{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T19:02:49Z","timestamp":1761418969671},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,5,8]],"date-time":"2015-05-08T00:00:00Z","timestamp":1431043200000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Cardiac Society of Australia and New Zealand"},{"name":"The Heart Foundation of Australia"},{"name":"The Agency for Clinical Innovation Cardiac Network (NSW)"},{"name":"Victorian Cardiac Clinical Network"},{"name":"Queensland Cardiac Clinical Network"},{"name":"Western Australian Cardiovascular Health Network"},{"name":"South Australian Cardiac Clinical Network"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2015,5]]},"abstract":"Abstract<\/jats:title>Background\/Aims<\/jats:title>We aimed to assess differences in patient management, and outcomes, of A<\/jats:styled-content>ustralian and N<\/jats:styled-content>ew Z<\/jats:styled-content>ealand patients admitted with a suspected or confirmed acute coronary syndrome (ACS<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>We used comprehensive data from the binational A<\/jats:styled-content>ustralia and N<\/jats:styled-content>ew Z<\/jats:styled-content>ealand ACS<\/jats:styled-content> \u2018SNAPSHOT<\/jats:styled-content>\u2018 audit, acquired on individual patients admitted between 00.00 h on 14 M<\/jats:styled-content>ay 2012 to 24.00 h on 27 M<\/jats:styled-content>ay 2012.<\/jats:p><\/jats:sec>Results<\/jats:title>There were 4387 patient admissions, 3381 (77%) in A<\/jats:styled-content>ustralia and 1006 (23%) in N<\/jats:styled-content>ew Z<\/jats:styled-content>ealand; A<\/jats:styled-content>ustralian patients were slightly younger (67 vs 69 years, P<\/jats:italic> = 0.0044). Of the 2356 patients with confirmed ACS<\/jats:styled-content>, A<\/jats:styled-content>ustralian patients were at a lower cardiovascular risk with a lower median Global Registry Acute Coronary Events score (147 vs 154 P<\/jats:italic> = 0.0008), but as likely to receive an invasive coronary angiogram (58% vs 54%, P<\/jats:italic> = 0.082), or revascularisation with percutaneous coronary intervention (32% vs 31%, P<\/jats:italic> = 0.92) or coronary artery bypass graft surgery (7.0% vs 5.6%, P<\/jats:italic> = 0.32). Of the 1937 non\u2010segment elevation myocardial infarction\/unstable angina pectoris (NSTEMI<\/jats:styled-content>\/UAP<\/jats:styled-content>) patients, A<\/jats:styled-content>ustralian patients had a shorter time to angiography (46\u2009h vs 67\u2009h, P<\/jats:italic> < 0.0001). However, at discharge, A<\/jats:styled-content>ustralian NSTEMI<\/jats:styled-content>\/UAP<\/jats:styled-content> survivors were less likely to receive aspirin (84% vs 89%, P<\/jats:italic> = 0.0079, a second anti\u2010platelet agent (57% vs 63%, P<\/jats:italic> = 0.050) or a beta blocker (67% vs 77%, P<\/jats:italic> = 0.0002). In\u2010hospital death rates were not different (2.7% vs 3.2%, P<\/jats:italic> = 0.55) between A<\/jats:styled-content>ustralia and N<\/jats:styled-content>ew Z<\/jats:styled-content>ealand.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Overall more similarities were seen, than differences, in the management of suspected or confirmed ACS<\/jats:styled-content> patients between A<\/jats:styled-content>ustralia and N<\/jats:styled-content>ew Z<\/jats:styled-content>ealand. However, in several management areas, both countries could improve the service delivery to this high\u2010risk patient group.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.12739","type":"journal-article","created":{"date-parts":[[2015,3,12]],"date-time":"2015-03-12T08:22:49Z","timestamp":1426148569000},"page":"497-509","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Comparison of the management and in\u2010hospital outcomes of acute coronary syndrome patients in A<\/scp>ustralia and N<\/scp>ew Z<\/scp>ealand: results from the binational SNAPSHOT<\/scp> acute coronary syndrome 2012 audit"],"prefix":"10.1111","volume":"45","author":[{"given":"C.","family":"Ellis","sequence":"first","affiliation":[{"name":"Department of Cardiology Auckland City Hospital Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Hammett","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Ranasinghe","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"French","sequence":"additional","affiliation":[{"name":"Department of Cardiology Liverpool Hospital Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Briffa","sequence":"additional","affiliation":[{"name":"School of Population Health University of Western Australia Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Devlin","sequence":"additional","affiliation":[{"name":"Department of Cardiology Waikato Hospital Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Cardiology Department Christchurch Hospital Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Lefkovitz","sequence":"additional","affiliation":[{"name":"Royal Melbourne Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Aliprandi\u2010Costa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Concord Hospital Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Astley","sequence":"additional","affiliation":[{"name":"Statewide Systems Strategy SA Health Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Redfern","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Howell","sequence":"additional","affiliation":[{"name":"Clinical Access and Redesign Unit Queensland Department of Health Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Carr","sequence":"additional","affiliation":[{"name":"Agency for Clinical Innovation Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Lintern","sequence":"additional","affiliation":[{"name":"Agency for Clinical Innovation Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Bloomer","sequence":"additional","affiliation":[{"name":"Health Networks Branch Department of Health of Western Australia Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Farshid","sequence":"additional","affiliation":[{"name":"Department of Cardiology The Canberra Hospital Canberra ACT, New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Matsis","sequence":"additional","affiliation":[{"name":"Cardiology Department Wellington Hospital Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Hamer","sequence":"additional","affiliation":[{"name":"Department of Cardiology Nelson Marlborough District Health Board Nelson New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Williams","sequence":"additional","affiliation":[{"name":"Cardiology Department Dunedin Hospital Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Troughton","sequence":"additional","affiliation":[{"name":"The Christchurch Heart Institute Department of Medicine University of Otago Christchurch Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Horsfall","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Flinders University Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Hyun","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Gamble","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"White","sequence":"additional","affiliation":[{"name":"Department of Cardiology Auckland City Hospital Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Brieger","sequence":"additional","affiliation":[{"name":"Department of Cardiology Concord Hospital Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Chew","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Flinders University Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Bi\u2010National Acute Coronary Syndromes (ACS) \u2018SNAPSHOT\u2019 Audit Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2011.05.276"},{"key":"e_1_2_6_3_1","first-page":"127","article-title":"ST\u2010elevation myocardial infarction: New Zealand management guidelines, 2013","volume":"126","author":"ST\u2010Elevation Myocardial Infarction Guidelines Group and the New Zealand Branch of the Cardiac Society of Australia and New Zealand","year":"2013","journal-title":"N Z Med J"},{"key":"e_1_2_6_4_1","first-page":"122","article-title":"New Zealand 2012 guidelines for the management of non ST\u2010elevation acute coronary syndromes","volume":"125","author":"Non ST\u2010Elevation Acute Coronary Syndrome Guidelines Group and the New Zealand Branch of the Cardiac Society of Australia and New Zealand","year":"2012","journal-title":"N Z Med J"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs215"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr236"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.11.019"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.01.014"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.110.960229"},{"key":"e_1_2_6_10_1","first-page":"5","article-title":"Cardiovascular Health in New Zealand: areas of concern and targets for improvement in 2008 and beyond","volume":"121","author":"Ellis CJ","year":"2008","journal-title":"N Z Med J"},{"key":"e_1_2_6_11_1","first-page":"7","article-title":"Systems of care: need for hub and spoke systems of care for patients with myocardial infarction. A call for action","volume":"123","author":"White HD","year":"2010","journal-title":"N Z Med J"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61237-4"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp0904133"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62070-X"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.2165\/11536150-000000000-00000"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja12.11854"},{"key":"e_1_2_6_17_1","first-page":"36","article-title":"The management of acute coronary syndrome patients across New Zealand in 2012: results of a third comprehensive nationwide audit and observations of current care","volume":"126","author":"Ellis C","year":"2013","journal-title":"N Z Med J"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.19.2345"},{"volume-title":"Epidemiologic Analysis with a Programmable Calculator (NIH Publication 79\u20101649)","year":"1979","author":"Rothman KJ","key":"e_1_2_6_19_1"},{"key":"e_1_2_6_20_1","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1136\/heartjnl-2013-305296","article-title":"Prescription of secondary prevention medications, lifestyle advice, and referral to rehabilitation among acute coronary syndrome inpatients: results from a large prospective audit in Australia and New Zealand","volume":"100","author":"Redfern J","journal-title":"Heart"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1787\/health_glance-2013-en"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehp492"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.07.029"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.07.028"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.110.957944"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.09.005"},{"key":"e_1_2_6_27_1","first-page":"69","article-title":"Risk stratification and timing of coronary angiography in acute coronary syndromes: are we targeting the right patients in a timely manner? (ANZACS\u2010QI 1)","volume":"126","author":"Kerr AJ","year":"2013","journal-title":"N Z Med J"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja13.10645"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.12739","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.12739","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T17:08:50Z","timestamp":1695575330000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.12739"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,5]]}},"alternative-id":["10.1111\/imj.12739"],"URL":"https:\/\/doi.org\/10.1111\/imj.12739","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"type":"print","value":"1444-0903"},{"type":"electronic","value":"1445-5994"}],"subject":[],"published":{"date-parts":[[2015,5]]},"assertion":[{"value":"2014-12-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-03-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-05-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}