Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015
Acute coronary syndrome (ACS) is globally recognised as a significant health burden, for which the reduction in total ischemic times by way of the most suitable reperfusion strategy has been the focus of national and international initiatives. In a setting such as western Australia, characterised...
| Main Authors: | , , , |
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| Format: | Journal Article |
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MDPI AG
2021
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| Online Access: | http://hdl.handle.net/20.500.11937/82225 |
| _version_ | 1848764483141369856 |
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| author | Forsyth, René Sun, Zhonghua Reid, Christopher Moorin, Rachael |
| author_facet | Forsyth, René Sun, Zhonghua Reid, Christopher Moorin, Rachael |
| author_sort | Forsyth, René |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Acute coronary syndrome (ACS) is globally recognised as a significant health burden, for
which the reduction in total ischemic times by way of the most suitable reperfusion strategy has
been the focus of national and international initiatives. In a setting such as western Australia, characterised
by 79% of the population dwelling in the greater capital region, transfers to hospitals capable
of percutaneous coronary intervention (PCI) is often a necessary but time-consuming reality
for outer-metropolitan and rural patients.
Methods: Hospital separations, emergency department
admissions and death registration data between 1 January 2007 and 31 December 2015 were linked
by the Western Australian Data Linkage Unit, identifying patients with a confirmed first-time diagnosis
of ACS, who were either a direct admission or experienced an inter-hospital transfer.
Results:
Although the presentation rates of ACS remained stable over the nine years evaluated, the rates of
first-time admissions for ACS were more than double in the rural residential cohort, including
higher rates of ST-segment elevation myocardial infarction, the most time-critical manifestation of
ACS. Consequently, rural patients were more likely to undergo an inter-hospital transfer. However,
42% of metropolitan admissions for a first-time ACS also experienced a transfer.
Conclusion: While
the time burden of inter-hospital transfers for rural patients is a reality in health care systems where
it is not feasible to have advanced facilities and workforce skills outside of large population centres,
there is a concerning trend of inter-hospital transfers within the metropolitan region highlighting
the need for further initiatives to streamline pre-hospital triage to ensure patients with symptoms
indicative of ACS present to PCI-equipped hospitals. |
| first_indexed | 2025-11-14T11:20:04Z |
| format | Journal Article |
| id | curtin-20.500.11937-82225 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T11:20:04Z |
| publishDate | 2021 |
| publisher | MDPI AG |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-822252021-01-13T04:02:59Z Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015 Forsyth, René Sun, Zhonghua Reid, Christopher Moorin, Rachael 1102 - Cardiorespiratory Medicine And Haematology Acute coronary syndrome (ACS) is globally recognised as a significant health burden, for which the reduction in total ischemic times by way of the most suitable reperfusion strategy has been the focus of national and international initiatives. In a setting such as western Australia, characterised by 79% of the population dwelling in the greater capital region, transfers to hospitals capable of percutaneous coronary intervention (PCI) is often a necessary but time-consuming reality for outer-metropolitan and rural patients. Methods: Hospital separations, emergency department admissions and death registration data between 1 January 2007 and 31 December 2015 were linked by the Western Australian Data Linkage Unit, identifying patients with a confirmed first-time diagnosis of ACS, who were either a direct admission or experienced an inter-hospital transfer. Results: Although the presentation rates of ACS remained stable over the nine years evaluated, the rates of first-time admissions for ACS were more than double in the rural residential cohort, including higher rates of ST-segment elevation myocardial infarction, the most time-critical manifestation of ACS. Consequently, rural patients were more likely to undergo an inter-hospital transfer. However, 42% of metropolitan admissions for a first-time ACS also experienced a transfer. Conclusion: While the time burden of inter-hospital transfers for rural patients is a reality in health care systems where it is not feasible to have advanced facilities and workforce skills outside of large population centres, there is a concerning trend of inter-hospital transfers within the metropolitan region highlighting the need for further initiatives to streamline pre-hospital triage to ensure patients with symptoms indicative of ACS present to PCI-equipped hospitals. 2021 Journal Article http://hdl.handle.net/20.500.11937/82225 10.3390/jcm10010049 http://creativecommons.org/licenses/by/4.0/ MDPI AG fulltext |
| spellingShingle | 1102 - Cardiorespiratory Medicine And Haematology Forsyth, René Sun, Zhonghua Reid, Christopher Moorin, Rachael Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015 |
| title | Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015 |
| title_full | Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015 |
| title_fullStr | Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015 |
| title_full_unstemmed | Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015 |
| title_short | Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015 |
| title_sort | rates and patterns of first-time admissions for acute coronary syndromes across western australia using linked administrative health data 2007–2015 |
| topic | 1102 - Cardiorespiratory Medicine And Haematology |
| url | http://hdl.handle.net/20.500.11937/82225 |