Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Contemporary Status of Acute Myocardial Infarction in Korean Patients: Korean Registry of Acute Myocardial Infarction for Regional Cardiocerebrovascular Centers

Version 1 : Received: 26 November 2020 / Approved: 27 November 2020 / Online: 27 November 2020 (14:12:24 CET)

How to cite: Kim, R.B.; Hwang, J.Y.; Park, H.; Her, A.; Lee, J.; Kim, M.H.; Yoon, C.H.; Cho, J.Y.; Woo, S.; Kim, Y.; Han, J.; Choi, J.H.; Kim, S.Y.; Choi, S.; Jee, S.J.; Lee, S.Y.; Won, K.; Park, K.; Hyun, D.W. Contemporary Status of Acute Myocardial Infarction in Korean Patients: Korean Registry of Acute Myocardial Infarction for Regional Cardiocerebrovascular Centers. Preprints 2020, 2020110693 (doi: 10.20944/preprints202011.0693.v1). Kim, R.B.; Hwang, J.Y.; Park, H.; Her, A.; Lee, J.; Kim, M.H.; Yoon, C.H.; Cho, J.Y.; Woo, S.; Kim, Y.; Han, J.; Choi, J.H.; Kim, S.Y.; Choi, S.; Jee, S.J.; Lee, S.Y.; Won, K.; Park, K.; Hyun, D.W. Contemporary Status of Acute Myocardial Infarction in Korean Patients: Korean Registry of Acute Myocardial Infarction for Regional Cardiocerebrovascular Centers. Preprints 2020, 2020110693 (doi: 10.20944/preprints202011.0693.v1).

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 3 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 3 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 3-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%. Prehospital 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.

Keywords

acute myocardial infarction; case fatality; registry

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