Show simple item record

dc.contributor.authorJovanovic, Sanja
dc.date.accessioned2018-09-05T17:17:21Z
dc.date.available2018-09-05T17:17:21Z
dc.identifier.urihttp://hdl.handle.net/10222/74212
dc.description.abstractBackground: For patients with Non-ST Elevation Acute Coronary Syndrome (NSTEACS), observational studies have found cardiac catheterization being utilized more in patients at lower risk compared to their higher risk counterparts, contrary to the recommendations of clinical practice guidelines. This study seeks to evaluate to what extent catheterization practices in Nova Scotia align with the provincial guideline recommendations for ACS. Methods: We conducted a retrospective cohort study between 2003 and 2013. The primary outcome was utilization and timing of catheterization. The secondary outcome was one-year mortality. Multivariable logistic regression models were fit to estimate predictors of catheterization and mortality. Results: While catheterization rates increased, higher risk patients were less likely to receive the procedure. One-year mortality was lower for those receiving catheterization, especially for patients at intermediate to high risk. Conclusions: Targeting catheterization to higher risk patients would be more consistent with recommendations, and has potential to result in improved outcomes.en_US
dc.language.isoenen_US
dc.subjectcardiac catheterizationen_US
dc.subjectnon-ST elevation acute coronary syndromesen_US
dc.subjectaccess to careen_US
dc.subjectclinical practice guidelinesen_US
dc.subjectquality of careen_US
dc.titleTHE PROVINCIAL GUIDELINES EFFECT ON RISK-BASED ACCESS TO CARDIAC CATHETERIZATION IN PATIENTS WITH NON-ST ELEVATION ACUTE CORONARY SYNDROMES IN NOVA SCOTIA (2003 – 2013)en_US
dc.date.defence2018-08-22
dc.contributor.departmentDepartment of Community Health & Epidemiologyen_US
dc.contributor.degreeMaster of Scienceen_US
dc.contributor.external-examinern/aen_US
dc.contributor.graduate-coordinatorDr. Kathleen MacPhersonen_US
dc.contributor.thesis-readerDr. Pantelis Andreouen_US
dc.contributor.thesis-readerDr. Iqbal Bataen_US
dc.contributor.thesis-supervisorDr. Kathleen MacPhersonen_US
dc.contributor.thesis-supervisorDr. Jafna Coxen_US
dc.contributor.ethics-approvalReceiveden_US
dc.contributor.manuscriptsNot Applicableen_US
dc.contributor.copyright-releaseNot Applicableen_US
 Find Full text

Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record