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Table 1 Patients undergoing reperfusion and mortality in selected years and annual changes

From: Access to reperfusion therapy and mortality outcomes in patients with ST-segment elevation myocardial infarction under universal health coverage in Thailand

 

Number of patients (%)

Change per yeara (2011–2017), % points (95% CI)

2011

2014

2017

Patients with STEMI

8753 (100)

10,127 (100)

10,612 (100)

 

A. Reperfusion

 Overall

4789 (54.7)

6634 (65.5)

7842 (73.9)

3.5* (2.8, 4.1)

  1. PCI

1921 (21.9)

4028 (39.8)

5724 (53.9)

5.7* (4.7, 6.7)

   1.1 First admitted

1436 (16.4)

2981 (29.4)

4507 (42.5)

4.6* (4.2, 4.9)

    1.1.1 Without pretreated TBL

1337 (15.3)

2743 (27.1)

4178 (39.4)

4.2* (3.9, 4.5)

    1.1.2 Pre-treated with TBL

99 (1.1)

238 (2.3)

329 (3.1)

0.35* (0.24, 0.45)

   1.2 Transferred

485 (5.5)

1047 (10.3)

1217 (11.5)

1.1** (0.40, 1.8)

    1.2.1 Without pretreated TBL

322 (3.7)

588 (5.8)

595 (5.6)

0.37 (−0.044, 0.78)

    1.2.2 Pre-treated with TBL

163 (1.9)

459 (4.5)

622 (5.9)

0.73** (0.47, 0.99)

  2. TBL only

2868 (32.8)

2606 (25.7)

2118 (20.0)

−2.2* (−1.9, − 2.5)

   2.1 First admitted

2669 (30.5)

2449 (24.2)

1999 (18.8)

−2.0* (−1.8, − 2.3)

   2.2 Transferred

199 (2.3)

157 (1.6)

119 (1.1)

−0.19* (− 0.14, − 0.25)

  3. No reperfusion

3964 (45.3)

3493 (34.5)

2770 (26.1)

−3.5* (−2.8, − 4.1)

B. Mortality

 1. Patients with STEMI

8753 (100)

10,127 (100)

10,612 (100)

 

  30-day

2190 (24.6)

2332 (22.6)

2176 (20.2)

−0.71* (−0.54, − 0.87)

  180-day

2648 (29.7)

2801 (27.2)

2652 (24.6)

−0.85* (− 0.73, − 0.97)

 2. PCI recipients

1921 (100)

4028 (100)

5724 (100)

 

  30-day

273 (14.2)

536 (13.3)

686 (12.0)

−0.20*** (− 0.016, − 0.39)

  180-day

350 (18.2)

676 (16.8)

888 (15.5)

−0.27** (− 0.14, − 0.40)

 3. TBL-only recipients

2868 (100)

2606 (100)

2118 (100)

 

  30-day

529 (18.4)

480 (18.4)

396 (18.7)

0.36*** (0.064, 0.66)

  180-day

653 (22.8)

587 (22.5)

491 (23.2)

0.42 (−0.030, 0.86)

 4. No reperfusion

3964 (100)

3493 (100)

2770 (100)

 

  30-day

1375 (34.7)

1299 (37.2)

1068 (38.6)

0.79*** (0.29, 1.30)

  180-day

1621 (40.9)

1513 (43.3)

1238 (44.7)

0.59*** (0.001, 1.18)

  1. * P < 0.001; ** P < 0.01; *** P < 0.05
  2. a Time-series analysis over 7 years based on generalized least squares based on Prais-Winsten transformation for first-order autoregression
  3. CI confidence interval; PCI percutaneous coronary intervention; STEMI ST-segment elevation myocardial infarction; TBL thrombolysis