Impact of the National Service Framework for coronary heart disease on treatment and outcome of patients with acute coronary syndromes.

ABSTRACT:

Objectives

To evaluate the impact the National Service Framework (NSF) for coronary heart disease has had on emergency treatment and outcomes in patients presenting with acute coronary syndromes.

Design

Retrospective cohort study.

Setting

Coronary care units of two district general hospitals.

Results

Data from 3371 patients were recorded, 1993 patients in the 27 months before the introduction of the NSF and 1378 patients in the 24 months afterwards. After the introduction of the NSF in-hospital mortality was significantly reduced (95 patients (4.8%) v 43 (3.2%), p = 0.02). This was associated with a reduction in the development of Q wave myocardial infarction (40.6% v 33.3%, p < 0.0001) and in the incidence of left ventricular failure (15.9% v 12.3%, p = 0.003)

SUBMITTER: Graham JJ 

PROVIDER: S-EPMC1860838 | biostudies-literature | 2006 Mar

REPOSITORIES: biostudies-literature