Skip to main content

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)
201120142017
Patients with STEMI8753 (100)10,127 (100)10,612 (100) 
A. Reperfusion
 Overall4789 (54.7)6634 (65.5)7842 (73.9)3.5* (2.8, 4.1)
  1. PCI1921 (21.9)4028 (39.8)5724 (53.9)5.7* (4.7, 6.7)
   1.1 First admitted1436 (16.4)2981 (29.4)4507 (42.5)4.6* (4.2, 4.9)
    1.1.1 Without pretreated TBL1337 (15.3)2743 (27.1)4178 (39.4)4.2* (3.9, 4.5)
    1.1.2 Pre-treated with TBL99 (1.1)238 (2.3)329 (3.1)0.35* (0.24, 0.45)
   1.2 Transferred485 (5.5)1047 (10.3)1217 (11.5)1.1** (0.40, 1.8)
    1.2.1 Without pretreated TBL322 (3.7)588 (5.8)595 (5.6)0.37 (−0.044, 0.78)
    1.2.2 Pre-treated with TBL163 (1.9)459 (4.5)622 (5.9)0.73** (0.47, 0.99)
  2. TBL only2868 (32.8)2606 (25.7)2118 (20.0)−2.2* (−1.9, − 2.5)
   2.1 First admitted2669 (30.5)2449 (24.2)1999 (18.8)−2.0* (−1.8, − 2.3)
   2.2 Transferred199 (2.3)157 (1.6)119 (1.1)−0.19* (− 0.14, − 0.25)
  3. No reperfusion3964 (45.3)3493 (34.5)2770 (26.1)−3.5* (−2.8, − 4.1)
B. Mortality
 1. Patients with STEMI8753 (100)10,127 (100)10,612 (100) 
  30-day2190 (24.6)2332 (22.6)2176 (20.2)−0.71* (−0.54, − 0.87)
  180-day2648 (29.7)2801 (27.2)2652 (24.6)−0.85* (− 0.73, − 0.97)
 2. PCI recipients1921 (100)4028 (100)5724 (100) 
  30-day273 (14.2)536 (13.3)686 (12.0)−0.20*** (− 0.016, − 0.39)
  180-day350 (18.2)676 (16.8)888 (15.5)−0.27** (− 0.14, − 0.40)
 3. TBL-only recipients2868 (100)2606 (100)2118 (100) 
  30-day529 (18.4)480 (18.4)396 (18.7)0.36*** (0.064, 0.66)
  180-day653 (22.8)587 (22.5)491 (23.2)0.42 (−0.030, 0.86)
 4. No reperfusion3964 (100)3493 (100)2770 (100) 
  30-day1375 (34.7)1299 (37.2)1068 (38.6)0.79*** (0.29, 1.30)
  180-day1621 (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