OT  - Infarctus du myocarde avec sus decalage du segment ST
OT  - Mortalite hospitaliere
OT  - Mortalite a 6 mois
OT  - Prehospital delay
OT  - Registre
OT  - Registry
OT  - STEMI
EDAT- 2019/09/23 06:00
MHDA- 2020/04/09 06:00
CRDT- 2019/09/23 06:00
PHST- 2019/03/18 00:00 [received]
PHST- 2019/08/28 00:00 [accepted]
PHST- 2019/09/23 06:00 [pubmed]
PHST- 2020/04/09 06:00 [medline]
PHST- 2019/09/23 06:00 [entrez]
AID - S0003-3928(19)30068-X [pii]
AID - 10.1016/j.ancard.2019.08.008 [doi]
PST - ppublish
SO  - Ann Cardiol Angeiol (Paris). 2019 Nov;68(5):300-305. doi: 
      10.1016/j.ancard.2019.08.008. Epub 2019 Sep 18.