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dc.contributor.authorKontsevaya, Anna V
dc.contributor.authorBobrova, Natalia
dc.contributor.authorBarbarash, Olga
dc.contributor.authorDuplyakov, Dmitry
dc.contributor.authorEfanov, Alexey
dc.contributor.authorGalyavich, Albert
dc.contributor.authorFrants, Maria
dc.contributor.authorKhaisheva, Larisa
dc.contributor.authorMalorodova, Tatyana
dc.contributor.authorMirolyubova, Olga
dc.contributor.authorNedbaikin, Andrei
dc.contributor.authorOsipova, Irina
dc.contributor.authorPlatonov, Dmitry
dc.contributor.authorPosnenkova, OIga
dc.contributor.authorSyromiatnikova, Liudmila
dc.contributor.authorBates, Katie
dc.contributor.authorLeon, David Adrew
dc.contributor.authorMcKee, Martin
dc.date.accessioned2019-03-06T13:12:51Z
dc.date.available2019-03-06T13:12:51Z
dc.date.issued2018-04-06
dc.description.abstract<i>Background</i>: Death rates from cardiovascular disease in Russia are among the highest in the world. In recent years, the Russian government has invested substantially in the healthcare system, with a particular focus on improving access to advanced technology, especially for acute myocardial infarction (AMI). This protocol describes a study to understand the management of AMI in different Russian regions, investigating the role of patient, clinical, and health system characteristics.<p> <p><i>Methods</i>: A prospective observational study has recruited a representative sample of AMI patients within 16 hospitals from 13 regions across Russia. Criteria for inclusion are being aged 35-70 years with a confirmed diagnosis of AMI and surviving until the day after admission. Information being collected includes health system contacts and features of clinical management prior to the event and in the 12 months following discharge from hospital. Following initial exploration of the data to generate hypotheses, multivariate analyses will be applied to assess the role of these characteristics in both treatment decisions and any delays in time critical interventions. Between June 2015 and August 2016, 1,122 patients have been recruited at baseline and follow-up to 12 months post-discharge is scheduled to be completed by autumn 2017. The study is unique in examining patient factors, clinical management prior to admission and in hospital in the acute phase and throughout the critical first year of recovery across a diverse range of geographies and facilities. It uses standardized instruments to collect data from patients and health care providers and includes regions that are diverse in terms of geography and development of cardiology capacity. However, given the limited health services research capacity in the Russian Federation, it was not possible to obtain a sample that was truly nationally representative.en_US
dc.description.sponsorshipWellcome Trust International Project on Cardiovascular Disease in Russia (IPCDR) Norwegian Ministry of Health Norwegian Institute of Public Health UiT, The Arctic University of Norwayen_US
dc.descriptionSource at <a href=https://doi.org/10.12688/wellcomeopenres.12478.2>https://doi.org/10.12688/wellcomeopenres.12478.2. </a>en_US
dc.identifier.citationKontsevaya, A.V., Bobrova, N., Barbarash, O., Duplyakov, D., Efanov, A., Galyavich, A. ... McKee, M. (2018). The management of acute myocardial infarction in the Russian Federation: Protocol for a study of patient pathways [version 2; referees: 2 approved]. <i>Wellcome Open Research</i>, 2:89. https://doi.org/10.12688/wellcomeopenres.12478.2en_US
dc.identifier.cristinIDFRIDAID 1630227
dc.identifier.doi10.12688/wellcomeopenres.12478.2
dc.identifier.issn2398-502X
dc.identifier.urihttps://hdl.handle.net/10037/14871
dc.language.isoengen_US
dc.publisherWellcome Trusten_US
dc.relation.journalWellcome Open Research
dc.rights.accessRightsopenAccessen_US
dc.subjectmyocardial infarctionen_US
dc.subjecthealth seeking behaviouren_US
dc.subjecthealth services researchen_US
dc.subjectpatient pathwaysen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleThe management of acute myocardial infarction in the Russian Federation: Protocol for a study of patient pathways [version 2; referees: 2 approved]en_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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