Exploring Clinical Trajectories and the Continuum of Care for Patients With Acute Coronary Syndrome in the United Kingdom: A Thorough Cross-Sectional Analysis

The United Kingdom (UK) has a sustainable healthcare system. Nonetheless, the burden of acute coronary syndrome (ACS) is still a significant challenge. A scarcity of literature primarily focuses on the continuum of care for ACS patients in the UK. Moreover, limited research studies highlight the cli...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-11, Vol.15 (11), p.e49391-e49391
Main Authors: Zaki, Hany A, Bashir, Israr, Mahdy, Ahmed, Abdurabu, Mohammed, Khallafalla, Hosam, Fayed, Mohamed, Elsayed, Wael Abdelrehem Elnabawy, Abdelrahim, Mohammed Gafar, Basharat, Kaleem, Salloum, Wathek, Shaban, Eman
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Angioplasty
Audits
Cardiology
Emergency Medicine
High income
Hospitalization
Hospitals
Internal Medicine
Ischemia
Patients
Rehabilitation
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Summary:The United Kingdom (UK) has a sustainable healthcare system. Nonetheless, the burden of acute coronary syndrome (ACS) is still a significant challenge. A scarcity of literature primarily focuses on the continuum of care for ACS patients in the UK. Moreover, limited research studies highlight the clinical trajectories of ACS patients across the UK. Therefore, the current study was designed to explore clinical trajectories and the continuum of care for patients with ACS in the UK. Secondary data was obtained from the Myocardial Ischaemia National Audit Project (MINAP) database. The latest data available in the MINAP database was used. As our objective was to explore clinical trajectories and the continuum of care for patients, we retrieved data regarding the care received by ACS patients admitted to hospitals across the UK.  The data of 85574 ACS patients was retrieved. A large number (n=47035) of patients were estimated to be eligible for the angiogram; however, an angiogram was performed for 87.15% (n=40995) of eligible patients. Angioplasty within 72 hours of admission was required for most (n=26313) ACS patients. Nonetheless, angioplasty within 72 hours of admission was performed for 59.7% (n=15703) of the eligible patients. There was a significant difference (P
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.49391