Assessment of the quality of medical assistance for patients with acute ST elevation coronary syndrome for 2009-2010 in regions of the Russian Federation participating in the "vascular program" (by the data of the Russian ACS Register)

Aim. To assess quality of medical assistance for patients with acute ST elevation coronary syndrome (aSTeCS) for the period from 2009 to 2010 in 23 administrative regions of the Russian Federation (RF) realizing the "vascular program".
Material and methods. We analysed management of aSTeCS patients treated in the regional vascular centers and/or primary vascular departments of 23 administrative regions of the RF for the period from January 1, 2009 to January 1, 2011. Mean age of the patients was 64 (56-75) years, 65.8% were males. For the above period computer medical information was available for 45407 acute coronary syndrome (ACS) patients, of them the diagnosis of aSTeCS was in 17514 patients.
Results. We found that most aSTeCS patients seek medical advice late, prehospital aspirin was prescribed only in 50-60% cases. Thrombolytic therapy (TLT) was performed, on the average, in 22 and 27% cases in 2009 и 2010, respectively. A definite positive trend in TLT administration in 2009-2010 was seen only in 5 regions. In 2010 г. frequency of TLT conduction was below the evarage for all the sample in 8 regions of the RF. Procedures of urgent percutaneous coronary intervention (UPCI) in 2009 were made, on the average, in aSTeCS patients, in 2010 г. - in 22,6 %. A positive trend in application of UPCI in aSTeCS patients was registered in 9 RF regions. The number of UPCI procedures under 100 in 2010 was seen in 5 RF regions.
Conclusion. ACS Register provided data on application of high-tech treatment and pharmacotherapy in 2009 и 2010 in medical institutions of 23 RF regions realizing "vascular program".

acute coronary syndrome, thrombolytic therapy, percutaneous coronary interventions