Contemporary Status of Acute Myocardial Infarction in Korean Patients: Korean Registry of Acute Myocardial Infarction for Regional Cardiocerebrovascular Centersopen access
- Authors
- Kim, Rock Bum; Hwang, Jin Yong; Park, Hyun Woong; Her, Ae-Young; Lee, Jang Hoon; Kim, Moo Hyun; Yoon, Chang Hwan; Cho, Jae Young; Woo, Sung-Il; Kim, Yongcheol; Han, Jae-Young; Choi, Joon Hyouk; Kim, Song Yi; Choi, Si Wan; Jee, Sung Ju; Lee, Sang Yeub; Won, Ki-Bum; Park, Kyeong-Soo; Hyun, Dae Woo
- Issue Date
- Feb-2021
- Publisher
- MDPI
- Keywords
- acute myocardial infarction; case fatality; registry
- Citation
- JOURNAL OF CLINICAL MEDICINE, v.10, no.3
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF CLINICAL MEDICINE
- Volume
- 10
- Number
- 3
- URI
- https://scholarworks.bwise.kr/gnu/handle/sw.gnu/4178
- DOI
- 10.3390/jcm10030498
- ISSN
- 2077-0383
- Abstract
- Background: This study aimed to present the development process and characteristics of the Korean Registry of Acute Myocardial Infarction for Regional Cardiocerebrovascular Centers (KRAMI-RCC). Methods: We developed KRAMI-RCC, a web-based registry for patients with AMI. Patients from 14 RCCs were registered for more than three years from July 2016. It includes an automatic error-checking system, and user training and on-site monitoring are performed to manage data quality. Results: A total of 11,700 AMI patients were registered in KRAMI-RCC over three years (73.9% men). The proportions of patients with ST-elevation and non-ST-elevation myocardial infarction at discharge were 43.4% and 56.6%, respectively. Of the total three-year patients, 5.6% died in the hospital, and 4.4% died 12 months after discharge. The case fatality within 12 months was 9.7%. Pre-hospital care data showed delayed arrival time after onset of symptoms (median 153 min) and low transportation rate by public ambulance (25.2%). Post-hospital care data showed lower participation rate in the second rehabilitation program (16.8%). Conclusions: The recently developed KRAMI-RCC registry has been more focused on pre-hospital and post-hospital data, which will be helpful in understanding the current state of AMI disease management and in making policy decisions to reduce case fatality in Korea.
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