Rock Bum Kim1, Jin Yong Hwang2, Hyun Woong Park2, Ae-Young Her3, Jang Hoon Lee4,5, Moo Hyun Kim6, Chang Hwan Yoon7, Jae Young Cho8, Sung-Il Woo9, Yongcheol Kim10, Jae-Young Han11, Joon Hyouk Choi12, Song Yi Kim12, Si Wan Choi13, Sung Ju Jee14, Sang Yeub Lee15, Ki-Bum Won16, Kyeong-Soo Park17, Dae Woo Hyun18. 1. Regional Cardiocerebrovascular Disease Center, Gyeongsang National University Hospital, Jinju 52727, Korea. 2. Department of Internal Medicine, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju 52727, Korea. 3. Division of Cardiology, Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon 24341, Korea. 4. Department of Internal Medicine, Kyungpook National University Hospital, Daegu 41944, Korea. 5. School of Medicine, Kyungpook National University, Daegu 41944, Korea. 6. Department of Cardiology, Dong-A University Hospital, Busan 49201, Korea. 7. Cardiovascular Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam 13620, Korea. 8. Regional Cardiocerebrovascular Center, Department of Cardiovascular Medicine, Wonkwang University Hospital, Iksan 54538, Korea. 9. Division of Cardiology, Department of Internal Medicine, Inha University Hospital, Incheon 22332, Korea. 10. Division of Cardiology, Chonnam National University Hospital, Gwangju 61469, Korea. 11. Department of Rehabilitation Medicine, Chonnam National University Medical School & Hospital, Gwangju 61469, Korea. 12. Division of Cardiology, Department of Internal Medicine, School of Medicine, Jeju National University, Jeju National University Hospital, Jeju 63241, Korea. 13. Department of Cardiology, Chungnam National University Hospital, Daejeon 35015, Korea. 14. Department of Rehabilitation Medicine, Chungnam National University Hospital, Daejeon 35015, Korea. 15. Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju 28644, Korea. 16. Division of Cardiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, Korea. 17. Regional Cardiocerebrovascular Disease Center, Mokpo Jung-ang Hospital, Mokpo 58615, Korea. 18. Department of Internal Medicine, Andong General Hospital, Andong 36743, Korea.
Abstract
BACKGROUND: This study aimed to present the development process and characteristics of the Korean Registry of Acute Myocardial Infarction for Regional Cardiocerebrovascular Centers (KRAMI-RCC). METHODS: We developed KRAMI-RCC, a web-based registry for patients with AMI. Patients from 14 RCCs were registered for more than three years from July 2016. It includes an automatic error-checking system, and user training and on-site monitoring are performed to manage data quality. RESULTS: A total of 11,700 AMI patients were registered in KRAMI-RCC over three years (73.9% men). The proportions of patients with ST-elevation and non-ST-elevation myocardial infarction at discharge were 43.4% and 56.6%, respectively. Of the total three-year patients, 5.6% died in the hospital, and 4.4% died 12 months after discharge. The case fatality within 12 months was 9.7%. Pre-hospital care data showed delayed arrival time after onset of symptoms (median 153 min) and low transportation rate by public ambulance (25.2%). Post-hospital care data showed lower participation rate in the second rehabilitation program (16.8%). CONCLUSIONS: The recently developed KRAMI-RCC registry has been more focused on pre-hospital and post-hospital data, which will be helpful in understanding the current state of AMI disease management and in making policy decisions to reduce case fatality in Korea.
BACKGROUND: This study aimed to present the development process and characteristics of the Korean Registry of Acute Myocardial Infarction for Regional Cardiocerebrovascular Centers (KRAMI-RCC). METHODS: We developed KRAMI-RCC, a web-based registry for patients with AMI. Patients from 14 RCCs were registered for more than three years from July 2016. It includes an automatic error-checking system, and user training and on-site monitoring are performed to manage data quality. RESULTS: A total of 11,700 AMI patients were registered in KRAMI-RCC over three years (73.9% men). The proportions of patients with ST-elevation and non-ST-elevation myocardial infarction at discharge were 43.4% and 56.6%, respectively. Of the total three-year patients, 5.6% died in the hospital, and 4.4% died 12 months after discharge. The case fatality within 12 months was 9.7%. Pre-hospital care data showed delayed arrival time after onset of symptoms (median 153 min) and low transportation rate by public ambulance (25.2%). Post-hospital care data showed lower participation rate in the second rehabilitation program (16.8%). CONCLUSIONS: The recently developed KRAMI-RCC registry has been more focused on pre-hospital and post-hospital data, which will be helpful in understanding the current state of AMI disease management and in making policy decisions to reduce case fatality in Korea.
Entities:
Keywords:
acute myocardial infarction; case fatality; registry