越南基于欧洲心脏的经皮冠状动脉介入登记:设计、基本原理和初步结果。

Vu Hoang Vu, Khang Duong Nguyen, Bao Thien Duong, Ngoc Minh Pham, Christopher M Reid, Binh Quang Truong, Richard Norman
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引用次数: 0

摘要

背景:作为一种心脏介入手术,经皮冠状动脉介入治疗(PCI)在全球范围内越来越被广泛采用。随着实践实施的增加,PCI注册表评估安全性和有效性的使用在国际上得到了发展。与公共数据元素相关的跨注册中心的标准化将允许对不同人群的结果进行比较。目的:本研究旨在加强对发展中国家PCI实践和结果的理解。该登记处是越南首个此类登记处,为全球心血管研究中代表性不足的人群提供了前所未有的关于程序特征、患者结局和质量指标的详细信息。方法:本方案报告了一项前瞻性、单中心、基于EuroHeart急性冠脉综合征/PCI数据集标准的PCI登记,该登记在越南胡志明市大学医学中心进行。它描述了数据收集和分析过程,并介绍了第一批入选者的基线特征。结果:2023年12月至2024年10月,共入组PCI患者1168例,平均年龄64.1%±11.7%,男性占68.8%。高血压成为最突出的危险因素。此外,27.8%的人群最终诊断为st段抬高型心肌梗死。平均基线西雅图心绞痛问卷-7总结得分为60.8±16.4。结论:建立登记制度是保证PCI治疗质量和安全性的重要步骤。基于EuroHeart数据集标准的PCI注册表将与国际努力保持一致。院内结果也表明在实施PCI注册管理方面取得了早期成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Euroheart-Based Percutaneous Coronary Intervention Registry in Vietnam: Design, Rationale, and Preliminary Results.

Background: As a cardiac interventional procedure, percutaneous coronary intervention (PCI) is increasingly becoming the most widely adopted across the globe. With increasing implementation in practice, the use of PCI registries to evaluate safety and effectiveness has grown internationally. Standardization across registries in relation to common data elements will allow comparison between outcomes in different populations.

Aims: This study is to enhance the understanding of PCI practices and outcomes in a developing country context. This registry is among the first of its kind in Vietnam, providing an unprecedented level of detail on procedural characteristics, patient outcomes, and quality metrics in a population that has been underrepresented in global cardiovascular research.

Methods: This protocol reports a prospective, single-center, PCI registry based on the EuroHeart data set standards for acute coronary syndrome/PCI, conducted at University Medical Center Ho Chi Minh City, Vietnam. It describes the data collection and analysis process and presents baseline characteristics of the first enrollees.

Results: From December 2023 to October 2024, we enrolled 1168 PCI patients, with a mean age of 64.1% ± 11.7% and 68.8% being male. Hypertension emerged as the most prominent risk factor. In addition, 27.8% of the population received a final diagnosis of ST-elevation myocardial infarction. The mean baseline Seattle Angina Questionnaire-7 summary score was 60.8 ± 16.4.

Conclusion: Establishing a registry is an important step in assuring quality and safety in the provision of PCI. A PCI registry based on EuroHeart data set standards will align with international efforts. In-hospital results also demonstrate early success in implementing the PCI registry management.

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